Observational studyEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025
Validation and reliability of the Tracheostoma Well-Being Score (TWBS) in critically ill patients.
Observational study in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesValidation and Reliability of the Tracheostoma Well-Being Score (TWBS) in critically ill patients.
designProspective observational study involving tracheotomized patients of a tertiary university referring center.
methodSixty-five tracheotomized patients completed the TWBS on at least two or more days. External assessments of probable problems with the inserted cannula for each patient were provided by the nurse treating that patient on the respective day.
resultsThe test-retest reliability demonstrated a stable response pattern over repeated measurements. Criterion validity revealed a limited agreement between external assessment by healthcare providers and patients' self-reported experience, highlighting discrepancies in symptom perception.
conclusionThe 12-Item-TWBS appears to be reliable. The results further underline the necessity of using a validated self-reporting tool to assess patient comfort, as external assessment appears to have shortcomings. The TWBS might be a valuable tool to more accurately appraise patient comfort with the indwelling tracheostomy cannula.
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