One-Year Outcomes Following Tracheostomy for Acute Respiratory Failure*
Objectives:
Tracheostomy utilization has dramatically increased recently. Large gaps exist between expected and actual outcomes resulting in significant decisional conflict and regret. We determined 1-year patient outcomes and healthcare utilization following tracheostomy to aid in decision-making and resource allocation.
Design:
Retrospective cohort study.
Setting:
All California hospital discharges from 2012 to 2013 with follow-up through 2014.
Patients:
Nonsurgical patients who received a tracheostomy for acute respiratory failure.
Interventions:
None.
Measurements and Main Results:
Our primary outcome was 30-day, 90-day, and 1-year mortality. We also determined hospitals readmissions rates and healthcare utilization in the first year following tracheostomy. We identified 8,343 tracheostomies during the study period. One-year mortality following tracheostomy was high, 46.5%. Older adults (≥ 65 yr) had significantly higher mortality compared with younger patients (
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Clinical Investigations Source Type: research