Relationship between GCS Score,Cough Efficacy Rating and Success of Extubation after Tracheotomy in Craniocerebral Diseases

DING Keyuan; LI Xianying; WANG Jie; LI Deyan; WANG Yu

doi:10.3969/j.issn.1002-3429.2023.07.021

Abstract：Objective To explore the relationship between Glasgow Coma Scale(GCS),cough efficacy rating and ex-tubation success after tracheotomy for craniocerebral diseases.Methods A total of 96 patients with craniocerebral diseases trea-ted from August 2019 to August 2022 were selected,all of whom underwent tracheotomy intubation,and were divided into obser-vation group(successful extubation,n =58)and control group(unsuccessful extubation,n =38),according to successful or unsuccessful extubation.The swallowing function,GCS score and cough efficacy rating of the two groups were compared.Multi-variate Logistic regression analysis was used to explore the risk factors affecting the success of extubation after tracheotomy for craniocerebral diseases.Results The proportion of patients with swallowing reflex and GCS score 13-14 in observation group was higher than that in control group,while the proportion of patients without swallowing reflex,GCS score3-8 and＜3 was low-er than that in control group(P＜0.05).The proportion of patients with cough efficacy rating of 0 in observation group was low-er than that in control group,and the proportion of patients with cough efficacy rating of 5 was higher than that in control group(P＜0.05).Swallowing reflex,GCS score and cough efficacy rating were independent risk factors for successful extubation after tracheotomy(P＜0.01).Conclusion GCS score and cough efficacy rating are independent risk factors affecting the success of extubation after tracheotomy for craniocerebral diseases.Clinical attention should be paid to these evaluation indicators and inter-vention should be made to improve the success rate of extubation after tracheotomy for craniocerebral diseases.