tailieunhanh - Báo cáo y học: "An intensivist-led tracheostomy review team is associated with shorter decannulation time and length of stay: a prospective cohort study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: An intensivist-led tracheostomy review team is associated with shorter decannulation time and length of stay: a prospective cohort study. | Available online http content 1 2 2 R48 Research An intensivist-led tracheostomy review team is associated with shorter decannulation time and length of stay a prospective cohort study Antony E Tobin1 and John D Santamaria1 2 Intensive Care Unit St. Vincent s Hospital Melbourne PO Box 2900 Fitzroy VIC 3065 Australia 2University of Melbourne Victoria 3010 Australia Corresponding author Antony E Tobin Received 1 Dec 2007 Revisions requested 8 Jan 2008 Revisions received 20 Feb 2008 Accepted 11 Apr 2008 Published 11 Apr 2008 Critical Care 2008 12 R48 doi cc6864 This article is online at http content 12 2 R48 Tobin and Santamaria licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction Without specific strategies to address tracheostomy care on the wards patients discharged from the intensive care unit ICU with a tracheostomy may receive suboptimal care. We formed an intensivist-led multidisciplinary team to oversee ward management of such patients. To evaluate the service we compared outcomes for the first 3 years of the service with those in the year preceding the service. Methods Data were prospectively collected over the course of 3 years on ICU patients not under the care of the ear nose and throat unit who were discharged to the ward with a tracheostomy and compared with outcomes in the year preceding the introduction of the service. Principal outcomes were decannulation time length of stay after ICU discharge and stay of less than 43 days upper trim point for the disease-related group DRG for tracheostomy . Analysis included trend by year and multivariable analysis using a Cox proportional hazards model. P values of less than were .

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