Neuroanesthesia & neurocritical care
Early tracheostomy in patients undergoing mechanical thrombectomy for acute ischemic stroke
Authors' conclusion
Among these high-risk patients, ETR was predictive of shorter LOS and fewer complications.
Study context
- Population
- Adults treated with mechanical thrombectomy (MT) for acute ischemic stroke (AIS) who received tracheostomy, US National Inpatient Sample, 2016–2019915 (26.1%) early tracheostomy (ETR)
- Participants
- 3,505 adults
- Exposure
- Early tracheostomy vs later tracheostomy
- Outcome
- LOS and total hospital charges
Methodological detailsNational Inpatient Sample database
- National Inpatient Sample database
Main finding
As reported in the abstract
Length of stay (LOS)
25.39 days vs 32.43 days days
P < 0.001
ETR vs Later tracheostomy
Total hospital charges
$483,472.07 vs $612,362.86
P < 0.001
ETR vs Later tracheostomy
Observational data: associations, not effects.
Further findings
- ETR did not confer a mortality benefit
Safety
| Outcome | Estimate | P value |
|---|---|---|
| AKI, pneumonia, sepsisETR vs Later tracheostomy | OR (AKI) 0.697 | P = 0.013 |
| AKI, pneumonia, sepsisETR vs Later tracheostomy | OR (pneumonia) 0.449 | P < 0.001 |
| AKI, pneumonia, sepsisETR vs Later tracheostomy | OR (sepsis) 0.536 | P = 0.002 |
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Early tracheostomy in patients undergoing mechanical thrombectomy for acute ischemic stroke. J Crit Care. Published 17 June 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →