TY  - JOUR
CY  - Thousand Oaks, Calif.
IS  - 1
UR  - https://doi.org/10.1177/0885066620967646
A1  - Angstwurm, Klemens
A1  - Vidal, Amelie
A1  - Stetefeld, Henning
A1  - Dohmen, Christian
A1  - Mergenthaler, Philipp
A1  - Kohler, Siegfried
A1  - Schönenberger, Silvia
A1  - Bösel, Julian
A1  - Neumann, Ursula
A1  - Lee, De-Hyung
A1  - Gerner, Stefan T.
A1  - Huttner, Hagen B.
A1  - Thieme, Andrea
A1  - Dunkel, Juliane
A1  - Roth, Christian
A1  - Schneider, Hauke
A1  - Schimmel, Eik
A1  - Reichmann, Heinz
A1  - Fuhrer, Hannah
A1  - Berger, Benjamin
A1  - Kleiter, Ingo
A1  - Schneider-Gold, Christiane
A1  - Alberty, Anke
A1  - Zinke, Jan
A1  - Schalke, Berthold
A1  - Steinbrecher, Andreas
A1  - Meisel, Andreas
A1  - Neumann, Bernhard
PB  - Sage
EP  - 40
SP  - 32
N1  - Dieser Beitrag ist aufgrund einer (DFG-geförderten) Allianz bzw. Nationallizenz frei zugänglich. *** This publication is freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.
N2  - Background: Myasthenic crisis (MC) requiring mechanical ventilation (MV) is a rare and serious complication of myasthenia gravis. Here we analyzed the frequency of performed tracheostomies, risk factors correlating with a tracheostomy, as well as the impact of an early tracheostomy on ventilation time and ICU length of stay (LOS) in MC. Methods: Retrospective chart review on patients treated for MC in 12 German neurological departments between 2006 and 2015 to assess demographic/diagnostic data, rates and timing of tracheostomy and outcome. Results: In 107 out of 215 MC (49.8%), a tracheostomy was performed.Patients without tracheostomy were more likely to have an early-onset myasthenia gravis (27 [25.2%] vs 12 [11.5%], p ¼ 0.01).Patients receiving a tracheostomy, however, were more frequently suffering from multiple comorbidities (20 [18.7%] vs 9 [8.3%].
SN  - 0885-0666 (Druck-Ausg.), 1525-1489 (Online-Ausg.)
AV  - public
KW  - myasthetic crisis
KW  -  mechanical ventilation
KW  -  tracheostomy
Y1  - 2022///
TI  - Early Tracheostomy Is Associated With Shorter Ventilation Time and Duration of ICU Stay in Patients With Myasthenic Crisis?A Multicenter Analysis
JF  - Journal of Intensive Care Medicine
ID  - heidok31158
VL  - 37
ER  -