Escalier N, Papazian AC, Grimaldi S, Gambetta MX, Spath MB, et al. (2018) Analysis of Clinical Data and Identification of Variables Associated with the Success of Decannulation in Neurocritic Traqueostomized Patients. Int J Respir Pulm Med 5:095.


© 2018 Escalier N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESSDOI: 10.23937/2378-3516/1410095

Analysis of Clinical Data and Identification of Variables Associated with the Success of Decannulation in Neurocritic Traqueostomized Patients

Escalier N1, Papazian AC1, Grimaldi S1, Gambetta MX1, Spath MB1, Lebus J1 and Salvador Díaz Lobato2*

1Kinesiology Department, Clínica Sagrada Familia, Buenos Aires, Argentina

2Pulmonary Department, Hospital Ramón y Cajal, Alcalá de Henares University, Madrid, Spain



Tracheostomy is a common procedure in long-term ventilated patients and frequent in those with severe stroke. Decannulation not only involves removal of the tracheostomy cannula, but also evaluation of upper airway protection. The predictors of success provide an objective guide to minimize the time of permanence of the same. Currently there are no studies on predictors of decannulation success in neurocritical patients.


To analyze clinical and demographic data in a cohort of tracheostomized neurocritical adults in the Intensive Care Unit over a period of 9 months. Secondarily, to compare decannulated and non-decannulated patients to identify variables associated with decannulation success.

Materials and method

We have analyzed the data of adult neurocritical tracheostomized patients during a stay in the Intensive Care Unit.

Inclusion criteria

≥ 18 years, neurocritical tracheostomized patients.

Variables analyzed

Epidemiological data and personal antecedents, clinical follow-up variables: tracheostomy indication, tracheostomy timing, success of weaning, days of mechanical ventilation, success of decannulation, stay in Intensive Care Unit and ward, condition to discharge.


Prospective cohort study. Many of 32 patients were analyzed. Most frequent reason for admission was subarachnoid hemorrhage. The suspicion of prolonged weaning was the main criteria to perform a tracheostomy. Decannulation rate was 25%.

When comparing decannulated/non-decannulated patients, statistically significant differences were found in age (p = 0.037), tracheostomy timing (p = 0.001), tracheostomy motive: suspicion of prolonged weaning (p = 0.004) and prolonged mechanical ventilation (p = 0.009); Successful weaning (100% vs. 54% respectively p = 0.029) and discharge condition.


When analyzing clinical and demographic data, a greater percentage of females and subarachnoid hemorrhage was observed as a reason for more frequent admission. Both the suspicion of prolonged weaning and the prolonged mechanical ventilation were predominant causes of tracheostomy. The 66% of the tracheostomies were successfully removed; Decannulation rate was of 25%. When comparing decannulated and non-decannulated patients, significant differences were found in age, timing and reasons for tracheostomy, success in weaning, and condition at discharge. In those patients with successful decannulation, younger age, greater timing of tracheostomy and prolonged mechanical ventilation were observed as a reason for predominant tracheostomy.