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Ziaeian, Bijan, Tahmasebi, Sedigheh, Niakan, Hadi, Fazelzadeh, Afsoun. (1392). Short-term Outcome of Early Tracheostomy in the Trauma Patients Admitted to Intensive Care Unit: A Comparative Study. سامانه مدیریت نشریات علمی, 1(Issue 3), 112-115.
Bijan Ziaeian; Sedigheh Tahmasebi; Hadi Niakan; Afsoun Fazelzadeh. "Short-term Outcome of Early Tracheostomy in the Trauma Patients Admitted to Intensive Care Unit: A Comparative Study". سامانه مدیریت نشریات علمی, 1, Issue 3, 1392, 112-115.
Ziaeian, Bijan, Tahmasebi, Sedigheh, Niakan, Hadi, Fazelzadeh, Afsoun. (1392). 'Short-term Outcome of Early Tracheostomy in the Trauma Patients Admitted to Intensive Care Unit: A Comparative Study', سامانه مدیریت نشریات علمی, 1(Issue 3), pp. 112-115.
Ziaeian, Bijan, Tahmasebi, Sedigheh, Niakan, Hadi, Fazelzadeh, Afsoun. Short-term Outcome of Early Tracheostomy in the Trauma Patients Admitted to Intensive Care Unit: A Comparative Study. سامانه مدیریت نشریات علمی, 1392; 1(Issue 3): 112-115.

Short-term Outcome of Early Tracheostomy in the Trauma Patients Admitted to Intensive Care Unit: A Comparative Study

Bulletin of Emergency And Trauma
مقاله 4، دوره 1، Issue 3، مهر 2013، صفحه 112-115    اصل مقاله (567.48 K)
نویسندگان
Bijan Ziaeian1؛ Sedigheh Tahmasebi1؛ Hadi Niakan* 2؛ Afsoun Fazelzadeh1
1Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
2Trauma Research Center, Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
چکیده
Objectives: To compare the results of early versus late tracheostomy in trauma patients admitted to intensive care unit (ICU).Methods: This was case control study being performed at a major trauma centre in Shiraz, Iran including 120 trauma patients admitted to ICU during a 2-year period and underwent tracheostomy during their ICU stay. The patients were categorized into two groups of the early tracheostomy who underwent tracheostomy within the first 7 days of initiation of mechanical ventilation (n=60), and the late tracheostomy group, in which tracheostomy was performed after 7 days (n=60). The duration of mechanical ventilation, ICU stay and hospital stay as well as mortality rates in ICU and hospital were recorded and compared between two study groups.Results: The baseline characteristics such as age (p=0.325), sex (p=0.071), Glasgow coma scale (GCS) (p=0.431) and the mechanism of injury (p=0.822) were comparable between two study groups. Early tracheostomy was associated with a significantly shorter duration of mechanical ventilation (p=0.008) and shorter ICU stay (p=0.003). Hospital stay (p=0.165), ICU mortality (p=0.243), and hospital mortality (p=0.311) were not different between the two study groups.Conclusion: Early tracheostomy is associated with reduced ICU stay and shorter duration of mechanical ventilation. Adopting a standardized strategy may improve resource utilization.
کلیدواژه‌ها
Tracheostomy؛ Early tracheostomy؛ Airway management؛ Intensive care unit (ICU)؛ Mechanical ventilation
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