Resultados de aplicar un protocolo de seguridad al paciente traqueotomizado procedente de una unidad de cuidados críticos

  1. Benito-Orejas, José Ignacio 1
  2. Parra-Morais, Laura 2
  3. Casasola-Girón, Marleny 3
  4. Cicuéndez-Ávila, Ramón 2
  5. Morais-Pérez, Darío 1
  6. Muñoz-Moreno, María Fe 4
  1. 1 SACYL, Hospital Clínico Universitario de Valladolid. Servicio de Otorrinolaringología y CCF
  2. 2 SACYL, Hospital Clínico Universitario de Valladolid. Servicio de Medicina Intensiva y Crítica
  3. 3 SACYL, Hospital Clínico Universitario de Valladolid España
  4. 4 SACYL, Hospital Clínico Universitario de Valladolid. Estadística de la Unidad de Apoyo a la Investigación
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Journal:
Revista ORL

ISSN: 2444-7986,  2444-7986

Year of publication: 2022

Volume: 13

Issue: 3

Pages: 211-225

Type: Article

DOI: 10.14201/ORL.28030 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: Revista ORL

Abstract

Introduction and objective: Increasing the number of tracheostomies in critical care units significantly increases morbimortality in the wards. To reverse this, we have implemented a multidisciplinary follow-up program based on training, standardization of care and the adoption of new strategies. Methodology: Prospective and observational cohort study of the follow-up of 150 patients in a third-level university hospital that does not have a step-down unit. We record and analyze the clinical and epidemiological variables and the evolution after the application of the program. Results: The average age was 61 years old, 67% male, and 41% neurocritical care patients. Percutaneous tracheostomy in 71% of all tracheostomies. Global mortality was 17% and that of patients with stroke was 6.3%. Readmission to critical care units was 8%. Low-severity complications were detected in 23% of patients. The decannulation process was completed during admission in 43% of patients, 38% in all discharged from hospital, 55% of them with oral feeding now of discharge. Average stay in critical care unit was 34 days and hospital length of stay was 70 days. Conclusions: This work describes the results obtained after applying a multidisciplinary follow-up protocol in the wards, of the tracheotomized patient who comes from the critical care units. The purpose of this follow-up is to improve the safety of these patients, to reduce their morbimortality. The application of new strategies will allow their evaluation in relation to the data obtained from this study.  

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