Intensive Care Unit Readmission in Patients With Primary Brain Injury and Tracheostomy

Background: Acute atelectasis is common after traumatic brain injury (TBI), but the related factors and treatment are still unclear. This study is to analyze the independent risk factors for acute atelectasis after TBI and propose an interventional nursing strategy, in order to correct respiratory function and improve the prognosis of patients.Methods: The clinical data of 93 patients with TBI admitted to our hospital from April 2015 to October 2019 were retrospectively analyzed. Clinical data were analyzed by single factor analysis, the cutoff value of influencing factors was obtained by receiver operating characteristic (ROC) curve analysis, and the influencing factors for acute atelectasis after TBI were examined by multi-factor logistic regression.Results: Twenty-two patients (23.66%) were complicated with acute atelectasis during the observation period, while the remaining 71 patients (76.34%) did not have acute atelectasis. Univariate analysis showed that there were significant differences in the Glasgow Coma Scale (GCS), history of vomiting and aspiration, mannitol use, mechanical ventilation, hypoalbuminemia, and serum hypoxia-inducible factor-1α between the acute atelectasis group and the non-acute atelectasis group (P<0.05). The AUC area of HIF-1α level predicting acute atelectasis was 0.896 [95% confidence interval (CI): 0.814-0.978, P=0.042], and the cut-off value was 2.12 mmol/L, with a sensitivity of 76.9% and a specificity of 93.3%. Logistic regression analysis showed that a history of vomiting and aspiration [odds ratio (OR) 3.908, 95% confidence interval

show abstract

“…Pandian et al reported that tracheotomy is a risk factor for lung infection in patients with TBI (13). The reasons for this are as follows.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the influencing factors and nursing strategy for acute atelectasis after traumatic brain injury surgery

Gong

Zhou

et al. 2021

Ann Palliat Med

View full text Add to dashboard Cite

show abstract

“…Our own retrospective studies of extubation failure in our single center have not identified aspiration as the primary driver of extubation failure in brain-injured patients. In our hospital-based tracheostomy patients, we found that lower GCS was independently associated with the risk of readmission for ventilatory support and was independently associated with increased atelectasis and reintroduction of mechanical ventilation (14, 15).…”

mentioning

confidence: 87%

Extubation Anxiety, It Is All in the Brain*

Nyquist

2023

Critical Care Medicine

View full text Add to dashboard Cite

Frequency, Risk Factors, and Outcomes of Unplanned Readmission to the Neurological Intensive Care Unit after Spontaneous Intracerebral Hemorrhage

et al. 2022

View full text Add to dashboard Cite

Intensive Care Unit Readmission in Patients With Primary Brain Injury and Tracheostomy

Cited by 7 publications

References 25 publications

Analysis of the influencing factors and nursing strategy for acute atelectasis after traumatic brain injury surgery

Analysis of the influencing factors and nursing strategy for acute atelectasis after traumatic brain injury surgery

Extubation Anxiety, It Is All in the Brain*

Frequency, Risk Factors, and Outcomes of Unplanned Readmission to the Neurological Intensive Care Unit after Spontaneous Intracerebral Hemorrhage

Contact Info

Product

Resources

About