TY - JOUR ID - 47788 TI - Prospective Observational Study of Early Tracheostomy Role in Operated Severe Head Injury Patients at A Level 1 Trauma Center JO - Bulletin of Emergency And Trauma JA - BEAT LA - en SN - 2322-2522 AU - Bharti, Rohit AU - Sapru, Sindhu AU - Sundaram, Ponraj Kamatchi AU - Chauhan, Ganesh AD - Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, India AD - Northwick Park Hospital, London, UK AD - Department of Neurosurgery, Goa Medical College, Goa, India Y1 - 2021 PY - 2021 VL - 9 IS - 4 SP - 188 EP - 194 KW - Head injury KW - Intensive care unit KW - Cerebral Hypoxia KW - Tracheostomy KW - Glasgow Coma Scale DO - 10.30476/beat.2021.86725.1198 N2 - Objective: To evaluate the impact of the early tracheostomy on operated patients with severe head injury. Methods: This prospective observational study was conducted at a level 1 trauma center and medical college over one-year period. The study included all surgically managed severe head injury patients without any other life-threatening major injuries. Patients who underwent tracheostomy within 7 days were classified as early tracheostomy. Results: The patient’s mean age of this cohort study was 43.4±14.5 years. Motor-vehicle accidents were being the most common cause of severe head injury. Operated patients were undergoing early tracheostomy on an average of 2.9 days. We were observed that the patients spent on a mechanical ventilation on an average 3.67±2.26 days. This was significantly lower than previous four published studies (p <0.05) which had a range of mean 9.8-15.7 days. Conclusion: We have shown that it is possible to decrease mechanical ventilation (MV) time, intensive care unit (ICU) stay and total hospital stay by doing early tracheostomy in operated severe head injury patients. UR - https://beat.sums.ac.ir/article_47788.html L1 - https://beat.sums.ac.ir/article_47788_3a98aa25dfee8664290b9d7ce5156e8a.pdf ER -