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Efficacy of home healthcare on the management of tracheostomy patients.
Almansour, Nura A; AlHedyan, Yasmeen A; Alshathri, Nada N; Alsubaie, Razan S; Alsuliman, Sara Y; Omair, Aamir A; Alanazi, Abdullah K; Alserayaa, Amjad S.
Afiliación
  • Almansour NA; 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 Departm
  • AlHedyan YA; 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 Departm
  • Alshathri NN; 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 Departm
  • Alsubaie RS; 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 Departm
  • Alsuliman SY; 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 Departm
  • Omair AA; 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 Departm
  • Alanazi AK; 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 Departm
  • Alserayaa AS; 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 Departm
Saudi Med J ; 45(7): 724-730, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38955441
ABSTRACT

OBJECTIVES:

To 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.

METHODS:

This 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.

RESULTS:

Of 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).

CONCLUSION:

Pneumonia 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Respiración Artificial / Traqueostomía / Servicios de Atención de Salud a Domicilio Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Saudi Med J Año: 2024 Tipo del documento: Article Pais de publicación:
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Respiración Artificial / Traqueostomía / Servicios de Atención de Salud a Domicilio Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Saudi Med J Año: 2024 Tipo del documento: Article Pais de publicación: