Timing of Tracheostomy and Association with Ventilator Liberation, Length of Stay, and Discharge Outcomes in Neurocritical Patients
Early tracheostomy in neurocritical patients, particularly those with stroke, is associated with shorter ICU stays, lower reintubation rates, and improved discharge to rehabilitation. While early tracheostomy carries a higher risk of procedural complications, its benefits in ICU efficiency and recovery support its role in evidence-based airway management strategies. Future prospective studies should focus on refining patient selection criteria for early tracheostomy and evaluating long-term functional outcomes in neurocritical care populations.
Authors
- Vinciya Pandian (ORCID: https://orcid.org/0000-0002-2260-1080)
- Sarah Hughes (ORCID: https://orcid.org/0000-0001-5656-1198)
- Michael Brenner (ORCID: https://orcid.org/0000-0003-4926-0957)
- Mona N. Bahouth (ORCID: https://orcid.org/0000-0003-0341-5087)
- Elizabeth K. Zink (ORCID: https://orcid.org/0000-0001-6173-2764)
- Masashi Amano (ORCID: https://orcid.org/0000-0003-4095-1567)
- Daniel Hochster (ORCID: https://orcid.org/0009-0003-3746-2751)
- Bryce Kassalow
Institutions
- Pennsylvania State University (US)
- Johns Hopkins University (US)
- University of Michigan (US)
- Johns Hopkins Medicine (US)
- Johns Hopkins Hospital (US)
Publication Details
- Journal
- Tracheostomy Official Journal of the Global Tracheostomy Collaborative
- Published
- 2025-04-01
- DOI
- https://doi.org/10.62905/001c.133992
- Primary Topic
- Tracheal and airway disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Institutes of Health
- Agency for Healthcare Research and Quality
- Medical School, University of Michigan