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A retrospective survey of outpatients with long-term tracheostomy
Department of Nursing, Karolinska Institutet, Danderyd University Hospital.ORCID iD: 0000-0003-1445-900X
Sophiahemmet University College.
Respiratory Unit, Division of Anesthesia and Intensive Care, Karolinska Institutet, Danderyd University Hospital.
Respiratory Unit, Division of Anesthesia and Intensive Care, Karolinska Institutet, Danderyd University Hospital.
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2006 (English)In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 50, no 4, 399-406 p.Article in journal (Refereed) Published
Abstract [en]

Background:  The Respiratory Unit (RU) at Danderyd University Hospital opened in 1982, with the expressed goal of supporting outpatients with long-term tracheostomy. The primary aim of this retrospective study in tracheostomized patients was to compare the need for hospital care in the 2-year period before and after the tracheostomy.

Methods:  Data were collected from patient medical records at the RU, from the National Board of Health and Welfare, Sweden and from the Official Statistics of Sweden. The subjects were RU patients in 1982 (Group 1, n = 27) and in 1997 (Group 2, n = 106) with long-term tracheostomy surviving at least 4 years after the tracheostomy.

Results:  Both groups had few and unchanged needs for hospital care after tracheostomy. They spent ≥ 96% of their time out of hospital. In 1997, (group 2) the number of patients, diagnoses and need for home mechanical ventilation had increased. Life expectancy was assessed for patients in Group 1. Data showed that they lived as long as an age-matched and gender-adjusted control cohort.

Conclusions:  Long-term tracheostomy may not increase the need for hospital care and does not reduce life expectancy. These clinical observations were made in a setting where patients had regular access to a dedicated outpatient unit.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2006. Vol. 50, no 4, 399-406 p.
Keyword [en]
tracheostomy, tracheotomy, respiratory insufficiency, hospitalization, patient readmission, home mechanical ventilation, long-term tracheostomy, hospital care
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-493DOI: 10.1111/j.1399-6576.2005.00939.xOAI: oai:DiVA.org:rkh-493DiVA: diva2:606367
Available from: 2013-02-19 Created: 2013-02-18 Last updated: 2017-04-28Bibliographically approved

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