TY - JOUR
T1 - Implementation of an interdisciplinary tracheostomy care protocol to decrease rates of tracheostomy-related pressure ulcers and injuries
AU - Carroll, Daniel J.
AU - Leto, Christopher J.
AU - Yang, Zao M.
AU - Fritz, Mark A.
AU - Ho, Brian
AU - Byrd, J. Kenneth
AU - Groves, Michael W.
AU - Dellsperger, Kevin C.
AU - Kountakis, Stilianos E.
AU - Postma, Gregory N.
N1 - Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2020/7/1
Y1 - 2020/7/1
N2 - Objectives: Tracheostomy-related pressure injuries (TRPI) have been demonstrated to occur in approximately 10% of tracheostomy patients. In this study, we present TRPI outcomes after implementation of a standardized tracheostomy care protocol. Methods: A tracheostomy care protocol was developed by an interdisciplinary quality improvement program and implemented on July 1, 2016. The protocol was designed to minimize factors that contribute to the development of TRPI. Rates of TRPI over the subsequent 20 months were compared to the year before implementation. Results: 9 out of 85 patients (10.6%) developed TRPI in the pre-protocol cohort compared to 0 of 137 (0%) in the post-protocol cohort, which was a statistically significant decrease by Fisher's exact test with a p-value of 0.0001. Pearson's correlation coefficient demonstrated a negative correlation between age and post-operative day of diagnosis (r = −0.641, p = 0.063), indicating that older patients develop TRPI more quickly. Conclusions: Interdisciplinary peri-operative tracheostomy care protocols can be effective in decreasing rates of TRPI.
AB - Objectives: Tracheostomy-related pressure injuries (TRPI) have been demonstrated to occur in approximately 10% of tracheostomy patients. In this study, we present TRPI outcomes after implementation of a standardized tracheostomy care protocol. Methods: A tracheostomy care protocol was developed by an interdisciplinary quality improvement program and implemented on July 1, 2016. The protocol was designed to minimize factors that contribute to the development of TRPI. Rates of TRPI over the subsequent 20 months were compared to the year before implementation. Results: 9 out of 85 patients (10.6%) developed TRPI in the pre-protocol cohort compared to 0 of 137 (0%) in the post-protocol cohort, which was a statistically significant decrease by Fisher's exact test with a p-value of 0.0001. Pearson's correlation coefficient demonstrated a negative correlation between age and post-operative day of diagnosis (r = −0.641, p = 0.063), indicating that older patients develop TRPI more quickly. Conclusions: Interdisciplinary peri-operative tracheostomy care protocols can be effective in decreasing rates of TRPI.
KW - Intensive care
KW - Pressure ulcer
KW - Preventative medicine
KW - Tracheostomy
KW - Tracheotomy
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U2 - 10.1016/j.amjoto.2020.102480
DO - 10.1016/j.amjoto.2020.102480
M3 - Article
C2 - 32291181
AN - SCOPUS:85083043481
SN - 0196-0709
VL - 41
JO - American Journal of Otolaryngology - Head and Neck Medicine and Surgery
JF - American Journal of Otolaryngology - Head and Neck Medicine and Surgery
IS - 4
M1 - 102480
ER -