tailieunhanh - Báo cáo y học: "Early tracheostomy in intensive care trauma patients improves resource utilization: a cohort study and literature review"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Early tracheostomy in intensive care trauma patients improves resource utilization: a cohort study and literature review. | Available online http content 8 5 R347 Research Early tracheostomy in intensive care trauma patients improves resource utilization a cohort study and literature review Yaseen Arabi1 Samir Haddad2 Nehad Shirawi3 and Abdullah Al Shimemeri4 Open Access Deputy Chairman Intensive Care Department MC 1425 King Abdulaziz Medical City Riyadh Kingdom of Saudi Arabia 2Associate Consultant Intensive Care Department MC 1 425 King Abdulaziz Medical City Riyadh Kingdom of Saudi Arabia 3ICU Pulmonary Fellow Intensive Care Department MC 1425 King Abdulaziz Medical City Riyadh Kingdom of Saudi Arabia 4Chairman Intensive Care Department MC 1425 King Abdulaziz Medical City Riyadh Kingdom of Saudi Arabia Corresponding author Yaseen Arabi arabi@ Received 27 April 2004 Revisions requested 10 June 2004 Revisions received 15 July 2004 Accepted 23 July 2004 Published 23 August 2004 Critical Care 2004 8 R347-R352 DOI cc2924 This article is online at http content 8 5 R347 2004 Arabi et al. licensee BioMed Central Ltd. This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Abstract Introduction Despite the integral role played by tracheostomy in the management of trauma patients admitted to intensive care units ICUs its timing remains subject to considerable practice variation. The purpose of this study is to examine the impact of early tracheostomy on the duration of mechanical ventilation ICU length of stay and outcomes in trauma ICU patients. Methods The following data were obtained from a prospective ICU database containing information on all trauma patients who received tracheostomy over a 5-year period demographics Acute Physiology and Chronic Health Evaluation II score Simplified Acute Physiology Score II Glasgow Coma Scale score Injury Severity Score type of injuries ICU and hospital outcomes ICU and .