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- W2954222418 abstract "Identify the effect of a multidisciplinary tracheostomy decannulation protocol (TDP) in the trauma population.Single center retrospective review.American College of Surgeons Level 1 Trauma Center; large academic associated community hospital.Adult trauma patients who required a tracheostomy.A TDP empowering respiratory therapists to move patients towards tracheostomy decannulation (TD).TD rate, time to TD, length of stay, reintubation and recannulation rates.A total of 252 patients met inclusion criteria during the study period with 134 presenting after the TDP was available. Since the TDP was implemented, patients managed by the TDP had a 50% higher chance of TD during the hospital stay (p<0.001). The time to TD was 1 day shorter with the TDP (p=0.54). There was no difference in time to discharge after ventilator liberation (p=0.91) or in discharge disposition (p=0.66). When comparing all patients, the development of a TDP, regardless if a patient was managed by the TDP, resulted in an 18% higher chance of TD (p=0.003). Time to TD was 5 days shorter in the post intervention period (p=0.07). There was no difference in discharge disposition (p=0.88) but the time to discharge after ventilator liberation was shorter post protocol initiation (p=0.04).In a trauma population, implementation of a TDP significantly improves TD rates during the same hospital stay. A larger population will be required to identify patient predictive factors for earlier successful TD." @default.
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- W2954222418 date "2019-06-26" @default.
- W2954222418 modified "2023-10-16" @default.
- W2954222418 title "Improving Tracheostomy Decannulation Rate in Trauma Patients" @default.
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- W2954222418 doi "https://doi.org/10.1097/cce.0000000000000022" @default.
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