Skip to main content

Table 1 Basic patient characteristics and outcome parameters depending on variable decannulated / not decannulated (IQR = interquartile range; GBS = Guillain Barré syndrome; h = hours; d = days; mRS = modified Rankin Scale; GCS = Glasgow Coma Scale; LOS = length of stay; ICU = intensive care unit; FOIS = Functional Oral Intake Scale; RASS = Richmond Agitation and Sedation Scale); * Mann-Whitney U-test ** Chi2/ Fisher-exact test

From: Standardized Endoscopic Swallowing Evaluation for Tracheostomy Decannulation in Critically Ill Neurologic Patients – a prospective evaluation

Characteristic TOTAL
N = 377
PATIENTS DECANNULATED
N = 227 (60.2%)
PATIENTS NOT DECANNULATED
N = 150 (39.8%)
P
Age, MEDIAN (IQR) 65 (52–75) 65 (50–74) 65 (57–76) 0.06*
Female / Male, N (%) 158 (41.9)/219 (58.1) 101 (44.5) / 126 (55.5) 57 (38.0)/ 93 (62.0) 0.24**
Ischemic stroke (%) 221 (58.6) 136 (59.9) 86 (57.3) 0.67**
Intracranial hemorrhage (%) 65 (17.2) 31 (13.7) 33 (22.0) 0.04**
Meningitis/Encephalitis (%) 31 (8.2) 22 (9.7) 9 (6.0) 0.25**
GBS (%) 15 (4.0) 8 (3.5) 7 (4.7) 0.60**
Myopathy/Myasthenia/Myositis (%) 3 (0.8) 2 (0.9) 1 (0.6) 1.00**
Other (%) 42 (11.1) 29 (12.8) 14 (9.3) 0.33**
Comorbidities likely causing dysphagia, N(%) 114 (30.2) 65 (28.6) 49 (32.7) 0.42**
 Stroke before (%) 81 (21.5) 47 (20.7) 34 (22.7) 0.70**
 Parkinson Disease (%) 4 (1.1) 1 (0.4) 3 (2.0) 0.31**
 Throat tumor (%) 7 (1.9) 3 (1.3) 4 (2.7) 0.44**
 Other neoplasia (%) 28 (7.2) 11 (4.8) 16 (10.7) 0.04**
 Dementia (%) 11 (2.9) 6 (2.6) 5 (3.3) 0.76**
mRS on admission, MEDIAN (IQR) 5 (4–5) 5 (4–5) 5 (4–5) 0.04*
Days of antiinfective treatment, N (%) 24.8 (± 14.7) 24.7 (± 14.7) 25.1 (± 14.7) 0.87*
Duration of mechanical ventilation (h) 464.7 (± 363.5) 443.1 (± 319.2) 497.4 (± 420.8) 0.74*
Decannulation within 24 h after 1. FEES, N (%) 59 (15.6) 59 (26.0)
Reintubation due to respiratory failure / dysphagia, N (%) 8 (2.1) 8 (3.5)
Sum Score SESETD First FEES after end of Weaning, mean 1.07 (± 1.22) 1.39 (± 1.27) 0.59 (0.98) < 0.01*
 Score 0, N (%) 180 (47.7) 81 (35.7) 99 (66.0)  
 Score 1, N (%) 78 (20.7) 50 (22.0) 28 (18.7)  
 Score 2, N (%) 31 (8.2) 23 (10.1) 8 (5.3)  
 Score 3, N (%) 88 (23.3) 73 (32.2) 15 (10.0)  
LOS in the ICU (d) (SD) 37.3 (± 20.0) 36.4 (± 18.5) 38.7 (± 22.0) 0.64*
First FEES until discharge from ICU (d) (SD) 15.4 (±14.0) 15.1 (± 13.3) 16.0 (± 15.0) 0.71*
mRS at discharge, MEDIAN (IQR) 5 (4–5) 4 (4–5) 5 (4–5) < 0.01*
FOIS AT DISCHARGE, MEDIAN (IQR) 2 (1–4) 3 (1.5–5) 1 (1–1) < 0.01*
Nasogastric tube/PEG at discharge, N (%) 256 (67.9) 120 (52.9) 136 (90.7) < 0.01**
Deceased, N (%) 15 (4.0) 6 (2.6) 9 (6.0) 0.11**
RASS at discharge, MEDIAN (IQR) 0 (0–0) 0 (0–0) 0 (0–0) 0.03*