Decannulation Following Tracheostomy for Prolonged Mechanical Ventilation
Background: We examined the process of decannulation following tracheostomy in patients transferred to a long-term acute care (LTAC) hospital for weaning from prolonged mechanical ventilation (PMV). Methods: A retrospective chart review of 135 patients. Results: Decannulation was successful in 35% o...
Gespeichert in:
| Veröffentlicht in: | Journal of intensive care medicine 2009-05, Vol.24 (3), p.187-194 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 194 |
|---|---|
| container_issue | 3 |
| container_start_page | 187 |
| container_title | Journal of intensive care medicine |
| container_volume | 24 |
| creator | O'Connor, Heidi H. Kirby, Kelly J. Terrin, Norma Hill, Nicholas S. White, Alexander C. |
| description | Background: We examined the process of decannulation following tracheostomy in patients transferred to a long-term acute care (LTAC) hospital for weaning from prolonged mechanical ventilation (PMV). Methods: A retrospective chart review of 135 patients. Results: Decannulation was successful in 35% of patients a median of 45 days (IQR, 32-76) following tracheostomy. Patients who failed decannulation had a tracheostomy tube placed earlier (14 days; IQR 11-18 vs. 18 days; IQR 14-30, P = .04) and had a shorter length of stay at the acute facility (20 days; IQR, 16-23 vs. 31 days; IQR, 24-45, P = .003) compared with patients who were decannulated. Length of stay and cost of care at the LTAC did not differ with decannulation status. At 3.5 years, 35% (47/135) of all patients and 62% (29/47) of decannulated patients were alive. Conclusions: Decannulation was achieved in 35% of patients transferred to an LTAC for weaning from prolonged mechanical ventilation. |
| doi_str_mv | 10.1177/0885066609332701 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67412253</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0885066609332701</sage_id><sourcerecordid>67412253</sourcerecordid><originalsourceid>FETCH-LOGICAL-c250t-164bb500d890d2accc3b4196020367e462ed71262c0b4b5081e9f7df60a295e23</originalsourceid><addsrcrecordid>eNp1kMFLwzAUxoMobk7vnqQnb9WXlzZpjjKdDiZ6mF5LmqZbR5fMpEX239vRgSB4eofv9_vgfYRcU7ijVIh7yLIUOOcgGUMB9ISMaYppTJNMnpLxIY4P-YhchLABoAwZPScjKjFDlGJM5o9GK2u7RrW1s9HMNY37ru0qWnql18aF1m33UeV89O5d4-zKlNGr0Wtla62a6NPYth7cS3JWqSaYq-OdkI_Z03L6Ei_enufTh0WsMYU2pjwpihSgzCSUqLTWrEio5IDAuDAJR1MKihw1FEkPZtTISpQVB4UyNcgm5Hbo3Xn31ZnQ5ts6aNM0yhrXhZyLhCKmrAdhALV3IXhT5Ttfb5Xf5xTyw3z53_l65ebY3RVbU_4Kx716IB6AoFYm37jO2_7X_wt_AHXcdwc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>67412253</pqid></control><display><type>article</type><title>Decannulation Following Tracheostomy for Prolonged Mechanical Ventilation</title><source>MEDLINE</source><source>SAGE Complete A-Z List</source><creator>O'Connor, Heidi H. ; Kirby, Kelly J. ; Terrin, Norma ; Hill, Nicholas S. ; White, Alexander C.</creator><creatorcontrib>O'Connor, Heidi H. ; Kirby, Kelly J. ; Terrin, Norma ; Hill, Nicholas S. ; White, Alexander C.</creatorcontrib><description>Background: We examined the process of decannulation following tracheostomy in patients transferred to a long-term acute care (LTAC) hospital for weaning from prolonged mechanical ventilation (PMV). Methods: A retrospective chart review of 135 patients. Results: Decannulation was successful in 35% of patients a median of 45 days (IQR, 32-76) following tracheostomy. Patients who failed decannulation had a tracheostomy tube placed earlier (14 days; IQR 11-18 vs. 18 days; IQR 14-30, P = .04) and had a shorter length of stay at the acute facility (20 days; IQR, 16-23 vs. 31 days; IQR, 24-45, P = .003) compared with patients who were decannulated. Length of stay and cost of care at the LTAC did not differ with decannulation status. At 3.5 years, 35% (47/135) of all patients and 62% (29/47) of decannulated patients were alive. Conclusions: Decannulation was achieved in 35% of patients transferred to an LTAC for weaning from prolonged mechanical ventilation.</description><identifier>ISSN: 0885-0666</identifier><identifier>EISSN: 1525-1489</identifier><identifier>DOI: 10.1177/0885066609332701</identifier><identifier>PMID: 19282297</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Device Removal ; Humans ; Length of Stay ; Respiration, Artificial - methods ; Tracheostomy ; Ventilator Weaning - methods</subject><ispartof>Journal of intensive care medicine, 2009-05, Vol.24 (3), p.187-194</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c250t-164bb500d890d2accc3b4196020367e462ed71262c0b4b5081e9f7df60a295e23</citedby><cites>FETCH-LOGICAL-c250t-164bb500d890d2accc3b4196020367e462ed71262c0b4b5081e9f7df60a295e23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0885066609332701$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0885066609332701$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,778,782,21806,27911,27912,43608,43609</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19282297$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>O'Connor, Heidi H.</creatorcontrib><creatorcontrib>Kirby, Kelly J.</creatorcontrib><creatorcontrib>Terrin, Norma</creatorcontrib><creatorcontrib>Hill, Nicholas S.</creatorcontrib><creatorcontrib>White, Alexander C.</creatorcontrib><title>Decannulation Following Tracheostomy for Prolonged Mechanical Ventilation</title><title>Journal of intensive care medicine</title><addtitle>J Intensive Care Med</addtitle><description>Background: We examined the process of decannulation following tracheostomy in patients transferred to a long-term acute care (LTAC) hospital for weaning from prolonged mechanical ventilation (PMV). Methods: A retrospective chart review of 135 patients. Results: Decannulation was successful in 35% of patients a median of 45 days (IQR, 32-76) following tracheostomy. Patients who failed decannulation had a tracheostomy tube placed earlier (14 days; IQR 11-18 vs. 18 days; IQR 14-30, P = .04) and had a shorter length of stay at the acute facility (20 days; IQR, 16-23 vs. 31 days; IQR, 24-45, P = .003) compared with patients who were decannulated. Length of stay and cost of care at the LTAC did not differ with decannulation status. At 3.5 years, 35% (47/135) of all patients and 62% (29/47) of decannulated patients were alive. Conclusions: Decannulation was achieved in 35% of patients transferred to an LTAC for weaning from prolonged mechanical ventilation.</description><subject>Device Removal</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Respiration, Artificial - methods</subject><subject>Tracheostomy</subject><subject>Ventilator Weaning - methods</subject><issn>0885-0666</issn><issn>1525-1489</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMFLwzAUxoMobk7vnqQnb9WXlzZpjjKdDiZ6mF5LmqZbR5fMpEX239vRgSB4eofv9_vgfYRcU7ijVIh7yLIUOOcgGUMB9ISMaYppTJNMnpLxIY4P-YhchLABoAwZPScjKjFDlGJM5o9GK2u7RrW1s9HMNY37ru0qWnql18aF1m33UeV89O5d4-zKlNGr0Wtla62a6NPYth7cS3JWqSaYq-OdkI_Z03L6Ei_enufTh0WsMYU2pjwpihSgzCSUqLTWrEio5IDAuDAJR1MKihw1FEkPZtTISpQVB4UyNcgm5Hbo3Xn31ZnQ5ts6aNM0yhrXhZyLhCKmrAdhALV3IXhT5Ttfb5Xf5xTyw3z53_l65ebY3RVbU_4Kx716IB6AoFYm37jO2_7X_wt_AHXcdwc</recordid><startdate>200905</startdate><enddate>200905</enddate><creator>O'Connor, Heidi H.</creator><creator>Kirby, Kelly J.</creator><creator>Terrin, Norma</creator><creator>Hill, Nicholas S.</creator><creator>White, Alexander C.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200905</creationdate><title>Decannulation Following Tracheostomy for Prolonged Mechanical Ventilation</title><author>O'Connor, Heidi H. ; Kirby, Kelly J. ; Terrin, Norma ; Hill, Nicholas S. ; White, Alexander C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c250t-164bb500d890d2accc3b4196020367e462ed71262c0b4b5081e9f7df60a295e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Device Removal</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Respiration, Artificial - methods</topic><topic>Tracheostomy</topic><topic>Ventilator Weaning - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>O'Connor, Heidi H.</creatorcontrib><creatorcontrib>Kirby, Kelly J.</creatorcontrib><creatorcontrib>Terrin, Norma</creatorcontrib><creatorcontrib>Hill, Nicholas S.</creatorcontrib><creatorcontrib>White, Alexander C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of intensive care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>O'Connor, Heidi H.</au><au>Kirby, Kelly J.</au><au>Terrin, Norma</au><au>Hill, Nicholas S.</au><au>White, Alexander C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decannulation Following Tracheostomy for Prolonged Mechanical Ventilation</atitle><jtitle>Journal of intensive care medicine</jtitle><addtitle>J Intensive Care Med</addtitle><date>2009-05</date><risdate>2009</risdate><volume>24</volume><issue>3</issue><spage>187</spage><epage>194</epage><pages>187-194</pages><issn>0885-0666</issn><eissn>1525-1489</eissn><abstract>Background: We examined the process of decannulation following tracheostomy in patients transferred to a long-term acute care (LTAC) hospital for weaning from prolonged mechanical ventilation (PMV). Methods: A retrospective chart review of 135 patients. Results: Decannulation was successful in 35% of patients a median of 45 days (IQR, 32-76) following tracheostomy. Patients who failed decannulation had a tracheostomy tube placed earlier (14 days; IQR 11-18 vs. 18 days; IQR 14-30, P = .04) and had a shorter length of stay at the acute facility (20 days; IQR, 16-23 vs. 31 days; IQR, 24-45, P = .003) compared with patients who were decannulated. Length of stay and cost of care at the LTAC did not differ with decannulation status. At 3.5 years, 35% (47/135) of all patients and 62% (29/47) of decannulated patients were alive. Conclusions: Decannulation was achieved in 35% of patients transferred to an LTAC for weaning from prolonged mechanical ventilation.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>19282297</pmid><doi>10.1177/0885066609332701</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0885-0666 |
| ispartof | Journal of intensive care medicine, 2009-05, Vol.24 (3), p.187-194 |
| issn | 0885-0666 1525-1489 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67412253 |
| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Device Removal Humans Length of Stay Respiration, Artificial - methods Tracheostomy Ventilator Weaning - methods |
| title | Decannulation Following Tracheostomy for Prolonged Mechanical Ventilation |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-15T18%3A36%3A22IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Decannulation%20Following%20Tracheostomy%20for%20Prolonged%20Mechanical%20Ventilation&rft.jtitle=Journal%20of%20intensive%20care%20medicine&rft.au=O'Connor,%20Heidi%20H.&rft.date=2009-05&rft.volume=24&rft.issue=3&rft.spage=187&rft.epage=194&rft.pages=187-194&rft.issn=0885-0666&rft.eissn=1525-1489&rft_id=info:doi/10.1177/0885066609332701&rft_dat=%3Cproquest_cross%3E67412253%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=67412253&rft_id=info:pmid/19282297&rft_sage_id=10.1177_0885066609332701&rfr_iscdi=true |