Prolonged mechanical ventilation in a respiratory-care setting: a comparison of outcome between tracheostomized and translaryngeal intubated patients

Table 4 Case-matched study: summary of demographic and clinical variables in the tracheostomy and translaryngeal tube groups

	Tracheostomy (n = 129)	Translaryngeal tube (n = 129)	P value
Age (years)†	71.77 ± 17.30	74.43 ± 13.44	0.13
Male‡	62 (48.06%)	64 (49.61%)	0.80
Transfer from MICU‡	88 (68.22%)	94 (72.87%)	0.45
APACHE II†	20.02 ± 6.10	20.35 ± 5.50	0.58
Reason of MV‡			0.75
Acute lung injury	30(23.26)	28(21.71)
Chronic lung disease	23(17.83)	18(13.95)
Post op	11(8.53)	19(14.73)
Cardiac disease	20(15.50)	23(17.83)
Neuron	33(25.58)	23(17.83)
Miscellaneous	12(9.30)	18(13.95)
ICU MV (days)†	28 (9, 87)	27 (15, 65)	0.33
Bed ridden prior to admission‡	22 (17.05%)	29 (22.48%)	0.27
Sum of chronic comorbidities‡			0.70
0	31 (24.03)	27 (20.93)
1	45 (34.88)	55 (42.64)
2	37 (28.68)	37 (28.68)
3	16 (12.40)	8 (6.20)
4	0	2 (1.55)
5	31 (24.03)	27 (20.93)
Required hemodialysis‡	31 (24.03%)	19 (14.73%)	0.03*
Modified GCS†	8.67 ± 2.74	8.47 ± 2.96	0.52
RSBI†	148 (17, 418)	122 (11, 550)	0.36
PI_max†	30 (1, 74)	29 (8, 75)	0.91
PaO₂/FiO₂†	289 (91, 700)	291 (112, 577)	0.35
Albumin (g/dL)†	2.80 ± 0.50	2.69 ± 0.42	0.06
BUN (mg/dL)†	31 (6, 215)	30 (4.9, 220)	0.95
Length of stay (days)§	84 (32, 806)	72 (19, 197)	0.04*
RCC length of stay (days)§	28 (5, 121)	16 (2, 151)	< 0.01*
Total MV days§	55 (21, 173)	44 (19, 186)	< 0.01*
Weaned\|\|	84 (65.12%)	82 (63.57%)	0.79
In-hospital mortality\|\|	19 (14.73%)	50 (38.76%)	0.08
RCC mortality\|\|	12 (63.16%)	32 (64.00%)	0.72

Abbreviations: MICU, medical intensive care unit; APACHE II, Acute Physiology and Chronic Health Evaluation II; ICU, intensive care unit; MV, mechanical ventilation; RCC, respiratory care center; Glasgow Coma Scale; RSBI, rapid shallow breath indices; PI_max, maximum inspiratory pressure at negative volume; PaO₂/FiO₂, arterial oxygen pressure/fraction of inspired oxygen; BUN, blood urea nitrogen. Data presented as: n (%); mean ± standard deviation; or median (range). *A statistically significant between-group difference (P < 0.05). † Compared with mixed model analysis. ‡ Compared with general estimation equation analysis. §Compared with mixed-model analysis, adjusted for the requirement of hemodialysis. || Compared with general estimation equation analysis, adjusted for the requirement hemodialysis.

ISSN: 1364-8535