Article

A new coordinated interdisciplinary unit was created in the
acute section of the department of clinical neurosciences, the Acute
NeuroRehabilitation (NRA) unit. The objective was to evaluate the impact of the
unit and its neurosensory programme on the management of tracheostomy patients in
terms of reduction in the average time taken for weaning, weaning success rate
and therapeutic efficiency. METHODS: This 49-month retrospective study compares 2
groups of tracheostomy patients before (n = 34) and after (n = 46) NRA
intervention. The outcome measures evaluate the benefits of the NRA unit
intervention (time to decannulation, weaning and complication rates) and the
benefits of the coordination (time to registration in a rehabilitation centre and
rate of non-compliance with standards of care). RESULTS: Weaning failure rate was
reduced from 27.3% to 9.1%, no complications or recannulations were observed in
the post-intervention group after weaning and time to decannulation following
admission to our unit decreased from 19.13 to 12.75 days. The rate of
non-compliance with patient standards of care was significantly reduced from 45%
to 30% (Mann-Whitney p = 0.003). DISCUSSION/CONCLUSIONS: This interdisciplinary
weaning programme helped to reduce weaning time and weaning failure, without
increased complications, in the sample studied. Coordination improved the
efficiency of the interdisciplinary team in the multiplicity and complexity of
the different treatments.

Langue : ANGLAIS