Medline ® Abstract for Reference 68
of 'Management and prognosis of patients requiring prolonged mechanical ventilation'
Decannulation following tracheostomy for prolonged mechanical ventilation.
O'Connor HH, Kirby KJ, Terrin N, Hill NS, White AC
J Intensive Care Med. 2009;24(3):187.
BACKGROUND: We examined the process of decannulation following tracheostomy in patients transferred to a long-term acute care (LTAC) hospital for weaning from prolonged mechanical ventilation (PMV).
METHODS: A retrospective chart review of 135 patients.
RESULTS: Decannulation was successful in 35% of patients a median of 45 days (IQR, 32-76) following tracheostomy. Patients who failed decannulation had a tracheostomy tube placed earlier (14 days; IQR 11-18 vs. 18 days; IQR 14-30, P=.04) and had a shorter length of stay at the acute facility (20 days; IQR, 16-23 vs. 31 days; IQR 24-45, P=.003) compared with patients who were decannulated. Length of stay and cost of care at the LTAC did not differ with decannulation status. At 3.5 years, 35% (47/135) of all patients and 62% (29/47) of decannulated patients were alive.
CONCLUSIONS: Decannulation was achieved in 35% of patients transferred to an LTAC for weaning from prolonged mechanical ventilation.
Pulmonary and Sleep Division, New England Sinai Hospital, Stoughton, MA 02072, USA.