scholarly journals Effect of Early Tracheostomy on Clinical Outcomes in Patients with Prolonged Acute Mechanical Ventilation: A Single-Center Study

2020 ◽  
Vol 83 (2) ◽  
pp. 167
Author(s):  
Yewon Kang ◽  
Wanho Yoo ◽  
Youngwoong Kim ◽  
Hyo Yeong Ahn ◽  
Sang Hee Lee ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Clinical Outcomes ◽  
Single Center ◽  
Early Tracheostomy ◽  
Single Center Study ◽  
Center Study

scholarly journals Prevalence and Timing of Tracheostomy and Its Impact on Clinical Outcomes in COVID-19 Pneumonia Patients in Dubai Hospital

2021 ◽  
pp. 1-5
Author(s):  
Rashid Nadeem ◽  
Ahmed Najah Zahra ◽  
Mustafa Hassan ◽  
Yusuf Parvez ◽  
Nilesh Gundawar ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Clinical Outcomes ◽  
False Negative ◽  
Single Center ◽  
Average Survival ◽  
Confounding Variables ◽  
Single Center Study ◽  
Impact On Survival ◽  
Duration Of Ventilation ◽  
Center Study

<b><i>Introduction:</i></b> Coronavirus has caused more than a million deaths as of October 2020. Hospitals consider tracheostomy after the patient is virus negative, usually after 3 weeks. Prevalence and timing of tracheostomy and its impact on survival among COVID patients are unknown. <b><i>Methods:</i></b> A retrospective, single-center study of all patients with COVID-19 ARDS who underwent tracheostomy was conducted. Patients with age &#x3c;18 and patients treated with ECMO were excluded. Duration of ventilation before tracheostomy was recorded. Clinical variables, outcome variables, and confounding variables were recorded and compared between patients with tracheostomy and without tracheostomy. The aim was to determine prevalence and timing of tracheostomy and its impact on clinical outcomes. <b><i>Results:</i></b> We found that tracheostomies were performed only in 21 out of 196 patients (10.8%). Tracheostomies were performed after 3 weeks on average (22.1 ± 7.5 days). Survival was significantly higher in patients who underwent tracheostomy (85.7 vs. 42.5%, <i>p</i> = 0.001). LOSICU was longer for tracheostomy patients than patients without tracheostomy (median [IQR]: 35 [23–47] vs. 15 [9–21], <i>p</i> = 0.001). Patients who underwent tracheostomy had a higher proportion of treatment with continuous renal replacement therapy (CRRT) (52 vs. 30%, <i>p</i> = 0.04), more COVID-19 swab testing (6.5 [4.5–8.5] vs. 5 [3–7], <i>p</i> = 0.002), more days on mechanical ventilation (34.5 [24–45] vs. 11 [5.5–16.5], <i>p</i> = 0.001), and more length of stay in the hospital (54 [38–70] vs. 20 [10.5–29.5], <i>p</i> = 0.001). All other factors were not statistically different between the 2 groups. Approximately 29% of patients had possible false-negative testing as their swab became positive after being negative. <b><i>Conclusion:</i></b> Tracheostomy was performed only in 10% of our patients with COVID-19 ARDS. Time to tracheostomy was after 3 weeks on average. Survival was better in patients with tracheostomy, but tracheostomized patients stayed longer in the ICU and hospital and utilized more days of mechanical ventilation and CRRT.

scholarly journals Transthyretin at Admission and Over Time as a Marker for Clinical Outcomes in Critically Ill Trauma Patients: A Prospective Single-Center Study

2019 ◽  
Vol 44 (1) ◽  
pp. 115-123
Author(s):  
Tobias Haltmeier ◽  
Kenji Inaba ◽  
Joseph Durso ◽  
Moazzam Khan ◽  
Stefano Siboni ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Critically Ill ◽  
Trauma Patients ◽  
Single Center ◽  
Single Center Study ◽  
Over Time ◽  
Center Study

The effects of full weight-bearing mobilization on clinical outcomes and subsidence in cemented and uncemented hemiarthroplasty in osteoporotic patients: A retrospective single-center study

2021 ◽  
pp. 1-8
Author(s):  
Betül Başar ◽  
Hakan Başar
Keyword(s):  
Clinical Outcomes ◽  
Weight Bearing ◽  
Femoral Stem ◽  
Harris Hip Score ◽  
Full Weight Bearing ◽  
Single Center ◽  
Single Center Study ◽  
Uncemented Hemiarthroplasty ◽  
The Mean ◽  
Center Study

BACKGROUND: Early full weight-bearing mobilization is controversial in osteoporotic patients who have undergone uncemented hemiarthroplasty (CH). OBJECTIVES: The aim of the study was to compare the results of early full weight-bearing mobilization in CH and uncemented hemiarthroplasty (UCH). The effect of subsidence on the results was also evaluated. METHODS: Fifty-nine patients who underwent CH and UCH were evaluated. The mean age was 79.8 years (10 females, 15 males) for CH and 75.5 years (10 females, 24 males) for UCH. All patients started immediate full weight-bearing mobilization and weight-bearing exercises. RESULTS: There was no difference between the groups according to the Harris Hip Score. Both groups were evaluated in subgroups according to whether there is varus in the femoral stem. There was no difference between subgroups according to the Harris Hip Score. The femoral subsidence was not determined in CH group. In the UCH group, the subsidence was 1.13 ± 1.03 mm in varus femoral stem subgroup and 0.81 ± 0.85 mm in without femoral stem varus subgroup. There was no difference in subsidence between femoral stem with varus and without varus. The subsidence did not affect the Harris Hip Score. CONCLUSION: Full weight-bearing mobilization could be safely preferred in UCH, as in CH. Femoral stem varus below 5 degrees does not affect the results and subsidence.

Clinical outcomes of radiotherapy for spinal cord ependymoma with adverse prognostic features: a single-center study

2018 ◽  
Vol 140 (3) ◽  
pp. 649-657 ◽  
Author(s):  
Hwa Kyung Byun ◽  
Seong Yi ◽  
Hong In Yoon ◽  
Se Hoon Kim ◽  
Jaeho Cho ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Clinical Outcomes ◽  
Single Center ◽  
Prognostic Features ◽  
Single Center Study ◽  
Spinal Cord Ependymoma ◽  
Center Study
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