Retrospective analysis of patients with immediate decannulation in severe acquired brain injury (RAPID-SABI)
Objective: To examine an early decannulation protocol in adult severe acquired brain injury (SABI) patients. Design: Retrospective, observational cohort study. Subjects/patients: Tracheotomized SABI patients ≥ 18 years admitted to a neurorehabilitation unit. Methods: Primary outcome measure was d...
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Medical Journals Sweden
2025-02-01
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| Series: | Journal of Rehabilitation Medicine - Clinical Communications |
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| Online Access: | https://medicaljournalssweden.se/jrm-cc/article/view/42068 |
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| author | Robbert-Jan van Hooff Mette Lindelof Emma Ghaziani Trine Hørmann Thomsen Christina Kruuse Christian Gunge Riberholt Charlotte Rath |
| author_facet | Robbert-Jan van Hooff Mette Lindelof Emma Ghaziani Trine Hørmann Thomsen Christina Kruuse Christian Gunge Riberholt Charlotte Rath |
| author_sort | Robbert-Jan van Hooff |
| collection | DOAJ |
| description | Objective: To examine an early decannulation protocol in adult severe acquired brain injury (SABI) patients.
Design: Retrospective, observational cohort study.
Subjects/patients: Tracheotomized SABI patients ≥ 18 years admitted to a neurorehabilitation unit.
Methods: Primary outcome measure was difference in survival rate within first year of discharge. Secondary outcome measures were respiratory infections treated with antibiotics, rate of re-cannulation, time from admission to decannulation, length of stay, difference in rate of re-admission due to pneumonia within first year of discharge and difference in rate of tracheal tube dependency within first year of discharge.
Results: No statistical significance in survival rate within the first 12 months from discharge was found. Median time from admission to decannulation was 32 days (interquartile range [IQR] 14–61) vs 9 days (IQR 0–13) in the control and intervention group, respectively (p < 0.0003). Median length of stay was 66 days (IQR 54–92) in the control group vs 60 (IQR 48–75) days in the intervention group (p = 0.168).
Conclusion: A new early decannulation protocol omitting evaluation of tolerance to tracheostomy tube capping and fiberoptic endoscopic evaluation of swallowing was non-inferior to previous procedures in survival rate within first year of discharge. The early decannulation protocol allowed for significantly earlier decannulation.
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| format | Article |
| id | doaj-art-bf1bb93b4a7e41e6b67915b81215679f |
| institution | Kabale University |
| issn | 2003-0711 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine - Clinical Communications |
| spelling | doaj-art-bf1bb93b4a7e41e6b67915b81215679f2025-02-05T08:38:22ZengMedical Journals SwedenJournal of Rehabilitation Medicine - Clinical Communications2003-07112025-02-01810.2340/jrm-cc.v8.42068Retrospective analysis of patients with immediate decannulation in severe acquired brain injury (RAPID-SABI)Robbert-Jan van Hooff0Mette Lindelof1Emma Ghaziani2Trine Hørmann Thomsen3Christina Kruuse4Christian Gunge Riberholt5Charlotte Rath6Department of Brain and Spinal Cord Injury, Copenhagen University Hospital – Rigshospitalet, Copenhagen, DenmarkDepartment of Brain and Spinal Cord Injury, Copenhagen University Hospital – Rigshospitalet, Copenhagen, DenmarkDepartment of Brain and Spinal Cord Injury, Copenhagen University Hospital – Rigshospitalet, Copenhagen, DenmarkDepartment of Brain and Spinal Cord Injury, Copenhagen University Hospital – Rigshospitalet, Copenhagen, DenmarkDepartment of Brain and Spinal Cord Injury, Copenhagen University Hospital – Rigshospitalet, Copenhagen, Denmark; Department of Neurology, Neurovascular Research Unit, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, DenmarkDepartment of Brain and Spinal Cord Injury, Copenhagen University Hospital - Rigshospitalet, Copenhagen, DenmarkDepartment of Brain and Spinal Cord Injury, Copenhagen University Hospital - Rigshospitalet, Copenhagen, DenmarkObjective: To examine an early decannulation protocol in adult severe acquired brain injury (SABI) patients. Design: Retrospective, observational cohort study. Subjects/patients: Tracheotomized SABI patients ≥ 18 years admitted to a neurorehabilitation unit. Methods: Primary outcome measure was difference in survival rate within first year of discharge. Secondary outcome measures were respiratory infections treated with antibiotics, rate of re-cannulation, time from admission to decannulation, length of stay, difference in rate of re-admission due to pneumonia within first year of discharge and difference in rate of tracheal tube dependency within first year of discharge. Results: No statistical significance in survival rate within the first 12 months from discharge was found. Median time from admission to decannulation was 32 days (interquartile range [IQR] 14–61) vs 9 days (IQR 0–13) in the control and intervention group, respectively (p < 0.0003). Median length of stay was 66 days (IQR 54–92) in the control group vs 60 (IQR 48–75) days in the intervention group (p = 0.168). Conclusion: A new early decannulation protocol omitting evaluation of tolerance to tracheostomy tube capping and fiberoptic endoscopic evaluation of swallowing was non-inferior to previous procedures in survival rate within first year of discharge. The early decannulation protocol allowed for significantly earlier decannulation. https://medicaljournalssweden.se/jrm-cc/article/view/42068severe acquired brain injurytracheostomydecannulation |
| spellingShingle | Robbert-Jan van Hooff Mette Lindelof Emma Ghaziani Trine Hørmann Thomsen Christina Kruuse Christian Gunge Riberholt Charlotte Rath Retrospective analysis of patients with immediate decannulation in severe acquired brain injury (RAPID-SABI) Journal of Rehabilitation Medicine - Clinical Communications severe acquired brain injury tracheostomy decannulation |
| title | Retrospective analysis of patients with immediate decannulation in severe acquired brain injury (RAPID-SABI) |
| title_full | Retrospective analysis of patients with immediate decannulation in severe acquired brain injury (RAPID-SABI) |
| title_fullStr | Retrospective analysis of patients with immediate decannulation in severe acquired brain injury (RAPID-SABI) |
| title_full_unstemmed | Retrospective analysis of patients with immediate decannulation in severe acquired brain injury (RAPID-SABI) |
| title_short | Retrospective analysis of patients with immediate decannulation in severe acquired brain injury (RAPID-SABI) |
| title_sort | retrospective analysis of patients with immediate decannulation in severe acquired brain injury rapid sabi |
| topic | severe acquired brain injury tracheostomy decannulation |
| url | https://medicaljournalssweden.se/jrm-cc/article/view/42068 |
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