Tracheostomy in the ICU: Hope or delusion?
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinical and Biomedical Research |
Texto Completo: | https://seer.ufrgs.br/index.php/hcpa/article/view/84734 |
Resumo: | Introduction: Current literature suggests that tracheostomy has no impact on survival in unselected intensive care unit (ICU) patients, and that it actually transfers mortality from ICU to the ward. Methods: Data from 71 adult subjects who underwent tracheostomy as part of their ICU management and were subsequently transferred to the ward were obtained retrospectively. Results: During 2015, 104 subjects received tracheostomy. Thirty-two died during their initial ICU admission (30.4%) and were excluded from analysis. Of the remaining 73 individuals, 28 died (38.3%) in hospital. Most common diagnoses were sepsis (33.8%) and neurological emergencies (23.9%). Life-sustaining treatments were withheld or withdrawn in 25 decedents. Seven subjects died in later hospitalizations at our institution over the period recorded. Conclusions: Tracheostomy may represent a burden after ICU discharge, involving high resource use and low survival rate. Efforts should be made to recognize patients who might clearly benefit from this technique to avoid unwanted prolonged mechanical ventilation. Keywords: Tracheostomy; critical illness; decision-making |
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Clinical and Biomedical Research |
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Tracheostomy in the ICU: Hope or delusion?Tracheostomycritical illnessdecision-makingIntroduction: Current literature suggests that tracheostomy has no impact on survival in unselected intensive care unit (ICU) patients, and that it actually transfers mortality from ICU to the ward. Methods: Data from 71 adult subjects who underwent tracheostomy as part of their ICU management and were subsequently transferred to the ward were obtained retrospectively. Results: During 2015, 104 subjects received tracheostomy. Thirty-two died during their initial ICU admission (30.4%) and were excluded from analysis. Of the remaining 73 individuals, 28 died (38.3%) in hospital. Most common diagnoses were sepsis (33.8%) and neurological emergencies (23.9%). Life-sustaining treatments were withheld or withdrawn in 25 decedents. Seven subjects died in later hospitalizations at our institution over the period recorded. Conclusions: Tracheostomy may represent a burden after ICU discharge, involving high resource use and low survival rate. Efforts should be made to recognize patients who might clearly benefit from this technique to avoid unwanted prolonged mechanical ventilation. Keywords: Tracheostomy; critical illness; decision-makingHCPA/FAMED/UFRGS2019-06-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed Articleapplication/pdfhttps://seer.ufrgs.br/index.php/hcpa/article/view/84734Clinical & Biomedical Research; Vol. 39 No. 1 (2019): Clinical and Biomedical ResearchClinical and Biomedical Research; v. 39 n. 1 (2019): Clinical and Biomedical Research2357-9730reponame:Clinical and Biomedical Researchinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSenghttps://seer.ufrgs.br/index.php/hcpa/article/view/84734/pdfCopyright (c) 2019 Clinical and Biomedical Researchinfo:eu-repo/semantics/openAccessAntonio, Ana Carolina PeçanhaLeivas, Ana Flávia2024-01-19T14:22:23Zoai:seer.ufrgs.br:article/84734Revistahttps://www.seer.ufrgs.br/index.php/hcpaPUBhttps://seer.ufrgs.br/index.php/hcpa/oai||cbr@hcpa.edu.br2357-97302357-9730opendoar:2024-01-19T14:22:23Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.none.fl_str_mv |
Tracheostomy in the ICU: Hope or delusion? |
title |
Tracheostomy in the ICU: Hope or delusion? |
spellingShingle |
Tracheostomy in the ICU: Hope or delusion? Antonio, Ana Carolina Peçanha Tracheostomy critical illness decision-making |
title_short |
Tracheostomy in the ICU: Hope or delusion? |
title_full |
Tracheostomy in the ICU: Hope or delusion? |
title_fullStr |
Tracheostomy in the ICU: Hope or delusion? |
title_full_unstemmed |
Tracheostomy in the ICU: Hope or delusion? |
title_sort |
Tracheostomy in the ICU: Hope or delusion? |
author |
Antonio, Ana Carolina Peçanha |
author_facet |
Antonio, Ana Carolina Peçanha Leivas, Ana Flávia |
author_role |
author |
author2 |
Leivas, Ana Flávia |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Antonio, Ana Carolina Peçanha Leivas, Ana Flávia |
dc.subject.por.fl_str_mv |
Tracheostomy critical illness decision-making |
topic |
Tracheostomy critical illness decision-making |
description |
Introduction: Current literature suggests that tracheostomy has no impact on survival in unselected intensive care unit (ICU) patients, and that it actually transfers mortality from ICU to the ward. Methods: Data from 71 adult subjects who underwent tracheostomy as part of their ICU management and were subsequently transferred to the ward were obtained retrospectively. Results: During 2015, 104 subjects received tracheostomy. Thirty-two died during their initial ICU admission (30.4%) and were excluded from analysis. Of the remaining 73 individuals, 28 died (38.3%) in hospital. Most common diagnoses were sepsis (33.8%) and neurological emergencies (23.9%). Life-sustaining treatments were withheld or withdrawn in 25 decedents. Seven subjects died in later hospitalizations at our institution over the period recorded. Conclusions: Tracheostomy may represent a burden after ICU discharge, involving high resource use and low survival rate. Efforts should be made to recognize patients who might clearly benefit from this technique to avoid unwanted prolonged mechanical ventilation. Keywords: Tracheostomy; critical illness; decision-making |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-06-28 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://seer.ufrgs.br/index.php/hcpa/article/view/84734 |
url |
https://seer.ufrgs.br/index.php/hcpa/article/view/84734 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://seer.ufrgs.br/index.php/hcpa/article/view/84734/pdf |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Clinical and Biomedical Research info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Clinical and Biomedical Research |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
HCPA/FAMED/UFRGS |
publisher.none.fl_str_mv |
HCPA/FAMED/UFRGS |
dc.source.none.fl_str_mv |
Clinical & Biomedical Research; Vol. 39 No. 1 (2019): Clinical and Biomedical Research Clinical and Biomedical Research; v. 39 n. 1 (2019): Clinical and Biomedical Research 2357-9730 reponame:Clinical and Biomedical Research instname:Universidade Federal do Rio Grande do Sul (UFRGS) instacron:UFRGS |
instname_str |
Universidade Federal do Rio Grande do Sul (UFRGS) |
instacron_str |
UFRGS |
institution |
UFRGS |
reponame_str |
Clinical and Biomedical Research |
collection |
Clinical and Biomedical Research |
repository.name.fl_str_mv |
Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS) |
repository.mail.fl_str_mv |
||cbr@hcpa.edu.br |
_version_ |
1799767054648082432 |