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Outcome of mechanically ventilated patients who require a tracheostomy

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dc.contributor.authorFrutos-Vivar, F
dc.contributor.authorEsteban, A
dc.contributor.authorApezteguía, C
dc.contributor.authorAnzueto, A
dc.contributor.authorNightingale, P
dc.contributor.authorGonzález, M
dc.contributor.authorSoto, L
dc.contributor.authorRodrigo, C
dc.contributor.authorRaad, J
dc.contributor.authorDavid, C
dc.contributor.authorMatamis, D
dc.contributor.authorD'Empaire, G
dc.contributor.authorFreitas, PT
dc.contributor.authorInternational Mechanical Ventilation Study Group
dc.date.accessioned2012-08-29T13:39:49Z
dc.date.available2012-08-29T13:39:49Z
dc.date.issued2005
dc.description.abstractOBJECTIVE: To estimate the prevalence of, the risk factors associated with, and the outcome of tracheostomy in a heterogeneous population of mechanically ventilated patients. DESIGN: Prospective, observational cohort study. SETTING: A total of 361 intensive care units from 12 countries. PATIENTS: A cohort of 5,081 patients mechanically ventilated for >12 hrs. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: A total of 546 patients (10.7%) had a tracheostomy during their stay in the intensive care unit. Tracheostomy was performed at a median time of 12 days (interquartile range, 7-17) from the beginning of mechanical ventilation. Variables associated with the performance of tracheostomy were duration of mechanical ventilation, need for reintubation, and neurologic disease as the primary reason of mechanical ventilation. The intensive care unit stay of patients with or without tracheostomy was a median of 21 days (interquartile range, 12-32) vs. 7 days (interquartile range, 4-12; p < .001), respectively, and the hospital stay was a median 36 days (interquartile range, 23-53) vs. 15 days (interquartile range, 8-26; p < .001), respectively. Adjusting by other variables, tracheostomy was independently related with survival in the intensive care unit (odds ratio, 2.22; 95% confidence interval, 1.72-2.86). Mortality in the hospital was similar in both groups (39% vs. 40%, p = .65). CONCLUSIONS: Tracheostomy is a common surgical procedure in the intensive care unit that is associated with a lower mortality in the unit but with a longer stay and a similar mortality in the hospital than in patients without tracheostomypor
dc.identifier.citationCrit Care Med. 2005 Feb;33(2):290-8por
dc.identifier.issn0090-3493
dc.identifier.urihttp://hdl.handle.net/10400.10/680
dc.language.isoeng
dc.peerreviewedyespor
dc.publisherLippincott Williams & Wilkinspor
dc.subjectRespiração artificialpor
dc.subjectUnidade de cuidados intensivospor
dc.subjectMechanical ventilationpor
dc.subjectTracheostomypor
dc.subjectIntensive care unitspor
dc.titleOutcome of mechanically ventilated patients who require a tracheostomypor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlacePhiladelphiapor
oaire.citation.endPage298por
oaire.citation.startPage290por
oaire.citation.titleCritical Care Medicinepor
oaire.citation.volume33por
rcaap.rightsclosedAccesspor
rcaap.typearticlepor

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