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Hubungan Waktu Trakeostomi dengan Durasi Ventilasi Mekanik Pascatrakeostomi di Unit Perawatan Intensif Rumah Sakit Cipto Mangunkusumo, Jakarta

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ABSTRACT

Background: Tracheostomy is a common procedure in intensive care unit It may potentially reduce the duration of mechanical ventilation. However, the Impact of tracheastomy timing in critically Ill patients, who are predicted to require long-term ventilatory support, on the duration of ventilator usage is still under debate.

Objective: To investigate the association between tracheostomy timing with the duration of ventilatory support after tracheostomy.

Methods: Retrospective cohort study was conducted on 162 patients who underwent trocheostomy during intensive care treatment in Cipto Mangunkusumo Hospital (CMH) from January 2008 to December 2012. Patients were divided into 2 groups based on the timing of tmchenstemy: early (before 10" day of mechanical ventilation) and late (on or after 10 day). Duration of total and post-tracheostomy mechanical ventilation was observed on all subjects Among 262 subjects, 205 survivors were analyzed further on the correlation between trocheostomy timing and duration of post-tracheostomy mechanical ventilation. Mann-Whitney test was used in the analysis.

Results: Median duration of post-tracheostomy mechanical ventilation on all subjects was shorter in early tracheastomy group, which was 5 (1-62) days, compared to 7 (1.41) days in late tracheostomy group (p=0,06). Median duration of mechanical ventilation after tracheostomy on survivors was olso shorter in early tratheostomy group, which was 3 days (6 hours-44 days). compared to 5(1-413 days in late tracheostomy group (pv0,05).

Conclusion: Survivors in early tracheostomy group has significantly shorter duration of post-trucheostorny mechanical ventilation compared with those of late tmcheostomy group.

Keywords: Tracheostomy timing, early tracheastomy, late tracheostomy, mechanical ventilation duration.

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Indonesian Journal of CHEST, 1 (4) 2014 : 150-153

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Jakarta : Indonesian Journal of Chest., 2014

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4p

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2355-4584

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