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Titolo:
Prevalence of tracheostomy in ICU patients. A nation-wide survey in Switzerland
Autore:
Fischler, L; Erhart, S; Kleger, GR; Frutiger, A;
Indirizzi:
Rat Kantons & Reg Spital, Interdisciplinary ICU, CH-7000 Chur, SwitzerlandRat Kantons & Reg Spital Chur Switzerland CH-7000 7000 Chur, Switzerland
Titolo Testata:
INTENSIVE CARE MEDICINE
fascicolo: 10, volume: 26, anno: 2000,
pagine: 1428 - 1433
SICI:
0342-4642(200010)26:10<1428:POTIIP>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERCUTANEOUS DILATATIONAL TRACHEOSTOMY; CRITICALLY ILL PATIENTS; INTENSIVE-CARE UNIT; SURGICAL TRACHEOSTOMY; DILATIONAL TRACHEOSTOMY; ELECTIVE TRACHEOSTOMY; TRACHEOTOMY; COMPLICATIONS; INTUBATION; VENTILATION;
Keywords:
tracheostomy; prevalence; complications; cross-sectional studies; intensive care units;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Frutiger, A Rat Kantons & Reg Spital, Interdisciplinary ICU, CH-7000 Chur,Switzerland Rat Kantons & Reg Spital Chur Switzerland CH-7000 witzerland
Citazione:
L. Fischler et al., "Prevalence of tracheostomy in ICU patients. A nation-wide survey in Switzerland", INTEN CAR M, 26(10), 2000, pp. 1428-1433

Abstract

Objective: To assess the frequency, timing and technique of tracheostomy and its variation between different intensive care units (ICUs) in Switzerland. Design: Retrospective, descriptive prevalence study. Setting: A questionnaire was sent to all intensive care units formally recognized by the Swiss Society of Intensive Care Medicine. Excluded were paediatric ICUs. A total of 48 ICUs (70 %) responded. Patients: In 1995 and 1996 the participatingunits had admitted 90,412 patients for a total of 243,921 ICU days. Results: Seventy percent of the contacted ICUs answered the questionnaire. The prevalence of tracheostomy was 10% in the longterm ventilated patients (defined as > 24 h), or 1.3 % of all patients. Most tracheostomies were performedduring the 2nd week of ventilation. The frequency of tracheostomy varied widely (0-60 %) and was only slightly associated with the different languageregions of our country and with the policy of hospitals to accept or refuse intubated patients on their normal wards. Most units offered either conventional surgical tracheostomy (69 %) andior percutaneous procedures (57 %). The decision to perform a tracheostomy was made mostly by the intensivist and the procedure was more often performed in the ICU (65 %) than in the operating theatre (35 %). Units where the intensivist had exclusive control used only percutaneous techniques. An overall complication rate of 13 % was reported, bleeding and infections being at the top of the scale. Only 27 % of the units performed late fellow-up protocols. Conclusions: Despite its frequency, tracheostomy in Swiss ICUs is far from being standardized with regard to indication, timing and choice of technique.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 10:48:43