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Percutaneous versus open tracheostomy: a retrospective cohort outcome study
J S Graham1, R H Mulloy, F R Sutherland
1Department of Surgery, Faculty of Medicine, University of Calgary, Alberta, Canada.
The Journal of Trauma
|August 1, 1996
Summary
Percutaneous tracheostomy and open tracheostomy showed similar minor and major complication rates. However, a trend suggested a higher risk of delayed airway loss with percutaneous tracheostomy in ventilated patients.
Area of Science:
- Critical Care Medicine
- Surgical Procedures
- Patient Safety
Background:
- Percutaneous tracheostomy is proposed as a less invasive alternative to open tracheostomy for ventilated patients.
- Evaluating complication rates is crucial for determining the optimal tracheostomy method.
Purpose of the Study:
- To compare complication rates between percutaneous and open tracheostomy.
- To assess differences in minor and major complications and identify potential risks.
Main Methods:
- A retrospective cohort study was conducted in an intensive care unit.
- Complication rates were compared between patients undergoing percutaneous tracheostomy and open tracheostomy.
Main Results:
- No significant difference was found in minor complication rates (12/31 vs. 12/29).
- Major complication rates also showed no significant difference between the two groups (7/31 vs. 5/29).
- A trend indicated an increased risk of delayed airway loss in the percutaneous tracheostomy group.
Conclusions:
- Both percutaneous and open tracheostomy exhibit comparable safety profiles regarding immediate complication rates.
- Further investigation is warranted to understand the trend of increased delayed airway loss risk with percutaneous tracheostomy.