Year : 2012  |  Volume : 6  |  Issue : 2  |  Page : 152-154

Early vs. late tracheostomy for the ICU patients: Experience in a referral hospital

1 Department of Otolaryngology, University of Jordan, and Jordan University Hospital, Jordan
2 Department of General Surgery, University of Jordan, and Jordan University Hospital, Jordan
3 Department of Anesthesia & Intensive Care, University of Jordan, and Jordan University Hospital, Jordan

Correspondence Address:
Tareq Mahafza
PO Box 13046, Jordan University Hospital, Amman
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1658-354X.97029

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Objectives: The aim of this study is to present our experience with elective surgical tracheostomy for intensive care unit (ICU) patients who needed prolonged translaryngeal intubation in order to evaluate the proper timing and advantages of early vs. late tracheostomy and to stress upon the risks associated with delayed tracheostomy. Methods : Medical records of all patients, who underwent elective tracheostomy for prolonged intubation from September 2006 to August 2010 at Jordan University hospital, were reviewed. Results: A total of 106 patients (74 males) were included; their age ranged from 2 months to 90 yr with mean age of 46.5 yr. The mean time at which tracheostomy was done after initial tracheal intubation was 23 days (range 3-7 weeks). Trauma was the most frequent cause of ICU admission 38 (35.8%), followed by post-surgery causes 14 (13.2%). An early tracheostomy showed less complication vs late procedure. The length of stay in the ICU for patients who had an early tracheostomy was 26 days while this period for patients who had late tracheostomy was 47 days. Mortality rate among patients who had early tracheostomy was 17.1% while for late tracheostomy patients, it was 36.1%. Conclusion: Proper assessment and early tracheostomy is recommended for patients who require prolonged tracheal intubation in the ICU.

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