This longitudinal observational study involves an integrated knowledge translation (IKT) approach involving key stakeholders in the project team to evaluate the tracheostomy management in patients hospitalized in the Swiss Paraplegic Centre Nottwil (SPC).
Primary objective \- to evaluate the rate of physical complications (that require treatment, intubation, recannulation or lead to death) in patients hospitalized in the SPC over three months following the removal of the tracheal cannula (decannulation). Secondary objectives * to describe types of complications short-term (up to 4 days) and long-term (up to three months) post-decannulation * to assess predictors for short- and long-term complications post-decannulation * to explore patients' perspectives on decannulation outcomes * to evaluate individual trajectories of the clinical decannulation protocol
Study Type
OBSERVATIONAL
Enrollment
150
Swiss Paraplegic Center Nottwil
Nottwil, Canton of Lucerne, Switzerland
RECRUITINGrate of physical complications post-decannulation
Time frame: for 3 months post-decannulation (assessment time points: 4 days, 1 month, and 3 months post-decannulation)
rate of reintubation post-decannulation
Time frame: for 3 months post-decannulation (assessment time points: 4 days, 1 month, and 3 months post-decannulation)
rate of recannulation post-decannulation
Time frame: for 3 months post-decannulation (assessment time points: 4 days, 1 month, and 3 months post-decannulation)
rate of death post-decannulation
Time frame: for 3 months post-decannulation (assessment time points: 4 days, 1 month, and 3 months post-decannulation)
types of decannulation-related physical complications short- and long-term
including excessive secretion, altered respiratory frequency, respiratory insufficiency, respiratory infections, newly occuring neurological symptoms, sleep apnea, intratracheal complications, complications with tracheostoma
Time frame: for 3 months post-decannulation (assessment time points: 4 days, 1 month, and 3 months post-decannulation)
candidate prognostic factors for physical complications post-decannulation
individual demographic and clinical patient characteristics
Time frame: 1 week pre-decannulation, (4 days for one select parameter), 1 month, and 3 months post-decannulation
patients' perspectives on decannulation outcomes
A questionnaire will be used to assess advantages and disadvantages of the decannulation (8 questions, per question 3 - 6 pre-formulated answers to choose from). Additional, the Harvard Human Flourishing Measure (12 questions, rating from 0 to 10 per question, sum score to calculate the 'flourish measure') will be used.
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Time frame: Questionnaire: 4 days, 1 month, and 3 months post-decannulation; Human Flourishing Measure: 1 week pre-decannulation and 3 months post-decannulation