Outcomes of Tracheostomy on Burn Inhalation Injury
BackgroundTracheostomy has been proposed for patients with expected prolonged intubation. This study aims to determine the outcomes of tracheostomy on patients with burn inhalation injuries requiring mechanical ventilation. MethodsThis study is a retrospective review from 2011 to 2019. Inclusion cri...
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| Veröffentlicht in: | Eplasty 2023-07, Vol.23, p.e43-e43 |
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| creator | Ruiz, Samuel Puyana, Salomon McKenney, Mark Hai, Shaikh Mir, Haaris |
| description | BackgroundTracheostomy has been proposed for patients with expected prolonged intubation. This study aims to determine the outcomes of tracheostomy on patients with burn inhalation injuries requiring mechanical ventilation. MethodsThis study is a retrospective review from 2011 to 2019. Inclusion criteria were recording of inhalation injury, ventilator support (at least 24 hours), and total body surface area of |
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| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10472420</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2860619257</sourcerecordid><originalsourceid>FETCH-LOGICAL-p890-f2812af3883f6bc607cde372f09e0a7d431fc01622f4a297c513e80e4b77e6783</originalsourceid><addsrcrecordid>eNpVkLtqwzAYRk1poWnad_DYxaCbdZlKG3oJBLJ4F7L8q3awJVeyCnn7pjRDOn0HPjjDuSpWWFFR1QKr6wu-Le5SOiDEEWd0VZB9XmyYIJXBlU00toeQljAdy-DLlxx9ufW9Gc0yhF885Hi8L26cGRM8nHddNG-vzeaj2u3ft5vnXTVLhSpHJCbGUSmp463lSNgOqCAOKUBGdIxiZxHmhDhmiBK2xhQkAtYKAVxIui6e_rRzbifoLPglmlHPcZhMPOpgBv3_8UOvP8O3xogJwgg6GR7Phhi-MqRFT0OyMI7GQ8hJE3mKgBWpBf0BFBlZ0g</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2860619257</pqid></control><display><type>article</type><title>Outcomes of Tracheostomy on Burn Inhalation Injury</title><source>PubMed Central</source><creator>Ruiz, Samuel ; Puyana, Salomon ; McKenney, Mark ; Hai, Shaikh ; Mir, Haaris</creator><creatorcontrib>Ruiz, Samuel ; Puyana, Salomon ; McKenney, Mark ; Hai, Shaikh ; Mir, Haaris</creatorcontrib><description>BackgroundTracheostomy has been proposed for patients with expected prolonged intubation. This study aims to determine the outcomes of tracheostomy on patients with burn inhalation injuries requiring mechanical ventilation. MethodsThis study is a retrospective review from 2011 to 2019. Inclusion criteria were recording of inhalation injury, ventilator support (at least 24 hours), and total body surface area of <15%. The patients were stratified into 2 groups: tracheostomy (group 1) versus no tracheostomy (group 2). The outcome measures were in-hospital mortality rate, hospital length of stay, intensive care unit length of stay, ventilator days, and ventilator- associated pneumonia (VAP). ResultsA total of 33 burn patients met our inclusion criteria. Group 1 consisted of 10 patients and group 2 of 23 patients. There was no statistically significant difference in terms of percent total body surface area. There was a higher intensive care unit length of stay at 23.8 days in group 1 compared with 3.16 days in group 2, a higher hospital length of stay at 28.4 days in group 1 compared with 5.26 days in group 2, and higher ventilator days in group 1 with 20.8 days compared with 2.5 days in group 2. There was no statistically significant difference between the 2 groups in terms of mortality. The incidence of VAP was also significantly higher in group 1 than in group 2. ConclusionsThe ideal timing and implementation of tracheostomy with inhalation injury has yet to be determined. In this study, tracheostomy was associated with much longer lengths of stay and pneumonia. The impact of the underlying lung injury versus the tracheostomy itself on these observations is unclear. The challenge of characterizing the severity of an inhalation injury based on early visual inspection remains.</description><identifier>ISSN: 1937-5719</identifier><identifier>EISSN: 1937-5719</identifier><language>eng</language><publisher>HMP Global</publisher><subject>Original Research</subject><ispartof>Eplasty, 2023-07, Vol.23, p.e43-e43</ispartof><rights>2023 HMP Global. All Rights Reserved. 2023</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10472420/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10472420/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,53766,53768</link.rule.ids></links><search><creatorcontrib>Ruiz, Samuel</creatorcontrib><creatorcontrib>Puyana, Salomon</creatorcontrib><creatorcontrib>McKenney, Mark</creatorcontrib><creatorcontrib>Hai, Shaikh</creatorcontrib><creatorcontrib>Mir, Haaris</creatorcontrib><title>Outcomes of Tracheostomy on Burn Inhalation Injury</title><title>Eplasty</title><description>BackgroundTracheostomy has been proposed for patients with expected prolonged intubation. This study aims to determine the outcomes of tracheostomy on patients with burn inhalation injuries requiring mechanical ventilation. MethodsThis study is a retrospective review from 2011 to 2019. Inclusion criteria were recording of inhalation injury, ventilator support (at least 24 hours), and total body surface area of <15%. The patients were stratified into 2 groups: tracheostomy (group 1) versus no tracheostomy (group 2). The outcome measures were in-hospital mortality rate, hospital length of stay, intensive care unit length of stay, ventilator days, and ventilator- associated pneumonia (VAP). ResultsA total of 33 burn patients met our inclusion criteria. Group 1 consisted of 10 patients and group 2 of 23 patients. There was no statistically significant difference in terms of percent total body surface area. There was a higher intensive care unit length of stay at 23.8 days in group 1 compared with 3.16 days in group 2, a higher hospital length of stay at 28.4 days in group 1 compared with 5.26 days in group 2, and higher ventilator days in group 1 with 20.8 days compared with 2.5 days in group 2. There was no statistically significant difference between the 2 groups in terms of mortality. The incidence of VAP was also significantly higher in group 1 than in group 2. ConclusionsThe ideal timing and implementation of tracheostomy with inhalation injury has yet to be determined. In this study, tracheostomy was associated with much longer lengths of stay and pneumonia. The impact of the underlying lung injury versus the tracheostomy itself on these observations is unclear. The challenge of characterizing the severity of an inhalation injury based on early visual inspection remains.</description><subject>Original Research</subject><issn>1937-5719</issn><issn>1937-5719</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNpVkLtqwzAYRk1poWnad_DYxaCbdZlKG3oJBLJ4F7L8q3awJVeyCnn7pjRDOn0HPjjDuSpWWFFR1QKr6wu-Le5SOiDEEWd0VZB9XmyYIJXBlU00toeQljAdy-DLlxx9ufW9Gc0yhF885Hi8L26cGRM8nHddNG-vzeaj2u3ft5vnXTVLhSpHJCbGUSmp463lSNgOqCAOKUBGdIxiZxHmhDhmiBK2xhQkAtYKAVxIui6e_rRzbifoLPglmlHPcZhMPOpgBv3_8UOvP8O3xogJwgg6GR7Phhi-MqRFT0OyMI7GQ8hJE3mKgBWpBf0BFBlZ0g</recordid><startdate>20230720</startdate><enddate>20230720</enddate><creator>Ruiz, Samuel</creator><creator>Puyana, Salomon</creator><creator>McKenney, Mark</creator><creator>Hai, Shaikh</creator><creator>Mir, Haaris</creator><general>HMP Global</general><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230720</creationdate><title>Outcomes of Tracheostomy on Burn Inhalation Injury</title><author>Ruiz, Samuel ; Puyana, Salomon ; McKenney, Mark ; Hai, Shaikh ; Mir, Haaris</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p890-f2812af3883f6bc607cde372f09e0a7d431fc01622f4a297c513e80e4b77e6783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Original Research</topic><toplevel>online_resources</toplevel><creatorcontrib>Ruiz, Samuel</creatorcontrib><creatorcontrib>Puyana, Salomon</creatorcontrib><creatorcontrib>McKenney, Mark</creatorcontrib><creatorcontrib>Hai, Shaikh</creatorcontrib><creatorcontrib>Mir, Haaris</creatorcontrib><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Eplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ruiz, Samuel</au><au>Puyana, Salomon</au><au>McKenney, Mark</au><au>Hai, Shaikh</au><au>Mir, Haaris</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes of Tracheostomy on Burn Inhalation Injury</atitle><jtitle>Eplasty</jtitle><date>2023-07-20</date><risdate>2023</risdate><volume>23</volume><spage>e43</spage><epage>e43</epage><pages>e43-e43</pages><issn>1937-5719</issn><eissn>1937-5719</eissn><abstract>BackgroundTracheostomy has been proposed for patients with expected prolonged intubation. This study aims to determine the outcomes of tracheostomy on patients with burn inhalation injuries requiring mechanical ventilation. MethodsThis study is a retrospective review from 2011 to 2019. Inclusion criteria were recording of inhalation injury, ventilator support (at least 24 hours), and total body surface area of <15%. The patients were stratified into 2 groups: tracheostomy (group 1) versus no tracheostomy (group 2). The outcome measures were in-hospital mortality rate, hospital length of stay, intensive care unit length of stay, ventilator days, and ventilator- associated pneumonia (VAP). ResultsA total of 33 burn patients met our inclusion criteria. Group 1 consisted of 10 patients and group 2 of 23 patients. There was no statistically significant difference in terms of percent total body surface area. There was a higher intensive care unit length of stay at 23.8 days in group 1 compared with 3.16 days in group 2, a higher hospital length of stay at 28.4 days in group 1 compared with 5.26 days in group 2, and higher ventilator days in group 1 with 20.8 days compared with 2.5 days in group 2. There was no statistically significant difference between the 2 groups in terms of mortality. The incidence of VAP was also significantly higher in group 1 than in group 2. ConclusionsThe ideal timing and implementation of tracheostomy with inhalation injury has yet to be determined. In this study, tracheostomy was associated with much longer lengths of stay and pneumonia. The impact of the underlying lung injury versus the tracheostomy itself on these observations is unclear. The challenge of characterizing the severity of an inhalation injury based on early visual inspection remains.</abstract><pub>HMP Global</pub></addata></record> |
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| title | Outcomes of Tracheostomy on Burn Inhalation Injury |
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