Engoren Milo, Arslanian-Engoren Cynthia
Department of Anesthesiology, St. Vincent Mercy Medical Center, 2213 Cherry Street, Toledo, OH 43617, USA.
Am Surg. 2005 Feb;71(2):123-7.
Studies of tracheostomy for respiratory failure have suggested a poor prognosis, however, trauma patients may have a better outcome. Data from 113 trauma patients were retrospectively analyzed for comorbidities, laboratory values, and hospital course. Long-term survival was determined from the Social Security Death Index. Trauma patients were young, overwhelmingly male, relatively healthy, and frequently uninsured. Seventy-five per cent of trauma patients were liberated from mechanical ventilation by hospital discharge. Timing of tracheostomy had no effect on days of mechanical ventilation or hospital length of stay. Hospital survival was 98 per cent, and 3-year Kaplan-Meier survival was 80 per cent. Older age and higher admission creatinine levels were predictive of late death. Trauma patients who undergo tracheostomy are likely to survive and be liberated from mechanical ventilation.
关于气管切开术治疗呼吸衰竭的研究表明预后较差，然而，创伤患者可能有更好的结果。对113例创伤患者的数据进行回顾性分析，以了解其合并症、实验室检查值和住院过程。通过社会保障死亡指数确定长期生存率。创伤患者较为年轻，绝大多数为男性，相对健康，且经常没有保险。75%的创伤患者在出院时脱离了机械通气。气管切开术的时机对机械通气天数或住院时间没有影响。住院生存率为98%，3年的Kaplan-Meier生存率为80%。年龄较大和入院时肌酐水平较高是晚期死亡的预测因素。接受气管切开术的创伤患者有可能存活并脱离机械通气。
