BACKGROUND: Early tracheostomy has been shown to be beneficial after trauma; however, there are few objective data to identify early in the recovery period which patients will ultimately require tracheostomy after blunt head trauma. METHODS: The charts of all patients admitted to the surgical intensive care unit intubated at a level 1 urban trauma center, over a 5-year period with a primary admission diagnosis of blunt head trauma were retrospectively reviewed. RESULTS: Sixty-four patients met inclusion and exclusion criteria and were divided into two groups: those extubated and those that required tracheostomy. By day 3 the Glasgow Coma Scores for the two groups were significantly different and on day 4 the Simplified Acute Physiology (SAPS) Scores were significantly different. CONCLUSIONS: Calculating objective scores such as GCS and SAPS can aid in identifying those patients who will ultimately require a tracheostomy for prolonged airway protection after blunt head trauma with high positive predictive value.
BACKGROUND: Early tracheostomy has been shown to be beneficial after trauma; however, there are few objective data to identify early in the recovery period which patients will ultimately require tracheostomy after blunt head trauma. METHODS: The charts of all patients admitted to the surgical intensive care unit intubated at a level 1 urban trauma center, over a 5-year period with a primary admission diagnosis of blunt head trauma were retrospectively reviewed. RESULTS: Sixty-four patients met inclusion and exclusion criteria and were divided into two groups: those extubated and those that required tracheostomy. By day 3 the Glasgow Coma Scores for the two groups were significantly different and on day 4 the Simplified Acute Physiology (SAPS) Scores were significantly different. CONCLUSIONS: Calculating objective scores such as GCS and SAPS can aid in identifying those patients who will ultimately require a tracheostomy for prolonged airway protection after blunt head trauma with high positive predictive value.
Authors: Elias B Rizk; Akshal S Patel; Christina M Stetter; Vernon M Chinchilli; Kevin M Cockroft Journal: Neurocrit Care Date: 2011-12 Impact factor: 3.210
Authors: Stephen S Humble; Laura D Wilson; John W McKenna; Taylor C Leath; Yanna Song; Mario A Davidson; Jesse M Ehrenfeld; Oscar D Guillamondegui; Pratik P Pandharipande; Mayur B Patel Journal: Brain Inj Date: 2016-10-14 Impact factor: 2.311
Authors: Ryne Jenkins; Nicholas A Morris; Bryce Haac; Richard Van Besien; Deborah M Stein; Wan-Tsu Chang; Gary Schwartzbauer; Gunjan Parikh; Neeraj Badjatia Journal: Neurocrit Care Date: 2019-04 Impact factor: 3.210