Tracheostomy Practices in Adult Intensive Care Units in Izmir, Turkey: A Multicenter Point-Prevalence Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 282
- 试验地点
- 1
- 主要终点
- 30-day in-hospital mortality from the index date
研究概览
简要总结
The primary objective of this study was to determine the point-prevalence of tracheostomy in adult intensive care units (ICUs) in Izmir and to characterize the documented reasons for postponement of tracheostomy, with attention to family-related deferral. Secondary objectives included tracheostomy indications, techniques, complications, timing, the relationship between illness severity (APACHE II) and mortality, and short-term outcomes. This multicenter, descriptive point-prevalence study was conducted across eleven adult ICUs in six hospitals on September 8, 2025. Of 282 adult patients present on the index day, 46 had a tracheostomy and formed the analytic subgroup. The study aimed to provide observational data on how tracheostomy is managed in a real-world clinical setting, focusing on the decision-making process and clinical characteristics associated with patient mortality.
详细描述
This investigation was designed as a multicentre, descriptive point-prevalence study. On the specified prevalence day, all patients aged ≥18 present on the prevalence day were screened; those with an established tracheostomy formed the analytic subgroup.
The data collection process involved:
- Documentation of ICU structural characteristics across eleven adult ICUs in six hospitals, including bed capacity and annual tracheostomy volumes.
- Evaluation of the interval from endotracheal intubation to tracheostomy and identification of documented reasons for any delay.
- Assessment of the association between APACHE II score and 30-day in-hospital mortality.
- A 30-day follow-up to assess mortality outcomes and causes of death.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 18 years and older
- •Present in a participating adult ICU on the point-prevalence day
排除标准
- •Patients younger than 18 years
研究组 & 干预措施
Tracheostomy Patients
Adult patients (aged ≥18 years) hospitalized in intensive care units who have undergone either surgical or percutaneous tracheostomy.
干预措施: Tracheostomy (Procedure)
结局指标
主要结局
30-day in-hospital mortality from the index date
时间窗: Up to 30 days after the index day
The proportion of patients who died within 30 days of the index (point-prevalence) date. Because tracheostomies were prevalent (established before the survey), this is a point-prevalence snapshot rather than a procedure-anchored rate.
Point-prevalence of tracheostomy and documented reasons for postponement
时间窗: Day 1
The proportion of adult ICU patients with a tracheostomy on the index day, and the distribution of documented reasons for postponement of tracheostomy (including family-related deferral).
30-day mortality
时间窗: 30 days post-procedure
The proportion of patients who died within 30 days following the tracheostomy procedure
次要结局
- Intubation-to-tracheostomy interval (days)(From endotracheal intubation to tracheostomy, assessed through Day 1)
- Distribution of tracheostomy technique (surgical vs percutaneous)(Day 1)
- Early and late complication rates by technique(From tracheostomy through Day 1)
- APACHE II score and its discrimination for 30-day mortality(Up to 30 days after the index day)
- Causes of death among non-survivors(Up to 30 days after the index day)
研究者
Murat Kaykaç
Anesthesiology and Reanimation Specialist, MD
Izmir City Hospital