Synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients.
Am J Surg
; 227: 153-156, 2024 Jan.
Article
em En
| MEDLINE
| ID: mdl-37852846
ABSTRACT
BACKGROUND:
American Society for Parenteral and Enteral Nutrition (ASPEN) guidelines recommend gastrostomy for patients suspected to require enteral access device for 4-6 weeks. Our hypothesis was that traumatic brain injury (TBI) patients undergoing synchronous tracheostomy/gastrostomy (SYNC) compared to tracheostomy first (DELAY) have shorter length of stay (LOS) but higher rates of unnecessary gastrostomy.METHODS:
Retrospective review of TBI patients requiring tracheostomy in 2017-2022 âat a Level 1 trauma center was conducted. SYNC and DELAY patients were compared, and CoxPH analysis was performed for LOS.RESULTS:
394 patients were included [mean age 42 (SD18); mortality 9 â%]. The DELAY group had longer LOS (39 vs 32 days, p â< â0.001). There was no significant difference in unnecessary gastrostomy rate between groups (p â= â0.1331). In adjusted hazard analysis, SYNC predicted shorter LOS (HR1.54; 95 â% CI1.20-1.98, p â< â0.001).CONCLUSIONS:
Synchronous gastrostomy was associated with shorter length of stay and similar rates of unnecessary gastrostomy in TBI patients.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Gastrostomia
/
Lesões Encefálicas Traumáticas
Limite:
Adult
/
Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article