Impact of Early Tracheostomy less than 10 days in Severe Traumatic Brain Injury Patients in Buriram Hospital
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Abstract
Background: Severe traumatic brain injury patients need to have endotracheal tube intubation for ventilation due to unconsciousness. Prolong intubation cause risk of pneumonia, difficult of weaning ventilator and increase length of stay. Early tracheostomy has many benefits to improve outcome.
Objective: To study the duration of weaning off ventilator in severe traumatic brain injury patients and the incidence of pneumonia after tracheostomy in different times
Methods: This is a therapeutic research in Ambi-spective observational cohort design in severe traumatic brain injury patients compare in two groups (N=100) between patients who underwent tracheostomy less than 10 days and more than 10 days. The study outcome involved risk of pneumonia and days of weaning ventilators after tracheostomy.
Results: This analysis included 100 patients, 80% male and average age were 39 years old. The patients who underwent tracheostomy less than 10 days were significantly reduce 1.49 days of weaning ventilator and decrease risk of pneumonia 21% compare with other group. The number needed to prevent was 4.76.
Conclusion: Severe traumatic brain injury patients who has endotracheal tube intubation and on ventilator should have tracheostomy less than 10days for better outcome in weaning off ventilator and decrease risk of pneumonia
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References
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