Intention-to-treat population (n = 150) | Early tracheotomy (n = 72) | Late tracheotomy (n = 78) | p-value | Difference between groups Mean (95% CI) | |
---|---|---|---|---|---|
Total number of days with sedation* | 18.4 (11.8) 16.5 (9; 26) n = 146 | 17.6 (10.7) 14 (9; 23) n = 71 | 19.2 (12.7) 17 (8; 27) n = 75 | 0.42 | − 1.59 (− 5.44; 2.29) |
Total number of days in the intensive care unit | 23.9 (15.1) 21 (12; 32) n = 148 | 23.7 (15.3) 19 (12; 32) n = 71 | 24.2 (14.9) 22 (12; 32) n = 77 | 0.83 | − 0.546 (− 5.474; 4.289) |
Days from intubation to tracheotomy | 9.45 (4.08) 9 (7; 11) n = 102 | 7.69 (3.31) 7 (5; 9) n = 49 | 11.1 (4.1) 11 (8; 13) n = 53 | < .0001 | − 3.38 (− 4.85; − 1.92) |
Total number of days with sedation during the first 28 days | 16.7 (8.5) 16.5 (9; 26) n = 146 | 16.2 (8.0) 14 (9; 23) n = 71 | 17.1 (8.9) 17 (8; 27) n = 75 | 0.52 | − 0.910 (− 3.697; 1.886) |
Total number of days in the intensive care unit during the first 28 days | 19.5 (8.2) 21 (12; 28) n = 148 | 19.1 (8.1) 19 (12; 28) n = 71 | 19.9 (8.4) 22 (12; 28) n = 77 | 0.55 | − 0.809 (− 3.526; 1.844) |
Total number of days with mechanical ventilation during the first 28 days | 17.7 (8.8) 18 (9; 28) n = 150 | 17.2 (8.5) 16.5 (9; 27.5) n = 72 | 18.1 (9.1) 20 (8; 28) n = 78 | 0.57 | − 0.842 (− 3.639; 2.083) |
Need of reintubation | 19 (12.8%) | 11 (15.5%) | 8 (10.3%) | 0.48 | 5.2 (− 6.9; 17.4) |
Death in the intensive care unit | 49 (32.7%) | 20 (27.8%) | 29 (37.2%) | 0.29 | − 9.4 (− 25.6; 6.8) |
Days from intubation to death | 26.3 (15.6) 22.5 (13.5; 39) n = 52 | 25.6 (16.5) 18 (11; 39) n = 22 | 26.9 (15.2) 24.5 (17; 38) n = 30 | 0.78 | − 1.31 (− 10.00; 7.36) |
Type of tracheotomy | |||||
Open surgical | 82 (81%) | 40 (82%) | 42 (81%) | ||
Percutaneous | 19 (19%) | 9 (18%) | 10 (19%) | 0.99 | |
Complications | |||||
Any complication | 114 (76.0%) | 53 (73.6%) | 61 (78.2%) | 0.64 | − 4.6 (− 19.6; 10.4) |
Pulmonary embolism | 17 (11.3%) | 4 (5.6%) | 13 (16.7%) | 0.056 | − 11.1 (− 22.3; 0.0) |
Pneumothorax | 13 (8.7%) | 6 (8.3%) | 7 (9.0%) | 1.00 | − 0.6 (− 11.0; 9.7) |
Ventilator associated pneunomia | 6 (4.0%) | 3 (4.2%) | 3 (3.8%) | 1.00 | 0.3 (− 7.3; 7.9) |
Airway obstruction | 13 (8.7%) | 9 (12.5%) | 4 (5.1%) | 0.19 | 7.4 (− 3.0; 17.8) |
Tracheal bleeding | 23 (15.3%) | 11 (15.3%) | 12 (15.4%) | 1.00 | − 0.1 (− 13.0; 12.8) |
Renal failure | 23 (15.3%) | 10 (13.9%) | 13 (16.7%) | 0.81 | − 2.8 (− 15.6; 10.1) |
Stroke | 5 (3.3%) | 4 (5.6%) | 1 (1.3%) | 0.32 | 4.3 (− 2.9; 11.5) |
Critical illness myopathy | 15 (10.0%) | 5 (6.9%) | 10 (12.8%) | 0.36 | − 5.9 (− 16.7; 4.9) |
Delirium | 26 (17.3%) | 13 (18.1%) | 13 (16.7%) | 0.99 | 1.4 (− 12.1; 14.9) |
Decubital ulcers | 35 (23.3%) | 15 (20.8%) | 20 (25.6%) | 0.62 | − 4.8 (− 19.6; 10.0) |
Other complications | 41 (27.3%) | 21 (29.2%) | 20 (25.6%) | 0.76 | 3.5 (− 12.1; 19.1) |