ABSTRACT
Objective:
To analyze the
risk factors which may
lead to
tracheostomy in
patients receiving invasive
mechanical ventilation (IMV) in
emergency intensive care unit (EICU).
Methods:
A
case-control study was adopted to retrospectively analyze the clinical data of
patients hospitalized in EICU receiving IMV from August 2016 to August 2019. The clinical data of
patients were extracted through the
electronic medical record system of the
hospital information database.
Patients were divided into the
tracheostomy group and successful extubation group according to whether they received
tracheostomy during
hospitalization. The different clinical characteristics of the two groups were compared, and
logistic regression was used to analyze the independent
risk factors of
tracheostomy.
Results:
A total of 109
patients were included in this study, among which, 53
patients underwent
tracheotomy and 56
patients were successfully extubated.
Logistic regression showed that GCS score ≤ 8 ( OR=5.10, 95% CI 1.68-15.42, P < 0.01),
cervical spinal cord injury ( OR=10.32, 95% CI 2.74-38.82, P < 0.01), and
sepsis ( OR=3.45, 95% CI 1.39-8.54, P<0.01) were independent
risk factors of
tracheostomy for
patients receiving IMV in EICU.
Conclusions:
If
patients receiving IMV have GCS score ≤ 8,
cervical spinal cord injury, or
sepsis, they should be given more
attention, because they may need early
tracheostomy to save lives and improve the
prognosis.