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Effectiveness of Minitracheostomy After Extubation in Patients with Pneumonia at High Risk of Reintubation: A Case Series

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14 nov 2023
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Fig. 1.

The minitracheostomy kit.
The minitracheostomy kit.

Fig. 2

Flowchart of patient inclusion in the study. Thirty-one patients with pneumonia were selected from 46 patients who underwent minitracheostomy at our institution between April 2013 and December 2017. Ten patients required tracheostomy. Eight patients did not require intubation, tracheostomy, or minitracheostomy.
Flowchart of patient inclusion in the study. Thirty-one patients with pneumonia were selected from 46 patients who underwent minitracheostomy at our institution between April 2013 and December 2017. Ten patients required tracheostomy. Eight patients did not require intubation, tracheostomy, or minitracheostomy.

Demographic and clinical characteristics of the patients

Overall n=31 Successful extubation n=22 Reintubation n=9
Age, years, median (IQR) 79 (67–84) 76.5 (64.8–84.5) 80 (71.5–85)
Male, n(%) 25 (80.6) 21 (95.5) 4 (44.4)
APACHE II score, median (IQR) 19 (17–24) 18 (16–23.3) 19 (18–28)
SOFA score, median (IQR) 9 (7–11) 9.5 (7–11.3) 7 (5.5–11)
CURB-65 score, median (IQR) 3 (2–4) 3 (3–4) 3 (2–3.5)
MV duration, median (IQR) 6 (5–10) 6 (4–10) 7 (5.5–10)
Suctions within 24 hours before extubation, median (IQR) 10 (7–12) 10 (7.8–12) 10 (6.5–12)

Patient outcomes

Overall n=31 Successful extubation n=22 Reintubation n=9
30-day mortality, n (%) 6 (19.4) 4 (18.2) 2 (22.2)
ICU length of stay, days, median (IQR) 11 (9–15) 11 (8–14.3) 14 (11–18.5)
Hospital length of stay, days, median (IQR) 26 (16–40) 23 (15.5–41) 30 (16–45.5)
Tracheostomy, n (%) 10 (32.3) 4 (18.2) 6 (66.7)