A retrospective survey of outpatients with long-term tracheostomy.
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 > or = 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.
Department of Nursing, Karolinska Institutet, Danderyd University Hospital, Stockholm, Sweden. gunilla.bjorling@sophiahemmethogskola.se
G
G
Björling
U-B
UB
Johansson
G
G
Andersson
U
U
Schedin
A
A
Markström
C
C
Frostell
D000328:Adult; D000368:Aged; D003625:Data Collection; D005260:Female; D005500:Follow-Up Studies; D018575:Home Care Services, Hospital-Based; D006760:Hospitalization; D006801:Humans; D008017:Life Expectancy; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial; D015996:Survival Rate; D014139:Tracheostomy / Q000401:mortality