• O Peñuelas, F Frutos-Vivar, F Gordo, C Apezteguía, M I Restrepo, M González, Y Arabi, C Santos, J A Alhashemi, F Pérez, A Esteban, and A Anzueto.
• Hospital Universitario de Getafe & CIBER Enfermedades Respiratorias, Madrid, España. openuelas@gmail.com
• Med Intensiva. 2013 Apr 1;37(3):142-8.

ObjectiveTo evaluate the outcome of tracheotomized patients after reintubation.MethodSecondary analysis from a prospective, multicenter and observational study including 36 Intensive Care Units (ICUs) from 8 countries.PatientsA total of 180 patients under mechanical ventilation for more than 48 hours, extubated and reintubated within 48 hours.InterventionsNone.OutcomesICU mortality, length of ICU stay, organ failure.ResultsFifty-two patients (29%) underwent tracheotomy after reintubation. The median time from reintubation to tracheotomy was 2.5 days (interquartile range (IQR) 1-8 days). The length of ICU stay was significantly longer in the tracheotomy group compared with the group without tracheotomy (median time 25 days, IQR 17-43 versus 16.5 days (IQR 11-25); p<0.001). ICU mortality in the tracheotomy group was not significantly different (31% versus 27%; p 0.57).ConclusionsIn our cohort of reintubated patients, tracheotomy is a common procedure in the ICU. Patients with tracheotomy had an outcome similar to those without tracheotomy.Copyright © 2012 Elsevier España, S.L. and SEMICYUC. All rights reserved.

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