{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T15:53:38Z","timestamp":1783612418350,"version":"3.55.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>Tracheostomy is frequently performed in patients with acquired brain injury (ABI) requiring prolonged ventilatory support. However, prolonged tracheostomy use can impact communication, swallowing, and psychological well-being, making timely decannulation a crucial rehabilitation goal. This study examined the time to decannulation and associated factors in patients with ABI by conducting a retrospective review using medical records of patients with ABI admitted to the Department of Physical Medicine and Rehabilitation (2016\u20132024). Patients aged \u226518 years, with a tracheostomy tube at admission and who underwent decannulation, were included. The primary outcome was the time to attain decannulation (TAD), with secondary outcomes assessing clinical and functional predictors that may affect TAD. Seventy-seven patients met the inclusion criteria. A total of 77 subjects were included for the analysis, consisting of 19 patients with stroke, 52 patients with traumatic brain injury (TBI), and 6 patients of encephalopathy. The median TAD was 52 days in the overall sample. In simple linear regression, TAD was significantly longer in the stroke than in the TBI subsample (76 vs. 49.5 days, <jats:italic toggle=\"yes\">P<\/jats:italic>\u2005=\u20050.019), in younger patients (<jats:italic toggle=\"yes\">P<\/jats:italic>\u2005=\u20050.01), and in those admitted earlier to inpatient rehabilitation (<jats:italic toggle=\"yes\">P<\/jats:italic>\u2005&lt;\u20050.001). In multiple linear regression, younger age, higher Glasgow Coma Scale scores at admission, and earlier inpatient admission were associated with shorter TAD (<jats:italic toggle=\"yes\">P<\/jats:italic>\u2005=\u20050.028, 0.044, &lt;0.001; adjusted <jats:italic toggle=\"yes\">R<\/jats:italic>\n                           <jats:sup>2<\/jats:sup>\u2005=\u20050.597). The findings of this study may aid in tracheostomy decannulation-related goal setting, patient stratification, managing patient\u2019s expectations, and planning appropriate timelines related to tracheostomy decannulation in patients with ABI.<\/jats:p>","DOI":"10.1097\/mrr.0000000000000675","type":"journal-article","created":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T06:00:32Z","timestamp":1751608832000},"page":"143-148","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Decannulation patterns and predictors in acquired brain injury: a retrospective study"],"prefix":"10.1097","volume":"48","author":[{"given":"Ijaz N.","family":"Pillai","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, St. John\u2019s Medical College Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nandyal C.","family":"Chandini","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, St. John\u2019s Medical College Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Smitha","family":"Joseph","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Biostatistics, St. John\u2019s Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Badarinath","family":"Athani","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, St. John\u2019s Medical College Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak J.","family":"Prasad","sequence":"additional","affiliation":[{"name":"HCAH, Bangalore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,7]]},"reference":[{"key":"R1-20250729","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1016\/j.amepre.2025.01.001","article-title":"Global burden of traumatic brain injury in 204 countries and territories from 1990 to 2021.","volume":"68","author":"Zhong","year":"2025","journal-title":"Am J Prev Med"},{"key":"R2-20250729","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1016\/S1474-4422(21)00252-0","article-title":"Global, regional, and national burden of stroke and its risk factors, 1990\u20132019: a systematic analysis for the Global Burden of Disease Study 2019.","volume":"20","year":"2021","journal-title":"Lancet Neurol"},{"key":"R3-20250729","doi-asserted-by":"crossref","first-page":"2638","DOI":"10.1161\/STROKEAHA.117.017794","article-title":"Use and timing of tracheostomy after severe 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ICU.","volume":"49","author":"Mills","year":"2023","journal-title":"Intensive Care Med"},{"key":"R7-20250729","doi-asserted-by":"crossref","first-page":"566","DOI":"10.4187\/respcare.11376","article-title":"Factors associated with time to decannulation in patients with tracheostomy following severe traumatic brain injury.","volume":"69","author":"Eskildsen","year":"2024","journal-title":"Respir Care"},{"key":"R8-20250729","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1007\/s12028-017-0390-y","article-title":"Decannulation and functional outcome after tracheostomy in patients with severe stroke (DECAST): a prospective observational study.","volume":"27","author":"Schneider","year":"2017","journal-title":"Neurocrit Care"},{"key":"R9-20250729","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1097\/MRR.0000000000000618","article-title":"Prognostic factors for tracheostomy early decannulation in acquired brain injury patients.","volume":"47","author":"Lee","year":"2024","journal-title":"Int J Rehabil Res"},{"key":"R10-20250729","doi-asserted-by":"crossref","first-page":"4849","DOI":"10.1007\/s12070-020-01982-y","article-title":"Evaluation of factors determining tracheostomy decannulation failure rate in adults: an Indian perspective descriptive study.","volume":"74","author":"Bishnoi","year":"2022","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"R11-20250729","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1055\/s-0037-1598654","article-title":"Parameters influencing tracheostomy decannulation in patients undergoing rehabilitation after severe acquired brain injury (sABI).","volume":"21","author":"Perin","year":"2017","journal-title":"Int Arch Otorhinolaryngol"},{"key":"R12-20250729","doi-asserted-by":"crossref","first-page":"559","DOI":"10.3389\/fneur.2018.00559","article-title":"Early rehabilitation reduces time to decannulation in patients with severe acquired brain injury: a retrospective study.","volume":"9","author":"Zivi","year":"2018","journal-title":"Front Neurol"},{"key":"R13-20250729","doi-asserted-by":"crossref","first-page":"1455926","DOI":"10.3389\/fneur.2024.1455926","article-title":"Clinical management and nursing care for patients with tracheostomy following traumatic brain injury.","volume":"15","author":"Mao","year":"2024","journal-title":"Front Neurol"}],"container-title":["International Journal of Rehabilitation 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