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Early decannulation, repatriation, and hospital discharges by Introducing a tracheostomy care task force for noncritical care tracheostomized patients

Citation

Ahmed, R and Zaidi, STR and Moshtohry, H and Ahmad, K and Kazim, YA and Charaf, AA and Abubaker, J, Early decannulation, repatriation, and hospital discharges by Introducing a tracheostomy care task force for noncritical care tracheostomized patients, Journal of Orthopaedics and Trauma, 2 Article 235535. ISSN 2090-2921 (2012) [Refereed Article]


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Licensed under Creative Commons Attribution 3.0 Unported (CC BY 3.0) http://creativecommons.org/licenses/by/3.0/

DOI: doi:10.4303/jot/235535

Abstract

Objective: To determine the impact of an intensivist lead tracheostomy care team on the number of successful decannulations in non-critically ill patients and the time required for such decannulations and discharge from the hospital.

Methods: Following the introduction of a multidisciplinary tracheostomy care task force, data was collected prospectively from July to December 2009. Matching control data was collected retrospectively from January to June 2009. Chi-Square and Mann-Whitney U-test were used to compare the differences in study variables with an α of 0.05.

Results: A total of 44 and 47 patients with percutaneous tracheostomy (PCT) were discharged from the ICU pre- and post-implementation of the task force, respectively. Nine patients in pre- and 24 in post-implementation phase were decannulated, discharged from the hospital, and repatriated to their country of origin (Chi Sq. = 9.21, P = .002). Patients in pre-implementation group had longer hospital stay post ICU discharge compared to patients in post-implementation (58 vs. 34.1 days) group (P < .001).

Conclusion: Structured multidisciplinary tracheostomy care team was associated with significant increase in number of decannulations, hospital discharges, and repatriation post ICU discharge.

Item Details

Item Type:Refereed Article
Keywords:intubation, mechanical ventilation, weaning, decannulations, protocol, taskforce, tracheostomy care team, United Arab Emirates, trauma, early discharge and repatriation, non-critically ill
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Intensive Care
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Blood Disorders
Author:Zaidi, STR (Dr Tabish Razi Zaidi)
ID Code:93702
Year Published:2012
Deposited By:Pharmacy
Deposited On:2014-08-13
Last Modified:2014-10-22
Downloads:152 View Download Statistics

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