Brain Injuries
Conditions
Brief summary
After severe acquired brain injury (SABI: severe traumatic brain injury, stroke, anoxic brain damage), up to 50-70% of patients are tracheostomized. The need to tracheostomize a patient is based on the prolonged inability to breathe and/or protect their airway sufficiently. This is usually done in an Intensive Care Unit (ICU). A tracheostomy is first removed when the patient's clinical conditions allow for it. The removal can be performed in many settings, a neurological rehabilitation unit being one of these. The overall objective of this study is to evaluate the safety of this earlier decannulation procedure in patients with SABI at our department as well as the effectiveness on functional ability.
Interventions
OTHERDecannulation
From the 1st of September 2021, the investigators started to perform decannulation earlier after admission to the Department of Brain Injury. Before attempting to decannulate a patient, several factors were considered and assessed by the patient's treating team: patient's level of consciousness, hemodynamical stability, need for and frequency of salivary aspiration, cough strength and respiration frequency. Patients could not be under treatment for pneumonia and simultaneously have respiratory instability at the time of decannulation.
Sponsors
Rigshospitalet, Denmark
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
All severe acquired brain injury patients ≥ 18 years with a tracheal tube at admission.
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mortality at three months after hospital discharge | Three months counted from hospital discharge | Rate of survival |
| Mortality at twelve months after hospital discharge | Twelve months counted from hospital discharge | Rate of survival |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of antibiotics prescribed to treat pneumonia after decannulation | Counted number of days from decannulation until discharge | Pneumonia as assessed by treating physician |
| Rate of re-cannulation of the tracheal tube after initial decannulation | Counted number of days from decannulation until discharge | Assessment of failed decannulation attempts |
| Length of hospital stay | Counted number of days from admission to our department until discharge | LOS counted from admission to our department |
| Rate of hospital readmission at two and twelve months after discharge | At two and twelve months respectively counted from discharge | Rate of hospital readmission, and if yes, for what cause |
Countries
Denmark
Outcome results
None listed