NYMC Faculty Publications
Predicting the Need for Tracheostomy in Trauma Patients Without Severe Head Injury
Author Type(s)
Faculty
Journal Title
American Journal of Surgery
First Page
495
Last Page
498
Document Type
Article
Publication Date
8-2020
Department
Surgery
Abstract
BACKGROUND: Early tracheostomy is recommended in patients with severe traumatic brain injury (TBI); however, predicting the timing of tracheostomy in trauma patients without severe TBI can be challenging.
METHODS: A one year retrospective analysis of all trauma patients who were admitted to intensive Care Unit for > 7 days was performed, using the ACS-TQIP database. Univariate and Multivariate regression analyses were performed to assess the appropriate weight of each factor in determining the eventual need for early tracheostomy.
RESULTS: A total of 21,663 trauma patients who met inclusion and exclusion criteria were identified. Overall, tracheostomy was performed in 18.3% of patients. On multivariate regression analysis age >70, flail chest, major operative intervention, ventilator days >5 days and underlying COPD were independently associated with need of tracheostomy. Based on these data, we developed a scoring system to predict risk for requiring tracheostomy.
CONCLUSION: Age >70, presence of flail chest, need for major operative intervention, ventilator days >5 and underlying COPD are independent predictors of need for tracheostomy in trauma patients without severe TBI.
Recommended Citation
Prabhakaran, K., Azim, A., Khan, M., Jehan, F., Feeney, J., Anderson, P., Policastro, A., & Latifi, R. (2020). Predicting the Need for Tracheostomy in Trauma Patients Without Severe Head Injury. American Journal of Surgery, 220 (2), 495-498. https://doi.org/10.1016/j.amjsurg.2019.12.018
