Asset Details
Do you wish to reserve the book?
Tracheostomy After Severe Acute Brain Injury: Trends and Variability in the USA
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Tracheostomy After Severe Acute Brain Injury: Trends and Variability in the USA
Do you wish to request the book?
Tracheostomy After Severe Acute Brain Injury: Trends and Variability in the USA
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Tracheostomy After Severe Acute Brain Injury: Trends and Variability in the USA
2019
Overview
Background/Objective
Severe acute brain injury (SABI) is responsible for 12 million deaths annually, prolonged disability in survivors, and substantial resource utilization. Little guidance exists regarding indication or optimal timing of tracheostomy after SABI. Our aims were to determine national trends in tracheostomy utilization among mechanically ventilated patients with SABI in the USA, as well as to examine factors associated with tracheostomy utilization following SABI.
Methods
We conducted a population-based retrospective cohort study using the National Inpatient Sample from 2002 to 2011. We identified adult patients with SABI, defined as a primary diagnosis of stroke, traumatic brain injury or post-cardiac arrest who received mechanical ventilation for greater than 96 h. We analyzed trends in tracheostomy utilization over time and used multilevel mixed-effects logistic regression to analyze factors associated with tracheostomy utilization.
Results
There were 94,082 hospitalizations for SABI during the study period, with 30,455 (32%) resulting in tracheostomy utilization. The proportion of patients with SABI who received a tracheostomy increased during the study period, from 28.0% in 2002 to 32.1% in 2011 (
p
< 0.001). Variation in tracheostomy utilization was noted based on patient and facility characteristics, including higher odds of tracheostomy in large hospitals (OR 1.34, 95% CI 1.18–1.53,
p
< 0.001, compared to small hospitals), teaching hospitals (OR 1.15, 95% CI 1.06–1.25,
p
= 0.001, compared to non-teaching hospitals), and urban hospitals (OR 1.60, 95% CI 1.33–1.92,
p
< 0.001, compared to rural hospitals).
Conclusions
Tracheostomy utilization has increased in the USA among patients with SABI, with wide variation by patient and facility-level factors.
Publisher
Springer US,Springer Nature B.V
Subject
/ Adult
/ Aged
/ Brain Injuries - complications
/ Brain Injuries - epidemiology
/ Brain Injuries, Traumatic - complications
/ Brain Injuries, Traumatic - epidemiology
/ Chronic obstructive pulmonary disease
/ Codes
/ Diabetes
/ Female
/ Heart Arrest - complications
/ Humans
/ Ischemia
/ Male
/ Medicare
/ Medicine
/ Ostomy
/ Patients
/ Procedures and Techniques Utilization - statistics & numerical data
/ Procedures and Techniques Utilization - trends
/ Respiratory Insufficiency - epidemiology
/ Respiratory Insufficiency - etiology
/ Respiratory Insufficiency - surgery
/ Stroke
/ Tracheostomy - statistics & numerical data
/ Trends
