Airway management

Healthcare Trajectories and Outcomes in the First Year After Tracheostomy Based on Patient Characteristics*

Crit Care MedPublished Retrospective cohort study

Authors' conclusion

Cumulative mortality and median survival after a tracheostomy were very poor across most ages and groups. Older adults and several subgroups of younger adults experienced high rates of prolonged hospitalization with few days alive and out of an HCF.

Study context

Population
Nonsurgical adults who received a tracheostomy, California Patient Discharge Database 2018–2019
Participants
4,274 nonsurgical adults
Outcome
Survival and time alive in and out of a healthcare facility (HCF)
Follow-up
1 year
Methodological detailsepidemiologic, population-based database
  • Epidemiologic
  • Population-based database

Main finding

As reported in the abstract

Survival and days alive in/out of HCF after tracheostomy
  • Age ≥65 yr (50.9% of cohort): median survival <3 months with frailty, chronic organ dysfunction, cancer or dialysis
  • Age <65 yr with cancer or dialysis: median survival 3 months
  • Most patients spent the majority of days alive in an HCF in the first 3 months
  • Older adults had very few days alive and out of an HCF in the first 3 months
  • Most patients who died within the first year spent almost all days alive in an HCF

Observational data: associations, not effects.

Original publication

Healthcare Trajectories and Outcomes in the First Year After Tracheostomy Based on Patient Characteristics*. Crit Care Med. Published 28 August 2023. doi:10.1097/ccm.0000000000006029

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