Zahari, Yusrina (2020) The practice, outcome and complications of tracheostomy for traumatic brain injury patients in neurosurgical intensive care unit. Masters thesis, Universiti Sains Malaysia.
![[img]](http://eprints.usm.my/style/images/fileicons/application_pdf.png) |
PDF
Download (325kB) |
Abstract
Background: The tracheostomy procedure is commonly required to wean severe traumatic brain injury (TBI) patients. This study aimed to determine the practice, techniques and outcomes in TBI patients in a neurosurgical intensive care unit (Neuro-ICU). Methods: This was a retrospective, cross-sectional study conducted from January 1st, 2013, until December 31st, 2017, involving 268 severe TBI patients who required tracheostomy during Neuro-ICU management. The data were obtained from their medical records. Results: When based on techniques, percutaneous tracheostomy (PT) displayed a significantly shorter day of tracheostomy plan [7.0(2.5) vs 8.3(2.6) days; p<0.001], day of execution [7.2 (2.6) vs 8.6(2.9) days; p<0.001], duration of mechanical ventilation [9.8(3.4) vs 11.3(3.1) days; p<0.001], and duration of ICU stay [12.3(3.7) vs 13.8(3.5) days; p<0.003] than surgical tracheostomy (ST). If based on timing, early tracheostomy (ET) showed a significantly shorter duration of mechanical ventilation [8.8(2.1) vs 12.9(2.9) days; p<0.001], length of ICU stay [11.4(2.4) vs 15.2(3.5) days; p<0.001], and length of hospital stay [17.1(3.2) vs 20.0(4.0) days; p<0.001] than late tracheostomy (LT). Conclusion: PT showed a shorter mechanical ventilation and ICU stay duration than ST. In comparison, ET showed shorter mechanical ventilation, ICU stay, and hospital stay duration than LT
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | traumatic brain injury, tracheostomy procedur |
| Subjects: | R Medicine R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry R Medicine > RD Surgery |
| Divisions: | Kampus Kesihatan (Health Campus) > Pusat Pengajian Sains Perubatan (School of Medical Sciences) > Thesis |
| Depositing User: | MUHAMMAD AKIF AIMAN AB SHUKOR |
| Date Deposited: | 16 Apr 2026 03:11 |
| Last Modified: | 14 Jun 2026 02:28 |
| URI: | http://eprints.usm.my/id/eprint/63912 |
Actions (login required)
 |
View Item |
