A retrospective study in Palestine (2023-2024) titled "Early Versus Late Tracheostomy in Critically Ill Patients" found that while early tracheostomy (within 10 days) was linked to shorter ICU/hospital stays, reduced mechanical ventilation (MV) time, and lower ventilator-associated pneumonia (VAP) rates, there was no significant difference in overall mortality compared to late tracheostomy (>10 days), supporting personalized care, though larger studies are needed to confirm benefits in specific patient groups, notes An-Najah National University. 

Key Findings (Palestine Study):

• Early Tracheostomy (ET): Performed within 10 days of intubation.
• Late Tracheostomy (LT): Performed after 10 days.
• Shorter MV & Stays: ET group had significantly shorter MV duration, ICU stays, and hospital stays.
• VAP: Lower incidence of VAP in the ET group.
• Mortality: No significant difference in overall mortality between ET and LT groups.
• Other Outcomes: Less kidney dysfunction, atrial fibrillation in ET group. 

Broader Context from Other Studies:

• Mixed Results: Meta-analyses show inconsistent findings, with some suggesting lower mortality with ET but noting weak evidence and insufficient data for definitive conclusions, per National Institutes of Health (.gov) and National Institutes of Health (.gov).
• Benefits: Generally, early tracheostomy is associated with reduced VAP, shorter MV, and shorter ICU/hospital stays, potentially leading to faster rehabilitation, notes National Institutes of Health (.gov). 

Conclusion:
While timing impacts specific morbidities and resource use (like shorter MV), evidence isn't strong enough to universally declare early tracheostomy superior for mortality; personalized decisions are key, with more research needed, states National Institutes of Health (.gov). 

العنوان

Aidah Alkaissi

الناشر

pmp

بلد الناشر

فلسطين

Indexing

Scopus

معامل التأثير

None

نوع المنشور

إلكتروني فقط

المجلد

--

السنة

--

الصفحات

--