McGill University Health Centre-Montreal General Hospital, Montreal, Quebec, Canada.
J Head Trauma Rehabil. 2010 Sep-Oct;25(5):362-5. doi: 10.1097/HTR.0b013e3181cd67ea.
To evaluate the effect of a specialized multidisciplinary tracheostomy team on outcome of patients with severe traumatic brain injury (sTBI).
Retrospective study with historical controls.
Twenty-seven patients with sTBI tracheostomized before implementation of the tracheostomy team approach and 34 patients followed by the team.
A regional level 1 tertiary care trauma center, McGill University Health Centre-Montreal General Hospital.
Time to decannulation, length of stay (LOS), Passy-Muir speaking valve use, and extended Glasgow Outcome Scale (GOS-E) scores given at acute care discharge.
The groups were similar for injury severity, age, and premorbid health conditions. Postteam patients had a significantly shorter LOS (P = .025) and more of them used Passy-Muir speaking valves (P = .004). Furthermore, there was a trend toward decreased time to decannulation in the postteam group. GOS-E scores did not differ significantly between groups (P > .05).
Implementation of the tracheostomy team appears to have had positive clinical benefits for this population.
评估专门的多学科气管切开团队对严重创伤性脑损伤（sTBI）患者结局的影响。
回顾性研究，有历史对照。
27 例 sTBI 患者在实施气管切开团队方法前进行气管切开，34 例患者在实施团队后进行。
麦吉尔大学健康中心-蒙特利尔总医院，一个地区性 1 级三级护理创伤中心。
拔管时间、住院时间（LOS）、Passy-Muir 说话阀的使用以及急性护理出院时的扩展格拉斯哥结局量表（GOS-E）评分。
两组在损伤严重程度、年龄和发病前健康状况方面相似。团队治疗后患者的 LOS 明显缩短（P =.025），使用 Passy-Muir 说话阀的患者更多（P =.004）。此外，团队治疗后患者的拔管时间有缩短的趋势。两组的 GOS-E 评分无显著差异（P >.05）。
气管切开团队的实施似乎对该人群有积极的临床获益。
