Are there variations in timing to tracheostomy in a tertiary academic medical center?

Publication date: Available online 21 January 2020Source: The American Journal of SurgeryAuthor(s): Andrea Gillis, Ashley Pfaff, Ashar Ata, Alexa Giammarino, Steven Stain, Marcel TafenAbstractBackgroundIt is unclear what drives variation in timing to tracheostomy among different patients.MethodsAge, ethnicity, admission service, and income were retrospectively collected for patients undergoing tracheostomy in a level 1 trauma center from 2007 to 2017. The primary outcome was time to tracheostomy with early tracheostomy (ET) or late tracheotomy (LT) defined as 3–7 or ≥ 10 days post-intubation, respectively. Secondary outcomes included length of stay (LOS), ventilator associated pneumonia, and mortality.ResultsAmong 1,640 patients more men had ET compared to women (30% vs 28%; p = 0.05). The mean time to tracheostomy was 11.2 ± 7.7 days. Neurology and trauma patients had significantly shorter time to tracheostomy compared to other services. Age, ethnicity, and income showed no differences in timing to tracheostomy. Patients who underwent LT had a longer LOS (46 vs 32 days, p 
Source: The American Journal of Surgery - Category: Surgery Source Type: research

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Source: The American Journal of Surgery - Category: Surgery Source Type: research
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Source: Neurological Sciences - Category: Neurology Source Type: research
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Source: Respiratory Care - Category: Respiratory Medicine Authors: Tags: Respir Care Source Type: research
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Source: Journal of Craniofacial Surgery - Category: Surgery Tags: Clinical Studies Source Type: research
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Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
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