Incidence, causes, and predictors of unsuccessful decannulation following prolonged weaning.

ABSTRACT:

Background

Liberation from prolonged tracheostomy ventilation involves ventilator weaning and removal of the tracheal cannula (referred to as decannulation). This study evaluated the incidence, causes, and predictors of unsuccessful decannulation following prolonged weaning.

Methods

Observational retrospective cohort study of 532 prolonged mechanically ventilated, tracheotomized patients treated at a specialized weaning center between June 2013 and January 2021. We summarized the causes for unsuccessful decannulations and used a binary logistic regression analysis to derive and validate associated predictors.

Results

Failure to decannulate occurred in 216 patients (41%). The main causes were severe intensive care unit (ICU)-acquired dysphagia (64%), long-term ventilat

SUBMITTER: Ghiani A 

PROVIDER: S-EPMC9358569 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature