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临床试验/NCT04987398
NCT04987398已完成不适用

Analysis of Ventilation Weaning Strategies and Correlation to Outcomes in Tracheostomized Patients in the Intensive Care Unit of the Lausanne University Hospital

Piquilloud Imboden Lise1 个研究点 分布在 1 个国家目标入组 80 人开始时间: 2021年6月10日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
80
试验地点
1
主要终点
Time from intubation to tracheotomy

研究概览

简要总结

This retrospective study aims to study characteristics of patients tracheotomized in the Lausanne ICU, both overall and by primary reasons of intubation. Ventilation data both before and after tracheotomy, weaning technique and timing are studied in this retrospective study.

研究设计

研究类型
Observational
观察模型
Case Only
时间视角
Retrospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • All patients hospitalized in the Lausanne ICU between May 1st 2017 and November 31st 2018 with a tracheotomy and mechanically ventilated more than 72 hours.

排除标准

  • Presence of a know opposition to participation to research projects
  • Patient tracheostomized specifically for ENT (ear-nose-throat) reason
  • Burn victim
  • Patient tracheostomized before his/her admission to the Lausanne ICU

结局指标

主要结局

Time from intubation to tracheotomy

时间窗: Once, between time of intubation to time of tracheotomy, up to 60 days

Calculated from clinical information system (time of intubation, time of tracheotomy), calculated in hours

次要结局

  • Height(At ICU admission)
  • Comorbidities(At ICU admission)
  • Age(At ICU admission)
  • Predicted body weight (PBW)(At ICU admission)
  • Sedation opioid use from intubation to tracheotomy(Once every day at 8am and at time of minimal and maximal value, between day of intubation to day of tracheotomy, up to 60 days)
  • Tracheotomy time(At time of tracheotomy, once, up to 60 days after intubation day)
  • Body mass index(At ICU admission)
  • Opioid use from intubation to tracheotomy(Once every day at 8am and at time of minimal and maximal value, between day of intubation to day of tracheotomy, up to 60 days)
  • Weight(At ICU admission)
  • SOFA score (admission)(At ICU admission)
  • Clinical Frailty Score(At ICU admission)
  • Ventilation settings and modalities from day of tracheotomy(2 hours before tracheotomy)
  • Physical therapy sessions from tracheotomy to mechanical ventilation weaning(Once every day at 8am and at time of minimal and maximal value, from day of tracheotomy to day of mechanical ventilation weaning, up to 31 days)
  • Hospital stay duration(Once, between day of hospital admission to day of hospital discharge, up to 2 years)
  • Charlson comorbidity index(At ICU admission)
  • SOFA score (mechanical ventilation weaning day)(Once (3rd consecutive day with less than 12-h of mechanical ventilation), up to 31 days after tracheotomy day)
  • Ventilation modalities and settings from mechanical ventilation weaning day to decannulation or ICU discharge or death(Once every day at 8am and at time of minimal and maximal value, from day of mechanical ventilation weaning to decannulation or ICU discharge or death, up to 31 days)
  • Outcome and specific treatments in ICU(Once, between day of hospital admission to day of hospital discharge, up to 2 years)
  • Ventilation modalities and settings from intubation to tracheotomy(Once every day at 8am, between day after intubation to day before tracheotomy, up to 60 days)
  • SOFA score (tracheotomy day)(Once, on the day of tracheotomy (worst value of the day of tracheotomy), up to 60 days after intubation day)
  • Mechanical ventilation weaning day(Once (day 3 in a row of less than 12 hours of mechanical ventilation), up to 31 days after tracheotomy day)
  • Physical therapy sessions from mechanical ventilation weaning day to decannulation or ICU discharge or death(Once every day at 8am and at time of minimal and maximal value, from day of mechanical ventilation weaning to decannulation or ICU discharge or death, up to 31 days)
  • Neuromuscular blocking agent use from intubation to tracheotomy(Once every day at 8am and at time of minimal and maximal value, between day of intubation to day of tracheotomy, up to 60 days)
  • Tracheotomy type (percutaneous, surgical)(At time of tracheotomy, once, up to 60 days after intubation day)
  • Ventilation modalities and settings from tracheotomy to mechanical ventilation weaning(Once per day, from day of tracheotomy to mechanical ventilation weaning, up to 60 days)
  • Tracheotomy weaning strategies from tracheotomy to mechanical ventilation weaning(Once every day at 8am and at time of minimal and maximal value, from day of tracheotomy to day of mechanical ventilation weaning, up to 31 days)
  • Correlation of ventilation settings and modalities and tracheotomy weaning strategies(Once, between day of hospital admission to day of hospital discharge, up to 2 years)

研究者

发起方
Piquilloud Imboden Lise
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Piquilloud Imboden Lise

Sponsor-Investigator

University of Lausanne Hospitals

研究点 (1)

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