Outcome in tracheostomized patients with severe traumatic brain injury following implementation of a specialized multidisciplinary tracheostomy team

The Journal of Head Trauma Rehabilitation
Joanne LeBlancKosar Khwaja

Abstract

To evaluate the effect of a specialized multidisciplinary tracheostomy team on outcome of patients with severe traumatic brain injury (sTBI). Retrospective study with historical controls. Twenty-seven patients with sTBI tracheostomized before implementation of the tracheostomy team approach and 34 patients followed by the team. A regional level 1 tertiary care trauma center, McGill University Health Centre-Montreal General Hospital. Time to decannulation, length of stay (LOS), Passy-Muir speaking valve use, and extended Glasgow Outcome Scale (GOS-E) scores given at acute care discharge. The groups were similar for injury severity, age, and premorbid health conditions. Postteam patients had a significantly shorter LOS (P = .025) and more of them used Passy-Muir speaking valves (P = .004). Furthermore, there was a trend toward decreased time to decannulation in the postteam group. GOS-E scores did not differ significantly between groups (P > .05). Implementation of the tracheostomy team appears to have had positive clinical benefits for this population.

References

Oct 1, 1985·Critical Care Medicine·W A KnausJ E Zimmerman
Jul 13, 1974·Lancet·G Teasdale, B Jennett
Apr 1, 1981·Journal of Neurology, Neurosurgery, and Psychiatry·B JennettN Brooks
Apr 12, 2008·Critical Care : the Official Journal of the Critical Care Forum·Antony E Tobin, John D Santamaria

❮ Previous
Next ❯

Citations

Jan 1, 2014·International Journal of Language & Communication Disorders·Susan L McGowanAnn-Louise Spurgin
Nov 8, 2011·Medicina intensiva·A Fernández-CarmonaA Díaz-Redondo
Jun 8, 2012·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Vinciya PandianNasir I Bhatti
May 3, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Charles LiuDavid Roberson
Jan 24, 2019·Journal of Interprofessional Care·Anne Marie SouthcottElizabeth Skinner
Apr 4, 2019·Ear, Nose, & Throat Journal·Timothy R HolmesThomas E Havas
Dec 6, 2018·Journal of the Intensive Care Society·Shailesh BihariAndrew D Bersten
Apr 20, 2012·International Journal of Language & Communication Disorders·Elizabeth WardMaura Solley

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.