Implementation of an interdisciplinary tracheostomy care protocol to decrease rates of tracheostomy-related pressure ulcers and injuries
| Autor: | Kevin C. Dellsperger, Brian Ho, Mark A. Fritz, Christopher J. Leto, Zao M. Yang, J. Kenneth Byrd, Gregory N. Postma, Stilianos E. Kountakis, Daniel J. Carroll, Michael W. Groves |
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| Rok vydání: | 2020 |
| Předmět: |
Protocol (science)
medicine.medical_specialty business.industry medicine.medical_treatment Perioperative Care Cohort Studies 03 medical and health sciences Exact test Tracheostomy 0302 clinical medicine Tracheotomy Otorhinolaryngology Older patients 030220 oncology & carcinogenesis Intensive care Emergency medicine Cohort Pressure medicine Humans Tracheostomy care Negative correlation 030223 otorhinolaryngology business Ulcer |
| Zdroj: | American Journal of Otolaryngology. 41:102480 |
| ISSN: | 0196-0709 |
| DOI: | 10.1016/j.amjoto.2020.102480 |
| Popis: | Objectives Tracheostomy-related pressure injuries (TRPI) have been demonstrated to occur in approximately 10% of tracheostomy patients. In this study, we present TRPI outcomes after implementation of a standardized tracheostomy care protocol. Methods A tracheostomy care protocol was developed by an interdisciplinary quality improvement program and implemented on July 1, 2016. The protocol was designed to minimize factors that contribute to the development of TRPI. Rates of TRPI over the subsequent 20 months were compared to the year before implementation. Results 9 out of 85 patients (10.6%) developed TRPI in the pre-protocol cohort compared to 0 of 137 (0%) in the post-protocol cohort, which was a statistically significant decrease by Fisher's exact test with a p-value of 0.0001. Pearson's correlation coefficient demonstrated a negative correlation between age and post-operative day of diagnosis (r = −0.641, p = 0.063), indicating that older patients develop TRPI more quickly. Conclusions Interdisciplinary peri-operative tracheostomy care protocols can be effective in decreasing rates of TRPI. |
| Databáze: | OpenAIRE |
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