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Table 3 Literature review

From: Early tracheostomy in intensive care trauma patients improves resource utilization: a cohort study and literature review

Ref.

Type of study

Number of patients

Reason for admission

Timing of tracheostomy

Main outcomes

[3]

Retrospective

101

Blunt multiple trauma

Early tracheostomy ≤4 days

Late Tracheostomy >4 days

↓Duration of MV, ↓incidence of nosocomial pneumonia

[14]

Retrospective

31

Head trauma

Early tracheostomy ≥7 days

Late tracheostomy >7 days

↓Duration of MV, ↓hospital LOS, ↓ICU LOS

[15]

Retrospective

118

Multiple trauma

Early tracheostomy ≤3 days

Intermediate tracheostomy 4–7 days

Late tracheostomy >7 days

↓Incidence of pneumonia

[18]

Retrospective

157

Blunt trauma

Early tracheostomy ≤6 days

Late tracheostomy >6 days

↓Duration of MV, ↓ICU LOS, ↓hospital LOS, ↓hospital charges

[16]

Retrospective

30

Neurosurgical (CVA, head injury, trauma, infection)

Early tracheostomy ≤7 days

Late tracheostomy >7 days

↓Duration of MV, ↓incidence of colonization, ↓faster recovery from pneumonia

[17]

Prospective randomized

106

Multiple trauma

Early tracheostomy ≤7 days

Late tracheostomy >7 days

↓Duration of MV, ↓ICU LOS, ↓hospital LOS, ↓pneumonia if tracheostomy was performed earlier than 3 days

[2]a

Prospective randomized multicentre

157 eligible

patients

Head-trauma, Nonhead trauma, no trauma

First randomization: 3–5 days

Second randomization: 10–14

No difference in ICU LOS, frequency of pneumonia, or death

  1. aOf five participating centres, only one completed the study; of 157 eligible patients, only 112 completed the study because of physician bias and incomplete information; and only 14 patients entered the second randomization. ICU, intensive care unit; LOS, length of stay; MV, mechanical ventilation.