Open AccessTiming of tracheostomy placement among children with severe traumatic brain injury: A propensity-matched analysis
Author(s) -
Cory McLaughlin,
David G. Darcy,
Caron Park,
Christianne J. Lane,
Wendy J. Mack,
David Bliss,
Anoopindar Bhalla,
Jeffrey S. Upperman,
Avery B. Nathens,
Randall S. Burd,
Aaron R. Jensen
Publication year - 2019
Publication title -
the journal of trauma and acute care surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.25
H-Index - 187
eISSN - 2163-0763
pISSN - 2163-0755
DOI - 10.1097/ta.0000000000002237
Subject(s) - medicine , glasgow coma scale , traumatic brain injury , propensity score matching , interquartile range , abbreviated injury scale , mechanical ventilation , injury severity score , intensive care unit , craniotomy , glasgow outcome scale , anesthesia , intracranial pressure , surgery , poison control , emergency medicine , injury prevention , psychiatry
Early tracheostomy has been associated with shorter hospital stay and fewer complications in adult trauma patients. Guidelines for tracheostomy have not been established for children with severe traumatic brain injury (TBI). The purpose of this study was to (1) define nationwide trends in time to extubation and time to tracheostomy and (2) determine if early tracheostomy is associated with decreased length of stay and fewer complications in children with severe TBI.