Mitton, K, Walton, K and Sivan, M orcid.org/0000-0002-0334-2968 (2017) Tracheostomy weaning outcomes in relation to the site of acquired brain injury: A retrospective case series. Brain Injury, 31 (2). pp. 267-271. ISSN 0269-9052
Abstract
Objective: To analyse whether the outcome of tracheostomy weaning is influenced by the site of injury in acquired brain injury.
Methods: A retrospective case review of all the consecutive admissions to an acute neurorehabilitation unit in a 2-year period was performed. Patients with a diagnosis of acquired brain injury and tracheostomy in situ were included in this study.
Results: One hundred and six patients were included in the analysis. They were considered in two groups based on the site of brain injury: Group S, those with supratentorial brain injury only; and Group I, those with any injury with infratentorial involvement. Fifty-one (82%) patients in Group S were successfully weaned from the tracheostomy, compared to only 27 (61%) of patients in Group I. In other words, the proportion of unsuccessful weans (long-term tracheostomy) was 11 (18%) in Group S compared to 17 (39%) in Group I. The statistical significance of successful weans between the groups was p = 0.01 (Chi-square test). The common reasons for unsuccessful weaning were excessive secretion load and recurrent aspiration pneumonia.
Conclusions: Patients with isolated supratentorial brain injury have a statistically significant higher chance of successful decannulation when compared to those patients with any infratentorial brain injury involvement.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Keywords: | Tracheotomy, supratentorial, infratentorial, decannulation, neurorehabilitation |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Institute of Rheumatology & Musculoskeletal Medicine (LIRMM) (Leeds) > Rehabilitation Medicine (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 21 May 2018 14:17 |
Last Modified: | 21 May 2018 14:17 |
Status: | Published |
Publisher: | Taylor & Francis |
Identification Number: | 10.1080/02699052.2016.1250951 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:131082 |