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<p>To assess the outcomes of performing early tracheostomy (&lt; 7days) over late tracheostomy (≥ 7 days), in patients with anticipated prolonged mechanical ventilation. A prospective observational study was conducted for 6 months. 86 patients admitted in ICU and requiring elective tracheostomy according to the decision of the physician in charge were included. They were divided into early (&lt; 7days) and late (≥ 7 days) tracheostomy groups. They were followed up after tracheostomy to look for outcomes such as Ventilator associated Pneumonia (VAP), tracheal stenosis, mortality, and duration of weaning from tracheostomy. The difference in the time for decannulation between early and late tracheostomy groups is significant while the incidence of VAP is marginally significant. Tracheal stenosis was seen only in late tracheostomy group indicating the potential benefit of early tracheostomy. early tracheostomy generally leads to better outcomes in terms of both VAP and decannulation time than late tracheostomy.</p>

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A Comparative Study of Outcomes of Early Versus Late Tracheostomy in A Tertiary Care Hospital

  • 期刊论文

  • 发表日期：

    2026年1月19日

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  • Balanarayana Suma,
  • M. D. Prakash

摘要

To assess the outcomes of performing early tracheostomy (< 7days) over late tracheostomy (≥ 7 days), in patients with anticipated prolonged mechanical ventilation. A prospective observational study was conducted for 6 months. 86 patients admitted in ICU and requiring elective tracheostomy according to the decision of the physician in charge were included. They were divided into early (< 7days) and late (≥ 7 days) tracheostomy groups. They were followed up after tracheostomy to look for outcomes such as Ventilator associated Pneumonia (VAP), tracheal stenosis, mortality, and duration of weaning from tracheostomy. The difference in the time for decannulation between early and late tracheostomy groups is significant while the incidence of VAP is marginally significant. Tracheal stenosis was seen only in late tracheostomy group indicating the potential benefit of early tracheostomy. early tracheostomy generally leads to better outcomes in terms of both VAP and decannulation time than late tracheostomy.