Early vs. Standard Tracheostomy Timing for Severe Stroke Patients

No difference in functional outcomes, duration of ventilation, or ICU length of stay was demonstrated in a randomized trial.

In the general critical care population, early tracheostomy may result in fewer intensive care (ICU) complications and improved functional outcomes. However, for patients with severe stroke, who are at high risk for requiring tracheostomy and for having poor outcomes but much lower risk for cardiopulmonary respiratory failure, the optimal timing of tracheostomy is unknown. A single-center, randomized pilot trial (SETPOINT) previously suggested that early tracheostomy may lower mortality and duration of ventilation for severe stroke. Now, the follow-up multicenter SETPOINT2 trial has evaluated whether early tracheostomy can potentially improve functional outcomes.

A total of 382 patients with severe stroke from 26 German and U.S. neurocritica…

Reviewing Authors

Adam Barron, MD

Anthony S. Kim, MD

Disclosures

Grant/Research SupportNIH/National Institute of Neurological Disorders and Stroke; NIH/National Center for Advancing Translational Sciences

Anthony S. Kim, MD

Disclosures

Grant/Research SupportNIH/National Institute of Neurological Disorders and Stroke; NIH/National Center for Advancing Translational Sciences

Early vs. Standard Tracheostomy Timing for Severe Stroke Patients

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Reviewing Authors