• Saudi Med J · Jul 2024

    Efficacy of home healthcare on the management of tracheostomy patients.

    • Nura A Almansour, Yasmeen A AlHedyan, Nada N Alshathri, Razan S Alsubaie, Sara Y Alsuliman, Aamir A Omair, Abdullah K Alanazi, and Amjad S Alserayaa.
    • From the College of Medicine (Almansour, AlHedyan, Alshathri, Alsubaie, Alsuliman, Alseraya), King Saud bin Abdulaziz for Health Sciences; from the King Abdulaziz Medical City (Almansour, AlHedyan, Alshathri, Alsubaie, Alsuliman, Alseraya), Ministry of National Guard Health Affairs; from the Department of Medical Education (Omair), College of Medicine, King Saud bin Abdulaziz for Health Sciences; and from the Division of Adult Home Health Care Department (Alanazi, Alseraya), King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
    • Saudi Med J. 2024 Jul 1; 45 (7): 724730724-730.

    ObjectivesTo evaluated the home healthcare efficacy in managing tracheostomy patients at King Abdulaziz Medical City under the Ministry of National Guard Health Affairs. Home healthcare is care provided to patients in the convenience of their homes to ensure high-quality care based on healthcare providers' supervision.MethodsThis retrospective cohort study utilizing a non-probability consecutive sampling technique, including all available tracheal patients with no exclusion criteria, was carried out in Riyadh, Saudi Arabia, between January 2019 and June 2022. The collected data included patient demographic variables and respiratory settings (ventilation type, daily ventilation need, tracheostomy duration, and ventilator settings). The outcomes included mortality rate and therapeutic outcomes of tracheal management.ResultsOf the 183 patients in the study, the most common type of respiratory-related infection was pneumonia (53%). Unlike respiratory-related causes, The mortality rate of patients admitted to the intensive care unit that was unrelated to respiratory causes was statistically significant (57%) (p=0.003). The mortality rate of patients who used aerosol tracheal collars (34%) was markedly higher than mechanically ventilated patients (57%) (p=0.004). The mortality rate following discharge from HHC was 40%, and was higher among patients aged >70 years (47%) (p=0.04).ConclusionPneumonia was associated with the majority of ventilator-related infections and resulted in hospital readmissions. Ensuring proper practices and caregiver education is crucial to decrease the incidence of ventilator-related infections.Copyright: © Saudi Medical Journal.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…