Synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients

Background: American Society for Parenteral and Enteral Nutrition (ASPEN) guidelines recommend gastrostomy for patients suspected to require enteral access device for 4–6 weeks. Our hypothesis was that traumatic brain injury (TBI) patients undergoing synchronous tracheostomy/gastrostomy (SYNC) compa...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Hochu, Gabrielle [verfasserIn] Soule, Sara [verfasserIn] Lenart, Emily [verfasserIn] Howley, Isaac W. [verfasserIn] Filiberto, Dina [verfasserIn] Byerly, Saskya [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	Gastrostomy timing Traumatic brain injury

Übergeordnetes Werk:	Enthalten in: The American journal of surgery - Amsterdam [u.a.] : Elsevier Science, 1926, 227
Übergeordnetes Werk:	volume:227

DOI / URN:	10.1016/j.amjsurg.2023.10.012

Katalog-ID:	ELV066126967

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024	7		\|a 10.1016/j.amjsurg.2023.10.012 \|2 doi
035			\|a (DE-627)ELV066126967
035			\|a (ELSEVIER)S0002-9610(23)00520-2
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100	1		\|a Hochu, Gabrielle \|e verfasserin \|0 (orcid)0000-0003-3185-7405 \|4 aut
245	1	0	\|a Synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients
264		1	\|c 2023
336			\|a nicht spezifiziert \|b zzz \|2 rdacontent
337			\|a Computermedien \|b c \|2 rdamedia
338			\|a Online-Ressource \|b cr \|2 rdacarrier
520			\|a Background: American Society for Parenteral and Enteral Nutrition (ASPEN) guidelines recommend gastrostomy for patients suspected to require enteral access device for 4–6 weeks. Our hypothesis was that traumatic brain injury (TBI) patients undergoing synchronous tracheostomy/gastrostomy (SYNC) compared to tracheostomy first (DELAY) have shorter length of stay (LOS) but higher rates of unnecessary gastrostomy.Methods: Retrospective review of TBI patients requiring tracheostomy in 2017–2022 at a Level 1 trauma center was conducted. SYNC and DELAY patients were compared, and CoxPH analysis was performed for LOS.Results: 394 patients were included [mean age: 42 (SD:18); mortality: 9 %]. The DELAY group had longer LOS (39 vs 32 days, p < 0.001). There was no significant difference in unnecessary gastrostomy rate between groups (p = 0.1331). In adjusted hazard analysis, SYNC predicted shorter LOS (HR:1.54; 95 % CI:1.20–1.98, p < 0.001).Conclusions: Synchronous gastrostomy was associated with shorter length of stay and similar rates of unnecessary gastrostomy in TBI patients.
650		4	\|a Gastrostomy timing
650		4	\|a Traumatic brain injury
700	1		\|a Soule, Sara \|e verfasserin \|4 aut
700	1		\|a Lenart, Emily \|e verfasserin \|4 aut
700	1		\|a Howley, Isaac W. \|e verfasserin \|4 aut
700	1		\|a Filiberto, Dina \|e verfasserin \|4 aut
700	1		\|a Byerly, Saskya \|e verfasserin \|4 aut
773	0	8	\|i Enthalten in \|t The American journal of surgery \|d Amsterdam [u.a.] : Elsevier Science, 1926 \|g 227 \|h Online-Ressource \|w (DE-627)320427757 \|w (DE-600)2003374-6 \|w (DE-576)121465497 \|x 1879-1883 \|7 nnns
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936	b	k	\|a 44.65 \|j Chirurgie \|q VZ
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matchkey_str	article:18791883:2023----::ycrnutahotmadatotmpaeeteutisotreghftynr
hierarchy_sort_str	2023
bklnumber	44.65
publishDate	2023
allfields	10.1016/j.amjsurg.2023.10.012 doi (DE-627)ELV066126967 (ELSEVIER)S0002-9610(23)00520-2 DE-627 ger DE-627 rda eng 610 VZ 44.65 bkl 44.65 bkl Hochu, Gabrielle verfasserin (orcid)0000-0003-3185-7405 aut Synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: American Society for Parenteral and Enteral Nutrition (ASPEN) guidelines recommend gastrostomy for patients suspected to require enteral access device for 4–6 weeks. Our hypothesis was that traumatic brain injury (TBI) patients undergoing synchronous tracheostomy/gastrostomy (SYNC) compared to tracheostomy first (DELAY) have shorter length of stay (LOS) but higher rates of unnecessary gastrostomy.Methods: Retrospective review of TBI patients requiring tracheostomy in 2017–2022 at a Level 1 trauma center was conducted. SYNC and DELAY patients were compared, and CoxPH analysis was performed for LOS.Results: 394 patients were included [mean age: 42 (SD:18); mortality: 9 %]. The DELAY group had longer LOS (39 vs 32 days, p < 0.001). There was no significant difference in unnecessary gastrostomy rate between groups (p = 0.1331). In adjusted hazard analysis, SYNC predicted shorter LOS (HR:1.54; 95 % CI:1.20–1.98, p < 0.001).Conclusions: Synchronous gastrostomy was associated with shorter length of stay and similar rates of unnecessary gastrostomy in TBI patients. Gastrostomy timing Traumatic brain injury Soule, Sara verfasserin aut Lenart, Emily verfasserin aut Howley, Isaac W. verfasserin aut Filiberto, Dina verfasserin aut Byerly, Saskya verfasserin aut Enthalten in The American journal of surgery Amsterdam [u.a.] : Elsevier Science, 1926 227 Online-Ressource (DE-627)320427757 (DE-600)2003374-6 (DE-576)121465497 1879-1883 nnns volume:227 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 Chirurgie VZ 44.65 Chirurgie VZ AR 227
spelling	10.1016/j.amjsurg.2023.10.012 doi (DE-627)ELV066126967 (ELSEVIER)S0002-9610(23)00520-2 DE-627 ger DE-627 rda eng 610 VZ 44.65 bkl 44.65 bkl Hochu, Gabrielle verfasserin (orcid)0000-0003-3185-7405 aut Synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: American Society for Parenteral and Enteral Nutrition (ASPEN) guidelines recommend gastrostomy for patients suspected to require enteral access device for 4–6 weeks. Our hypothesis was that traumatic brain injury (TBI) patients undergoing synchronous tracheostomy/gastrostomy (SYNC) compared to tracheostomy first (DELAY) have shorter length of stay (LOS) but higher rates of unnecessary gastrostomy.Methods: Retrospective review of TBI patients requiring tracheostomy in 2017–2022 at a Level 1 trauma center was conducted. SYNC and DELAY patients were compared, and CoxPH analysis was performed for LOS.Results: 394 patients were included [mean age: 42 (SD:18); mortality: 9 %]. The DELAY group had longer LOS (39 vs 32 days, p < 0.001). There was no significant difference in unnecessary gastrostomy rate between groups (p = 0.1331). In adjusted hazard analysis, SYNC predicted shorter LOS (HR:1.54; 95 % CI:1.20–1.98, p < 0.001).Conclusions: Synchronous gastrostomy was associated with shorter length of stay and similar rates of unnecessary gastrostomy in TBI patients. Gastrostomy timing Traumatic brain injury Soule, Sara verfasserin aut Lenart, Emily verfasserin aut Howley, Isaac W. verfasserin aut Filiberto, Dina verfasserin aut Byerly, Saskya verfasserin aut Enthalten in The American journal of surgery Amsterdam [u.a.] : Elsevier Science, 1926 227 Online-Ressource (DE-627)320427757 (DE-600)2003374-6 (DE-576)121465497 1879-1883 nnns volume:227 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 Chirurgie VZ 44.65 Chirurgie VZ AR 227
allfields_unstemmed	10.1016/j.amjsurg.2023.10.012 doi (DE-627)ELV066126967 (ELSEVIER)S0002-9610(23)00520-2 DE-627 ger DE-627 rda eng 610 VZ 44.65 bkl 44.65 bkl Hochu, Gabrielle verfasserin (orcid)0000-0003-3185-7405 aut Synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: American Society for Parenteral and Enteral Nutrition (ASPEN) guidelines recommend gastrostomy for patients suspected to require enteral access device for 4–6 weeks. Our hypothesis was that traumatic brain injury (TBI) patients undergoing synchronous tracheostomy/gastrostomy (SYNC) compared to tracheostomy first (DELAY) have shorter length of stay (LOS) but higher rates of unnecessary gastrostomy.Methods: Retrospective review of TBI patients requiring tracheostomy in 2017–2022 at a Level 1 trauma center was conducted. SYNC and DELAY patients were compared, and CoxPH analysis was performed for LOS.Results: 394 patients were included [mean age: 42 (SD:18); mortality: 9 %]. The DELAY group had longer LOS (39 vs 32 days, p < 0.001). There was no significant difference in unnecessary gastrostomy rate between groups (p = 0.1331). In adjusted hazard analysis, SYNC predicted shorter LOS (HR:1.54; 95 % CI:1.20–1.98, p < 0.001).Conclusions: Synchronous gastrostomy was associated with shorter length of stay and similar rates of unnecessary gastrostomy in TBI patients. Gastrostomy timing Traumatic brain injury Soule, Sara verfasserin aut Lenart, Emily verfasserin aut Howley, Isaac W. verfasserin aut Filiberto, Dina verfasserin aut Byerly, Saskya verfasserin aut Enthalten in The American journal of surgery Amsterdam [u.a.] : Elsevier Science, 1926 227 Online-Ressource (DE-627)320427757 (DE-600)2003374-6 (DE-576)121465497 1879-1883 nnns volume:227 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 Chirurgie VZ 44.65 Chirurgie VZ AR 227
allfieldsGer	10.1016/j.amjsurg.2023.10.012 doi (DE-627)ELV066126967 (ELSEVIER)S0002-9610(23)00520-2 DE-627 ger DE-627 rda eng 610 VZ 44.65 bkl 44.65 bkl Hochu, Gabrielle verfasserin (orcid)0000-0003-3185-7405 aut Synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: American Society for Parenteral and Enteral Nutrition (ASPEN) guidelines recommend gastrostomy for patients suspected to require enteral access device for 4–6 weeks. Our hypothesis was that traumatic brain injury (TBI) patients undergoing synchronous tracheostomy/gastrostomy (SYNC) compared to tracheostomy first (DELAY) have shorter length of stay (LOS) but higher rates of unnecessary gastrostomy.Methods: Retrospective review of TBI patients requiring tracheostomy in 2017–2022 at a Level 1 trauma center was conducted. SYNC and DELAY patients were compared, and CoxPH analysis was performed for LOS.Results: 394 patients were included [mean age: 42 (SD:18); mortality: 9 %]. The DELAY group had longer LOS (39 vs 32 days, p < 0.001). There was no significant difference in unnecessary gastrostomy rate between groups (p = 0.1331). In adjusted hazard analysis, SYNC predicted shorter LOS (HR:1.54; 95 % CI:1.20–1.98, p < 0.001).Conclusions: Synchronous gastrostomy was associated with shorter length of stay and similar rates of unnecessary gastrostomy in TBI patients. Gastrostomy timing Traumatic brain injury Soule, Sara verfasserin aut Lenart, Emily verfasserin aut Howley, Isaac W. verfasserin aut Filiberto, Dina verfasserin aut Byerly, Saskya verfasserin aut Enthalten in The American journal of surgery Amsterdam [u.a.] : Elsevier Science, 1926 227 Online-Ressource (DE-627)320427757 (DE-600)2003374-6 (DE-576)121465497 1879-1883 nnns volume:227 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 Chirurgie VZ 44.65 Chirurgie VZ AR 227
allfieldsSound	10.1016/j.amjsurg.2023.10.012 doi (DE-627)ELV066126967 (ELSEVIER)S0002-9610(23)00520-2 DE-627 ger DE-627 rda eng 610 VZ 44.65 bkl 44.65 bkl Hochu, Gabrielle verfasserin (orcid)0000-0003-3185-7405 aut Synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: American Society for Parenteral and Enteral Nutrition (ASPEN) guidelines recommend gastrostomy for patients suspected to require enteral access device for 4–6 weeks. Our hypothesis was that traumatic brain injury (TBI) patients undergoing synchronous tracheostomy/gastrostomy (SYNC) compared to tracheostomy first (DELAY) have shorter length of stay (LOS) but higher rates of unnecessary gastrostomy.Methods: Retrospective review of TBI patients requiring tracheostomy in 2017–2022 at a Level 1 trauma center was conducted. SYNC and DELAY patients were compared, and CoxPH analysis was performed for LOS.Results: 394 patients were included [mean age: 42 (SD:18); mortality: 9 %]. The DELAY group had longer LOS (39 vs 32 days, p < 0.001). There was no significant difference in unnecessary gastrostomy rate between groups (p = 0.1331). In adjusted hazard analysis, SYNC predicted shorter LOS (HR:1.54; 95 % CI:1.20–1.98, p < 0.001).Conclusions: Synchronous gastrostomy was associated with shorter length of stay and similar rates of unnecessary gastrostomy in TBI patients. Gastrostomy timing Traumatic brain injury Soule, Sara verfasserin aut Lenart, Emily verfasserin aut Howley, Isaac W. verfasserin aut Filiberto, Dina verfasserin aut Byerly, Saskya verfasserin aut Enthalten in The American journal of surgery Amsterdam [u.a.] : Elsevier Science, 1926 227 Online-Ressource (DE-627)320427757 (DE-600)2003374-6 (DE-576)121465497 1879-1883 nnns volume:227 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 Chirurgie VZ 44.65 Chirurgie VZ AR 227
language	English
source	Enthalten in The American journal of surgery 227 volume:227
sourceStr	Enthalten in The American journal of surgery 227 volume:227
format_phy_str_mv	Article
bklname	Chirurgie
institution	findex.gbv.de
topic_facet	Gastrostomy timing Traumatic brain injury
dewey-raw	610
isfreeaccess_bool	false
container_title	The American journal of surgery
authorswithroles_txt_mv	Hochu, Gabrielle @@aut@@ Soule, Sara @@aut@@ Lenart, Emily @@aut@@ Howley, Isaac W. @@aut@@ Filiberto, Dina @@aut@@ Byerly, Saskya @@aut@@
publishDateDaySort_date	2023-01-01T00:00:00Z
hierarchy_top_id	320427757
dewey-sort	3610
id	ELV066126967
language_de	englisch
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Our hypothesis was that traumatic brain injury (TBI) patients undergoing synchronous tracheostomy/gastrostomy (SYNC) compared to tracheostomy first (DELAY) have shorter length of stay (LOS) but higher rates of unnecessary gastrostomy.Methods: Retrospective review of TBI patients requiring tracheostomy in 2017–2022 at a Level 1 trauma center was conducted. SYNC and DELAY patients were compared, and CoxPH analysis was performed for LOS.Results: 394 patients were included [mean age: 42 (SD:18); mortality: 9 %]. The DELAY group had longer LOS (39 vs 32 days, p < 0.001). There was no significant difference in unnecessary gastrostomy rate between groups (p = 0.1331). In adjusted hazard analysis, SYNC predicted shorter LOS (HR:1.54; 95 % CI:1.20–1.98, p < 0.001).Conclusions: Synchronous gastrostomy was associated with shorter length of stay and similar rates of unnecessary gastrostomy in TBI patients.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Gastrostomy timing</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Traumatic brain injury</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Soule, Sara</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Lenart, Emily</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Howley, Isaac W.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" 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author	Hochu, Gabrielle
spellingShingle	Hochu, Gabrielle ddc 610 bkl 44.65 misc Gastrostomy timing misc Traumatic brain injury Synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients
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topic_title	610 VZ 44.65 bkl Synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients Gastrostomy timing Traumatic brain injury
topic	ddc 610 bkl 44.65 misc Gastrostomy timing misc Traumatic brain injury
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title	Synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients
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title_full	Synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients
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author_browse	Hochu, Gabrielle Soule, Sara Lenart, Emily Howley, Isaac W. Filiberto, Dina Byerly, Saskya
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title_sort	synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients
title_auth	Synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients
abstract	Background: American Society for Parenteral and Enteral Nutrition (ASPEN) guidelines recommend gastrostomy for patients suspected to require enteral access device for 4–6 weeks. Our hypothesis was that traumatic brain injury (TBI) patients undergoing synchronous tracheostomy/gastrostomy (SYNC) compared to tracheostomy first (DELAY) have shorter length of stay (LOS) but higher rates of unnecessary gastrostomy.Methods: Retrospective review of TBI patients requiring tracheostomy in 2017–2022 at a Level 1 trauma center was conducted. SYNC and DELAY patients were compared, and CoxPH analysis was performed for LOS.Results: 394 patients were included [mean age: 42 (SD:18); mortality: 9 %]. The DELAY group had longer LOS (39 vs 32 days, p < 0.001). There was no significant difference in unnecessary gastrostomy rate between groups (p = 0.1331). In adjusted hazard analysis, SYNC predicted shorter LOS (HR:1.54; 95 % CI:1.20–1.98, p < 0.001).Conclusions: Synchronous gastrostomy was associated with shorter length of stay and similar rates of unnecessary gastrostomy in TBI patients.
abstractGer	Background: American Society for Parenteral and Enteral Nutrition (ASPEN) guidelines recommend gastrostomy for patients suspected to require enteral access device for 4–6 weeks. Our hypothesis was that traumatic brain injury (TBI) patients undergoing synchronous tracheostomy/gastrostomy (SYNC) compared to tracheostomy first (DELAY) have shorter length of stay (LOS) but higher rates of unnecessary gastrostomy.Methods: Retrospective review of TBI patients requiring tracheostomy in 2017–2022 at a Level 1 trauma center was conducted. SYNC and DELAY patients were compared, and CoxPH analysis was performed for LOS.Results: 394 patients were included [mean age: 42 (SD:18); mortality: 9 %]. The DELAY group had longer LOS (39 vs 32 days, p < 0.001). There was no significant difference in unnecessary gastrostomy rate between groups (p = 0.1331). In adjusted hazard analysis, SYNC predicted shorter LOS (HR:1.54; 95 % CI:1.20–1.98, p < 0.001).Conclusions: Synchronous gastrostomy was associated with shorter length of stay and similar rates of unnecessary gastrostomy in TBI patients.
abstract_unstemmed	Background: American Society for Parenteral and Enteral Nutrition (ASPEN) guidelines recommend gastrostomy for patients suspected to require enteral access device for 4–6 weeks. Our hypothesis was that traumatic brain injury (TBI) patients undergoing synchronous tracheostomy/gastrostomy (SYNC) compared to tracheostomy first (DELAY) have shorter length of stay (LOS) but higher rates of unnecessary gastrostomy.Methods: Retrospective review of TBI patients requiring tracheostomy in 2017–2022 at a Level 1 trauma center was conducted. SYNC and DELAY patients were compared, and CoxPH analysis was performed for LOS.Results: 394 patients were included [mean age: 42 (SD:18); mortality: 9 %]. The DELAY group had longer LOS (39 vs 32 days, p < 0.001). There was no significant difference in unnecessary gastrostomy rate between groups (p = 0.1331). In adjusted hazard analysis, SYNC predicted shorter LOS (HR:1.54; 95 % CI:1.20–1.98, p < 0.001).Conclusions: Synchronous gastrostomy was associated with shorter length of stay and similar rates of unnecessary gastrostomy in TBI patients.
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title_short	Synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients
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author2	Soule, Sara Lenart, Emily Howley, Isaac W. Filiberto, Dina Byerly, Saskya
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doi_str	10.1016/j.amjsurg.2023.10.012
up_date	2024-07-06T16:40:26.956Z
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Synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients

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