Abstract: Background: Tracheostomy plays a fundamental role in airway management of
mechanically ventilated patient in intensive care units (ICUs). The ideal
timing of tracheostomy is still a controversial issue. This study aimed to
evaluate the association between the timing of tracheostomy and outcome in
patients receiving mechanical ventilation.
Methods: This study was
retrospective cohort analysis of adult patients who underwent tracheostomy
during their ICUs admission between January 2021 and December 2023. Data were
collected from the medical record database. The outcome was mechanical
ventilation duration and ventilator associated pneumonia (VAP) scoring. The
timing of tracheostomy was grouped by early tracheostomy (ET): ≤ 6 days and
late tracheostomy (LT): > 6 days. The association was evaluated using
Mann-Whitney analysis.
Results: Among the 143
patients population, 62 patients were included in the analysis: ET (n=37) dan
LT (n=25). The mean of post-tracheostomy MV duration in days was 5,19±3, 48
standard deviation (SD) in ET group and 5,48±4,45 in LT group (p=0,983). The
mean of total MV duration in days was 10,08±3,35 SD in ET group and 13,64±4,47
SD in LT group (p=0,001). The mean of pre-tracheostomy VAP scoring was 2,43±1,28
SD in ET group and 3,16±1,03 SD in LT group (p=0,024), and post-tracheostomy
VAP scoring was 3,05±1,22 SD in ET group and 3,88±1,33 SD in LT group
(p=0,014).
Conclusion: Early tracheostomy had a significant impact in shortening the total
duration of the MV and reducing the risk of VAP.
