Brain Injury, Neurological Rehabilitation, Tracheostomy
Conditions
Brief summary
All the patients hospitalized in the neuro-rehabilitation after a severe acquired brain injury carrying a tracheal cannula will be retrospectively analyzed. Patients coming from emergency department started a rehabilitative treatment during their hospitalization in ICU. Patients transferred from an external ICU started the rehabilitation in neurorehabilitation department. Aim of the study is to evaluate if an early rehabilitation, started since the acute stage of the damage, is able to reduce the decannulation time in this group of patients.
Interventions
start of neurological rehabilitation between 3rd and 15th day after ABI
start of neurological rehabilitation between 20th and 90th day after ABI
Sponsors
Study design
Eligibility
Inclusion criteria
* presence of a tracheostomy at admission in NRehab * patient moved from an ICU * GCS≤11 at admission in ICU * tracheostomy performed for decreased mental status due to the ABI,
Exclusion criteria
* tracheostomy performed prior to admission to the ICU * need for ventilation support.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| decannulation time | at data collecting, an average of 1 day | number days between tracheostomy positioning and removal |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| length of stay ICU | at data collecting, an average of 1 day | number days between admission and discharge from ICU |
| decannulation time in NRiab | at data collecting, an average of 1 day | number days between NRehab admission and decannulation |
| Coma Recovery Scale revised score at discharge | at data collecting, an average of 1 day | — |
| Glasgow Coma Scale score at discharge | at data collecting, an average of 1 day | — |
| Disability Rating Scale Score at discharge | at data collecting, an average of 1 day | — |
| Levels of Cognitive Functioning score at discharge | at data collecting, an average of 1 day | — |
Countries
Italy