Clinical-demographic characteristics of tracheostomized patients with chronic obstructive pulmonary disease
Tracheostomy (TQT) has emerged as a valuable alternative for patients with orotracheal intubation, especially those under prolonged mechanical ventilation (VMP), as in the case of chronic obstructive pulmonary disease (COPD). This population presents additional challenges, and the available informat...
| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2024
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/43477 |
| Aporte de: |
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I10-R327-article-43477 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
Tracheostomy COPD mechanical ventilation traqueostomia EPOC asistencia ventilatoria mecánica. traqueostomia DPOC Ventilação mecânica |
| spellingShingle |
Tracheostomy COPD mechanical ventilation traqueostomia EPOC asistencia ventilatoria mecánica. traqueostomia DPOC Ventilação mecânica Carnero Echegaray, Joaquín Larocca, Florencia Bellon, Pablo Bosso, Mauro Clinical-demographic characteristics of tracheostomized patients with chronic obstructive pulmonary disease |
| topic_facet |
Tracheostomy COPD mechanical ventilation traqueostomia EPOC asistencia ventilatoria mecánica. traqueostomia DPOC Ventilação mecânica |
| author |
Carnero Echegaray, Joaquín Larocca, Florencia Bellon, Pablo Bosso, Mauro |
| author_facet |
Carnero Echegaray, Joaquín Larocca, Florencia Bellon, Pablo Bosso, Mauro |
| author_sort |
Carnero Echegaray, Joaquín |
| title |
Clinical-demographic characteristics of tracheostomized patients with chronic obstructive pulmonary disease |
| title_short |
Clinical-demographic characteristics of tracheostomized patients with chronic obstructive pulmonary disease |
| title_full |
Clinical-demographic characteristics of tracheostomized patients with chronic obstructive pulmonary disease |
| title_fullStr |
Clinical-demographic characteristics of tracheostomized patients with chronic obstructive pulmonary disease |
| title_full_unstemmed |
Clinical-demographic characteristics of tracheostomized patients with chronic obstructive pulmonary disease |
| title_sort |
clinical-demographic characteristics of tracheostomized patients with chronic obstructive pulmonary disease |
| description |
Tracheostomy (TQT) has emerged as a valuable alternative for patients with orotracheal intubation, especially those under prolonged mechanical ventilation (VMP), as in the case of chronic obstructive pulmonary disease (COPD). This population presents additional challenges, and the available information regarding their progression in specialized centers is limited in Argentina.A descriptive, retrospective, and cross-sectional study was conducted at Santa Catalina Neurorehabilitation Clinic between August 2015 and December 2018. Patients with COPD referred to the Intensive Care Unit (ICU), tracheostomized, and subsequently referred to the Center for Ventilation Disconnection and Rehabilitation (CDVMR) were included. Cases with missing data or derived from other CDVMRs were excluded. Clinical records and interviews were employed to collect demographic and progression data.Out of the 27 COPD patients included (4.9% of 555), the majority were males (63%) with an average age of 68.1 years. Most were admitted with AVMi, and 11 (45.8%) were successfully disconnected, while 11 (40.7%) were decannulated. Survival and home discharge were more frequent in decannulated patients (81.8% were discharged) compared to non-decannulated ones (50% deceased, and none were discharged).COPD patients undergoing TQT and VMP, who succeed in being decannulated, seem to have better prospects for survival and home discharge compared to those who do not have the cannula removed. There is a suggestion for the need for additional analytical studies to confirm these findings and improve the understanding of this specific population. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2024 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/43477 |
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I10-R327-article-434772024-12-05T12:49:49Z Clinical-demographic characteristics of tracheostomized patients with chronic obstructive pulmonary disease Características clínico-demográficas de pacientes traqueostomizados con enfermedad pulmonar obstructiva crónica Características clínico-demográficas de pacientes traqueostomizados com doença pulmonar obstrutiva crônica Carnero Echegaray, Joaquín Larocca, Florencia Bellon, Pablo Bosso, Mauro Tracheostomy COPD mechanical ventilation traqueostomia EPOC asistencia ventilatoria mecánica. traqueostomia DPOC Ventilação mecânica Tracheostomy (TQT) has emerged as a valuable alternative for patients with orotracheal intubation, especially those under prolonged mechanical ventilation (VMP), as in the case of chronic obstructive pulmonary disease (COPD). This population presents additional challenges, and the available information regarding their progression in specialized centers is limited in Argentina.A descriptive, retrospective, and cross-sectional study was conducted at Santa Catalina Neurorehabilitation Clinic between August 2015 and December 2018. Patients with COPD referred to the Intensive Care Unit (ICU), tracheostomized, and subsequently referred to the Center for Ventilation Disconnection and Rehabilitation (CDVMR) were included. Cases with missing data or derived from other CDVMRs were excluded. Clinical records and interviews were employed to collect demographic and progression data.Out of the 27 COPD patients included (4.9% of 555), the majority were males (63%) with an average age of 68.1 years. Most were admitted with AVMi, and 11 (45.8%) were successfully disconnected, while 11 (40.7%) were decannulated. Survival and home discharge were more frequent in decannulated patients (81.8% were discharged) compared to non-decannulated ones (50% deceased, and none were discharged).COPD patients undergoing TQT and VMP, who succeed in being decannulated, seem to have better prospects for survival and home discharge compared to those who do not have the cannula removed. There is a suggestion for the need for additional analytical studies to confirm these findings and improve the understanding of this specific population. La traqueostomía (TQT) es una una alternativa valiosa para pacientes con intubación orotraqueal, especialmente aquellos bajo ventilación mecánica prolongada (VMP), como en el caso de la enfermedad pulmonar obstructiva crónica (EPOC). Esta población presenta desafíos adicionales, la información disponible sobre su evolución en centros especializados es limitada en Argentina.Se realizó un estudio descriptivo, retrospectivo y transversal en Santa Catalina Neurorehabilitación Clínica entre agosto de 2015 y diciembre de 2018. Se incluyeron pacientes EPOC derivados a la unidad de terapia intensiva (UTI), traqueostomizados y posteriormente remitidos al Centro de Desvinculación de Ventilación Mecánica y Rehabilitación (CDVMR). Se excluyeron casos con datos faltantes o derivados de otros CDVMR. Se emplearon registros clínicos y entrevistas para recolectar datos demográficos y de evolución.De los 27 pacientes con EPOC incluidos (4.9% de 555), la mayoría eran hombres (63%) con una edad promedio de 68.1 años. La mayoría ingresó con AVMi, y se logró desvincular a 11 (45.8%) y decanular a 11 (40.7%) pacientes. La sobrevida y el alta domiciliaria fueron más frecuentes en pacientes decanulados (81.8% recibieron el alta) en comparación con los no decanulados (50% fallecieron y ninguno recibió el alta).Los pacientes EPOC sometidos a TQT y VMP, que logran ser decanulados, parecerían tener mejores perspectivas de sobrevida y alta domiciliaria en comparación con aquellos que no se les retira la cánula. Se sugiere la necesidad de estudios analíticos adicionales para confirmar estos hallazgos y mejorar la comprensión de esta población específica. A traqueostomia (TQT) emergiu como uma alternativa valiosa para pacientes com intubação orotraqueal, especialmente aqueles sob ventilação mecânica prolongada (VMP), como no caso da doença pulmonar obstrutiva crônica (DPOC). Esta população enfrenta desafios adicionais, e as informações disponíveis sobre sua evolução em centros especializados são limitadas na Argentina.Um estudo descritivo, retrospectivo e transversal foi realizado na Clínica de Neuro reabilitação Santa Catalina entre agosto de 2015 e dezembro de 2018. Foram incluídos pacientes com DPOC encaminhados para a unidade de terapia intensiva (UTI), traqueostomizados e posteriormente encaminhados ao Centro de Desvinculação de Ventilação Mecânica e Reabilitação (CDVMR). Foram excluídos casos com dados faltantes ou provenientes de outros CDVMRs. Registros clínicos e entrevistas foram usados para coletar dados demográficos e de evolução.Dos 27 pacientes com DPOC incluídos (4,9% de 555), a maioria era do sexo masculino (63%) com uma idade média de 68,1 anos. A maioria foi admitida com AVMi e 11 (45,8%) conseguiram a desvinculação e 11 (40,7%) a decanulação. A sobrevida e a alta domiciliar foram mais comuns em pacientes decanulados (81,8% receberam alta) em comparação com os não decanulados (50% faleceram e nenhum recebeu alta).Pacientes com DPOC submetidos a TQT e VMP, que conseguem ser decanulados, parecem ter melhores perspectivas de sobrevida e alta domiciliar em comparação com aqueles que não têm a cânula removida. Sugere-se a necessidade de estudos analíticos adicionais para confirmar esses achados e melhorar a compreensão dessa população específica. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2024-09-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/43477 10.31053/1853.0605.v81.n3.43477 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 81 No. 3 (2024); 477-490 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 81 Núm. 3 (2024); 477-490 Revista da Faculdade de Ciências Médicas de Córdoba; v. 81 n. 3 (2024); 477-490 1853-0605 0014-6722 10.31053/1853.0605.v81.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/43477/46616 https://revistas.unc.edu.ar/index.php/med/article/view/43477/46523 Derechos de autor 2024 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |