Examinando por Autor "Cieza Paucar, Karen Yuseth"

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    Effectiveness of early tracheostomy compared to late tracheostomy in reducing pneumonia in patients with prolonged mechanical ventilation.
    (Universidad Privada Norbert Wiener, 2018-07-08) Cieza Paucar, Karen Yuseth; Bonilla Asalde, César Antonio
    Objective: Analyze the evidence on the efficacy of early tracheostomy compared to late tracheostomy to reduce pneumonia in patients with prolonged mechanical ventilation. Materials and Methods: It was a systematic review, with the search restricted to full-text articles, subjected to a critical reading using the Jover evaluation to identify their degree of evidence; of the total 100% reviewed scientific articles, 60% were from China, 20% from Brazil, 10% from the United States, and 10% from Belgium. Furthermore, the reviewed scientific articles were all systematic reviews, 100% from China, the United States, and Belgium. Results: According to the findings of the reviewed studies, 60% showed that early tracheostomy is more effective than late tracheostomy in reducing pneumonia in patients with prolonged mechanical ventilation. Moreover, 40% showed that both early and late tracheostomy are effective in reducing pneumonia in patients with prolonged mechanical ventilation. Conclusions: Therefore, the evidence from the reviewed articles, 6/10, shows that early tracheostomy is more effective than late tracheostomy in reducing pneumonia in patients with prolonged mechanical ventilation; it is also associated with shorter hospital stays, fewer days on mechanical ventilation, and lower mortality rates.