Tracheostomy and long-term mortality in ICU patients undergoing prolonged mechanical ventilation.

ABSTRACT:

Introduction

In critically ill patients undergoing prolonged mechanical ventilation (MV), the difference in long-term outcomes between patients with or without tracheostomy remains unexplored.

Methods

Ancillary study of a prospective international multicentre observational cohort in 21 centres in France and Belgium, including 2087 patients, with a one-year follow-up after admission. We included patients with a MV duration ≥10 days, with or without tracheostomy. We explored the one-year mortality with a classical Cox regression model (adjustment on age, SAPS II, baseline diagnosis and withdrawal of life-sustaining therapies) and a Cox regression model using tracheostomy as a time-dependant variable.

Results

29.5% patients underwent prolonged MV, out of which 25.6% rece

SUBMITTER: Cinotti R 

PROVIDER: S-EPMC6774500 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature