A Comparison Between Early and Late Tracheostomy in Critical Patients at Thasala Hospital
Abstract
Background: Tracheostomy is a common airway protection operation for patients in ICU. Many reports are showing that the early tracheostomy affects low mortality, decrease timing of ventilator, short duration of hospital stay, and low incidence of Ventilator-associated pneumonia
Objective: The aim of this study is to compare and investigate the mortality rate between early and late tracheostomy patients
Materials and Methods: The retrospective descriptive study included all tracheostomy patients between 1 July 2560 – 31 January 2564 in Thasala Hospital. The mortality rate was evaluated. The main outcome is to compare the mortality rate between early tracheostomy (< or = 10 day) and late tracheostomy (> 11 day).
Results: In 85 tracheostomy patients. 11 patients (12.9%) had awake tracheostomy. 29 (34.1%) patients had early tracheostomy and 45 (52.9%) patients had late tracheostomy. Patients with early tracheostomy had mortality rate 13.8% and late tracheostomy had mortality rate 44.4%. Patients with early tracheostomy compared with late tracheostomy had hospital cost(113,960vs 227,863, p= <0.001), hospital stay(19 day vs 43 day, p=<0.001), duration of ventilator(10.5 day vs 30 day, p=<0.001) and ventilator associated pneumonia(10.3%vs 33.3%, p=0.049) and ADL score (more than 12 score, patients had normal daily activity) had better than patients with late tracheostomy . There were no significant differences between two groups in age, underlying disease, sex, diagnosis
Conclusions: This study demonstrated that early tracheostomy had mortality rate 13.8% and late tracheostomy had mortality rate 44.4%. Early tracheostomy was related to low hospital stay date, low Ventilator-associated pneumonia and low cost in tracheostomy patients
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรงซึ่งกองบรรณาธิการวารสาร ไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นลิขสิทธิ์ของมหาราชนครศรีธรรมราชเวชสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากวารสารมหาราชนครศรีธรรมราชเวชสาร ก่อนเท่านั้น
