Format

Send to

Choose Destination
See comment in PubMed Commons below
J Head Trauma Rehabil. 2010 Sep-Oct;25(5):362-5. doi: 10.1097/HTR.0b013e3181cd67ea.

Outcome in tracheostomized patients with severe traumatic brain injury following implementation of a specialized multidisciplinary tracheostomy team.

Author information

1
McGill University Health Centre-Montreal General Hospital, Montreal, Quebec, Canada.

Abstract

OBJECTIVE:

To evaluate the effect of a specialized multidisciplinary tracheostomy team on outcome of patients with severe traumatic brain injury (sTBI).

DESIGN:

Retrospective study with historical controls.

PARTICIPANTS:

Twenty-seven patients with sTBI tracheostomized before implementation of the tracheostomy team approach and 34 patients followed by the team.

SETTING:

A regional level 1 tertiary care trauma center, McGill University Health Centre-Montreal General Hospital.

MAIN OUTCOME MEASURES:

Time to decannulation, length of stay (LOS), Passy-Muir speaking valve use, and extended Glasgow Outcome Scale (GOS-E) scores given at acute care discharge.

RESULTS:

The groups were similar for injury severity, age, and premorbid health conditions. Postteam patients had a significantly shorter LOS (P = .025) and more of them used Passy-Muir speaking valves (P = .004). Furthermore, there was a trend toward decreased time to decannulation in the postteam group. GOS-E scores did not differ significantly between groups (P > .05).

CONCLUSION:

Implementation of the tracheostomy team appears to have had positive clinical benefits for this population.

PMID:
20134335
DOI:
10.1097/HTR.0b013e3181cd67ea
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Lippincott Williams & Wilkins
    Loading ...
    Support Center