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Procedure: Tracheostomy

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Total 264 results found since Jan 2013.

Hospital Readmission Rates Among Mechanically Ventilated Patients With Stroke Brief Reports
Conclusions— Approximately one quarter of mechanically ventilated patients with stroke who survive to discharge are readmitted to the hospital within 30 days. Readmission rates are significantly higher in patients with stroke who undergo tracheostomy, but the difference is not clinically meaningful. Thirty-day readmission rates among mechanically ventilated patients with stroke are similar to Medicare beneficiaries hospitalized with major medical diseases such as pneumonia.
Source: Stroke - September 28, 2015 Category: Neurology Authors: Lahiri, S., Navi, B. B., Mayer, S. A., Rosengart, A., Merkler, A. E., Claassen, J., Kamel, H. Tags: Acute Cerebral Hemorrhage, Acute Cerebral Infarction, Emergency treatment of Stroke, Other Stroke Treatment - Medical Brief Reports Source Type: research

Stroke-Related Early Tracheostomy Versus Prolonged Orotracheal Intubation in Neurocritical Care Trial (SETPOINT): A Randomized Pilot Trial Original Contributions
Conclusions— Early tracheostomy in ventilated intensive care stroke patients is feasible, and safe, and presumably reduces sedation need. Whether the suggested benefits in mortality and outcome truly exist has to be determined by a larger multicenter trial. Clinical Trial Registration— http://www.clinicaltrials.gov. Unique identifier: NCT01261091.
Source: Stroke - December 24, 2012 Category: Neurology Authors: Bosel, J., Schiller, P., Hook, Y., Andes, M., Neumann, J.-O., Poli, S., Amiri, H., Schonenberger, S., Peng, Z., Unterberg, A., Hacke, W., Steiner, T. Tags: Other Treatment, Acute Cerebral Hemorrhage, Acute Cerebral Infarction, Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage, Other Stroke Treatment - Surgical Original Contributions Source Type: research

Timing of Percutaneous Endoscopic Gastrostomy for Acute Ischemic Stroke Clinical Sciences
Background and Purpose—Stroke guidelines recommend time-limited trials of nasogastric feeding prior to percutaneous endoscopic gastrostomy (PEG) tube placement. We sought to describe timing of PEG placement and identify factors associated with early PEG for acute ischemic stroke.Methods—We designed a retrospective observational study to examine time to PEG for ischemic stroke admissions in the Nationwide Inpatient Sample, 2001 to 2011. We defined early PEG placement as 1 to 7 days from admission. Using multivariable regression analysis, we identified the effects of patient and hospital characteristics on PEG timing.Res...
Source: Stroke - January 22, 2017 Category: Neurology Authors: Benjamin P. George, Adam G. Kelly, George P. Albert, David Y. Hwang, Robert G. Holloway Tags: Health Services, Ischemic Stroke Original Contributions Source Type: research

Timing of Decompressive Hemicraniectomy for Stroke Clinical Sciences
Conclusions—In this nationwide analysis, early decompressive craniectomy was associated with superior outcomes. However, performing decompression before herniation may be the most important temporal consideration.
Source: Stroke - February 26, 2017 Category: Neurology Authors: Hormuzdiyar H. Dasenbrock, Faith C. Robertson, Henrikas Vaitkevicius, M. Ali Aziz-Sultan, Donovan Guttieres, Ian F. Dunn, Rose Du, William B. Gormley Tags: Cerebrovascular Disease/Stroke Original Contributions Source Type: research

Tracheostomy after Severe Ischemic Stroke: A Population-based Study
Conclusions: Tracheostomy is common after decompressive craniectomy and is strongly associated with the development of pneumonia. Given its impact on patient function and potentially modifiable associated factors, tracheostomy may warrant further study as an important patient-centered outcome among patients with stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - October 7, 2013 Category: Neurology Authors: Brian P. Walcott, Hooman Kamel, Brandyn Castro, W. Taylor Kimberly, Kevin N. Sheth Tags: Original Articles Source Type: research

Tracheostomy Timing Affects Stroke Recovery
We examined the timing of tracheostomy on stroke patient outcomes across the United States using the Nationwide Inpatient Sample (2008-2010). Independent samples t tests and chi-squared tests were used to make comparisons between early (≤10 days) and late (11-25 days) tracheostomy. Multivariable models, adjusted for confounding factors, investigated outcome measures.Results: In total, 13,165 stroke cases were included in the study (5591 in the ET group and 7574 in the LT group). Patients receiving an ET had a significant reduction in the odds of ventilator-associated pneumonia in comparison with the LT group (OR: .688,...
Source: Journal of Stroke and Cerebrovascular Diseases - February 19, 2014 Category: Neurology Authors: Jennifer A. Villwock, Mark R. Villwock, Eric M. Deshaies Tags: Original Articles Source Type: research

Use and Timing of Tracheostomy After Severe Stroke Topical Reviews
Source: Stroke - August 28, 2017 Category: Neurology Authors: Julian Bosel Tags: Cerebrovascular Disease/Stroke, Intracranial Hemorrhage, Ischemic Stroke Topical Review Source Type: research

Mechanical Ventilation for Acute Stroke: A Multi-state Population-Based Study
Conclusions In this large population-based sample, over half of mechanically ventilated stroke patients died in the hospital despite the fact that younger patients were more likely to receive mechanical ventilation. Future studies are indicated to elucidate mechanical ventilation strategies to optimize long-term outcomes after severe stroke.
Source: Neurocritical Care - December 9, 2014 Category: Neurology Source Type: research

Effect of incident stroke on sleep quality and hypopnea-apnea index: Analysis of Sleep Heart Health Study (P1.065)
Conclusions: We did not observe any significant effect of incident stroke on both quality of sleep and occurrence of hypopnea/apnea in a well-defined cohort of participants even in those with moderate to severe apnea occurrence.Disclosure: Dr. Malik has nothing to disclose. Dr. Adil has nothing to disclose. Dr. Suri has nothing to disclose. Dr. Khan has nothing to disclose. Dr. Qureshi has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Malik, A., Adil, M., Suri, M., Khan, S., Qureshi, A. Tags: Cerebrovascular Disease and Interventional Neurology: Epidemiology Source Type: research

Stroke Thrombolysis in a Tertiary Care Teaching Hospital in Saudi Arabia - A Single Center Experience (P2.282)
Conclusions: In our newly established stroke unit, the overall mortality and discharge disposition were comparable to standards. Women had significantly more stroke related complications. Patients older than 60 years had more thrombolysis related complications and were discharged with higher NIHSS.Disclosure: Dr. Khatri has nothing to disclose. Dr. Alkhathaami has nothing to disclose. Dr. Abulaban has nothing to disclose. Dr. Alhamouieh has nothing to disclose. Dr. Scriven has nothing to disclose. Dr. Tarawneh has nothing to disclose. Dr. Alrasheed has nothing to disclose. Dr. Kojan has received personal compensation for a...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Khatri, I., Alkhathaami, A., Abulaban, A., Alhamouieh, O., Scriven, S., Tarawneh, M., Alrasheed, D., Kojan, S., Alotaibi, N., Al-Khalaf, A., Alshehri, A. M., El-Metwally, A. Tags: Acute Therapy: Thrombolysis and Adjuvant Therapy Source Type: research

Changes in Swallowing and Cough Functions Among Stroke Patients Before and After Tracheostomy Decannulation
This study suggests that if patients show improvement in swallowing and coughing after their stroke, a multidisciplinary approach to tracheostomy decannulation would be needed to achieve better rehabilitation outcomes.
Source: Dysphagia - June 18, 2018 Category: Speech-Language Pathology Source Type: research

Predictive Factors for the Need of Tracheostomy in Patients With Large Vessel Occlusion Stroke Being Treated With Mechanical Thrombectomy
Conclusions: Patients with LVOS undergoing MT are at high risk to require TS if extubation after the intervention fails, DH is needed, and severe infectious complications occur in the acute phase after ischemic stroke. These factors are likely to be useful for the indication and timing of TS to reduce overall sedation and shorten ICU length of stay.
Source: Frontiers in Neurology - November 26, 2021 Category: Neurology Source Type: research

Predictors of Surgical Feeding Tube Placement after Acute Stroke (P02.045)
CONCLUSIONS: Our study suggests that admission findings may be indicative of impending PEG placement. Further, PEG placement was found to be associated with significantly worse functional and neurological outcomes.Supported by: Award Numbers 5 T32 HS013852-10 from The Agency for Healthcare Research and Quality (AHRQ) and 3 P60 MD000502-08S1 from The National Institute on Minority Health and Health Disparities (NIMHD), National Institutes of Health (NIH). The content is solely the responsibility of the authors and does not necessarily represent the official views of the AHRQ or the NIH.Disclosure: Dr. Dubin has nothing to d...
Source: Neurology - February 14, 2013 Category: Neurology Authors: Dubin, P., Boehme, A., Schluter, L., Siegler, J., Shaban, A., Sudkamp, J., Albright, K., Martin-Schild, S. Tags: P02 Cerebrovascular Disease II Source Type: research

Analysis of Resting Energy Consumption and Its Influencing Factors in Stroke Patients with Severe Neurological Diseases: A Retrospective Clinical Study
Conclusion: Metabolic vehicle assay has a certain clinical value in accurately evaluating the metabolic needs and feeding level of patients.Neuroimmunomodulation
Source: Neuroimmunomodulation - May 25, 2022 Category: Allergy & Immunology Source Type: research

Early vs Standard Approach to Tracheostomy and Functional Outcome After Severe Stroke
To the Editor In the subgroup analysis of the recently published Stroke-Related Early Tracheostomy vs Prolonged Orotracheal Intubation in Neurocritical Care Trial 2 (SETPOINT2), the enrolled patients were divided into 3 subgroups according to their pathology diagnosis: acute ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage. However, the type of stroke is not necessarily related to the need for tracheostomy. We believe it would be helpful to classify these patients based on the location of brain infarction, including distinct categories for brainstem or cerebellar stroke. The purpose of tracheostomy in...
Source: JAMA - September 13, 2022 Category: General Medicine Source Type: research