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Research ArticleOriginal Research

Can Outcomes of Intensive Care Unit Patients Undergoing Tracheostomy Be Predicted?

David R Gerber, Adib Chaaya, Christa A Schorr, Daniel Markley and Wissam Abouzgheib
Respiratory Care December 2009, 54 (12) 1653-1657;
David R Gerber
Division of Critical Care
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  • For correspondence: [email protected]
Adib Chaaya
Department of Medicine, Cooper University Hospital, Camden, New Jersey
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Christa A Schorr
Division of Critical Care
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Daniel Markley
Department of Medicine, Alpert Medical School, Brown University, Providence, Rhode Island.
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Wissam Abouzgheib
Division of Critical Care
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Abstract

OBJECTIVE: To determine whether outcomes (mortality and need for intensive care unit [ICU] readmission) of patients undergoing tracheostomy in the ICU can be predicted by common clinical or historical criteria.

METHODS: We conducted a retrospective review of data from the medical record and Project Impact database in a 24-bed medical-surgical ICU in a 500-bed university hospital. In 2004 through 2006, 60 adult patients underwent tracheostomy as part of their ICU management. We classified each patient as either not readmitted, readmitted, died on floor (after ICU discharge), died on first ICU admission, or combined readmitted/died-on-the-floor. Patients who died on the regular floor were significantly heavier than patients discharged without need for readmission (P = .03). Patients with a history of sepsis and those with a history of neurological disease had a tendency toward worse outcomes, but these did not reach statistical significance.

CONCLUSIONS: These findings suggest that it is difficult to predict outcomes of patients who undergo tracheostomy in the ICU. Larger and prospective studies may help elucidate this matter.

  • tracheostomy outcomes
  • intensive care unit
  • ICU
  • readmission
  • mortality

Footnotes

  • Correspondence: David R Gerber DO, Division of Critical Care Medicine, Cooper University Hospital, 1 Cooper Plaza, Camden NJ 08103. E-mail: gerber-dave{at}cooperhealth.edu.
  • The authors have disclosed no conflicts of interest.

  • Copyright © 2009 by Daedalus Enterprises Inc.
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Respiratory Care: 54 (12)
Respiratory Care
Vol. 54, Issue 12
1 Dec 2009
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Can Outcomes of Intensive Care Unit Patients Undergoing Tracheostomy Be Predicted?
David R Gerber, Adib Chaaya, Christa A Schorr, Daniel Markley, Wissam Abouzgheib
Respiratory Care Dec 2009, 54 (12) 1653-1657;

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Can Outcomes of Intensive Care Unit Patients Undergoing Tracheostomy Be Predicted?
David R Gerber, Adib Chaaya, Christa A Schorr, Daniel Markley, Wissam Abouzgheib
Respiratory Care Dec 2009, 54 (12) 1653-1657;
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Keywords

  • tracheostomy outcomes
  • Intensive Care Unit
  • ICU
  • readmission
  • mortality

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Print ISSN: 0020-1324        Online ISSN: 1943-3654

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