Show simple item record

dc.contributor.authorHo, Y
dc.contributor.authorWysocki, A
dc.contributor.authorHogan, J
dc.contributor.authorWhite, H
dc.date.accessioned2017-05-03T14:20:50Z
dc.date.available2017-05-03T14:20:50Z
dc.date.issued2012
dc.date.modified2013-06-20T03:41:30Z
dc.identifier.issn0972-5229
dc.identifier.doi10.4103/0972-5229.99124
dc.identifier.urihttp://hdl.handle.net/10072/51663
dc.description.abstractBackground: Tracheostomies are commonly performed on critically ill patients requiring prolonged mechanical ventilation. The purpose of this study was to review our experience with surgical and percutaneous tracheostomies and identify factors affecting outcome. Materials and Methods: Patients who underwent tracheostomy between January 1999 and June 2008 were identified on the basis of Diagnostic Related Group coding and the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification procedural code. The primary endpoint was in-hospital mortality. Contingency tables were generated for clinical variables and a chi-squared test was used to determine significance. Results: One hundred and sixty-eight patients underwent tracheostomy between January 1999 and 30 June 2008. In-hospital mortality was 22.6%. The probability of death was found to be independent of timing of tracheostomy, technique used (percutaneous vs. surgical), number of failed extubations and obesity. On univariate analysis, the null hypothesis of independence was rejected for age on admission (P = 0.014), diagnosis of sepsis (P = 0.0008) or cardiac arrest (P = 0.0016), Acute Physiology and Chronic Health Evaluation II score (P = 0.0319) and the Australasian Outcomes Research Tool for Intensive Care calculated risk of death (P = 0.0432). Conclusion: Although a number of patient factors are associated with worse outcome, tracheostomy appears to be a relatively safe technique in the Intensive Care Unit population.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent474036 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherMedknow Publications and Media
dc.publisher.placeIndia
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom100
dc.relation.ispartofpageto105
dc.relation.ispartofissue2
dc.relation.ispartofjournalIndian Journal of Critical Care Medicine
dc.relation.ispartofvolume16
dc.rights.retentionY
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchcode3202
dc.titleAn audit of characteristics and outcomes in adult intensive care patients following tracheostomy
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyright© 2012 Indian Journal of Critical Care Medicine. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
gro.date.issued2012
gro.hasfulltextFull Text
gro.griffith.authorWysocki, Peter
gro.griffith.authorWhite, Hayden T.


Files in this item

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record