A Five Year Experience of The Tracheostomy Procedure In a Medical Intensive Care Unit

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dc.authoridGenç, Esra/0000-0002-0471-5236
dc.authorwosidGenç, Esra/HJP-5533-2023
dc.contributor.authorAkbaş, Türkay
dc.contributor.authorŞenocak Taşcı, Elif
dc.contributor.authorGenç, Esra
dc.date.accessioned2023-07-26T11:55:26Z
dc.date.available2023-07-26T11:55:26Z
dc.date.issued2022
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalıen_US
dc.description.abstractObjective: Tracheostomy formation is one of the most commonly performed surgical procedures in the intensive care unit (ICU). This study aimed to analyze tracheostomy indications, complications and survival rates, and to compare characteristics and outcomes of patients who had undergone surgical tracheostomy (ST) and percutaneous dilational tracheostomy (PDT). Methods: It was a prospective nonrandomized study conducted at a university hospital ICU. It included 88 consecutive adult patients receiving elective tracheostomy between September 2015 and February 2020. Results: The main indications for tracheostomy were prolonged mechanical ventilation, airway protection and pulmonary hygiene. The patients received a tracheostomy after a median of 17 (9-25) days of endotracheal intubation. Twenty-five percent of the patients were mobilized and 27% started oral feeding after tracheostomy. The survival rates at 28 days after tracheostomy, hospital discharge and 1 year were 64.8%, 40.9% and 15.9%, respectively. The ratio of the patients with ST was 36%. There were no differences in demographic data, comorbidity, admission diagnosis, complication rate, tracheostomy indication and survival rate between ST and PDT groups. Although duration of intubation before tracheostomy were similar between the groups, the time passed from informed consent for tracheostomy to the tracheostomy procedure was longer in the ST group (PDT, 3 [1-6]; ST, 6 [2-11] days; p=0.011). All ST patients had preoperative consultations from other clinics and the mean number of consultation per patient was 2.7. Conclusion: Both ST and PDT were safe procedures in the ICU. Since several consultations were requested, the implementation of the procedure was delayed for ST compared to PDT.en_US
dc.identifier.doi10.37678/dcybd.2021.2893
dc.identifier.endpage24en_US
dc.identifier.issn2717-6428
dc.identifier.issue1en_US
dc.identifier.startpage18en_US
dc.identifier.trdizinid519774en_US
dc.identifier.urihttps://doi.org/10.37678/dcybd.2021.2893
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/519774
dc.identifier.urihttps://hdl.handle.net/20.500.12684/13071
dc.identifier.volume13en_US
dc.identifier.wosWOS:000736471200001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.institutionauthorAkbaş, Türkay
dc.institutionauthorŞenocak Taşcı, Elif
dc.institutionauthorGenç, Esra
dc.language.isoenen_US
dc.publisherSoc Turkish Intensivists - Stien_US
dc.relation.ispartofJournal of Critical & Intensive Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz$2023V1Guncelleme$en_US
dc.subjectConsultation; Complication; Percutaneous Dilational Tracheostomy; Surgical Tracheostomy; Survivalen_US
dc.subjectProlonged Mechanical Ventilation; Surgical Tracheostomy; Randomized-Trial; Survival; Tracheotomy; Pneumoniaen_US
dc.titleA Five Year Experience of The Tracheostomy Procedure In a Medical Intensive Care Uniten_US
dc.typeArticleen_US

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