Risk Analysis Based on the Timing of Tracheostomy Procedures in Patients with Spinal Cord Injury Requiring Cervical Spine Surgery
| Autor: | Leticia Seoane, Antonio Montoto, Mónica Mourelo, David Freire, Sebastián Salvador, María Elena Ferreiro, María Teresa Seoane, Rita Galeiras, María Teresa Bouza |
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| Rok vydání: | 2018 |
| Předmět: |
Cervical spine surgery
Adult Male medicine.medical_specialty Time Factors Adolescent Critical Care medicine.medical_treatment law.invention 03 medical and health sciences Fixation (surgical) Young Adult 0302 clinical medicine Tracheostomy law Adrenal Cortex Hormones Risk Factors medicine Humans In patient Spinal cord injury Spinal Cord Injuries Aged Aged 80 and over Chi-Square Distribution business.industry 030208 emergency & critical care medicine Surgical wound Retrospective cohort study Middle Aged medicine.disease Intensive care unit Surgery Spinal Fusion Spinal fusion Cervical Vertebrae Female Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | World neurosurgery. 116 |
| ISSN: | 1878-8769 |
| Popis: | To determine the optimal moment to perform tracheostomy in a patient requiring anterior cervical fixation.A retrospective observational study conducted over an 18-year period included 56 patients who had been admitted to the intensive care unit with acute spinal cord injury and underwent tracheostomy and surgical fixation. The sample was divided into 2 groups: at-risk group (31 patients who had undergone tracheostomy before cervical surgery or4 days after surgery) and not-at-risk group (25 patients who had undergone tracheostomy4 days after fixation surgery). Descriptive and comparative studies were carried out. Overall trend of the collected data was analyzed using cubic splines (graphic methods).The only infectious complications diagnosed as related to the surgical procedure were infection of the surgical wound in 2 patients in the not-at-risk group (12%) and deep tissue infection in 1 patient in the at-risk group (3.2%). During the study period, we identified a tendency toward performance of early tracheostomies.Our results suggest that the presence of a tracheostomy stoma before or immediately after surgery is associated with a low risk of infection of the cervical surgical wound in instrumented spinal fusion. |
| Databáze: | OpenAIRE |
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