Optimal Timing of Tracheostomy in Injured Adolescents.

ABSTRACT:

Objectives

To evaluate the optimal timing of tracheostomy for injured adolescents.

Design

Retrospective cohort study.

Setting

Trauma facilities in the United States.

Patients

Adolescents (age 12-17 yr) in the National Trauma Data Bank (2007-2016) who were ventilated for greater than 24 hours and survived to discharge.

Interventions

None.

Measurements and main results

After stratifying by traumatic brain injury diagnosis, we compared ICU and hospital length of stay, pneumonia, and discharge disposition of patients with tracheostomy prior to three cut points (3, 7, and 14 d after admission) to 1) patients intubated at least as long as each cut point and 2) patients with tracheostomy on or after each cut point. Of 11,045 patients, 1,391 (12.6%) under

SUBMITTER: Butler EK 

PROVIDER: S-EPMC8259766 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature