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[Clinical experience in home care of children with tracheostomy]

S Caussade1, F Paz, M Ramírez

  • 1Departamento de Pediatría, Sección Cirugía Infantil, Hospital Clínico Pontificia Universidad Católica de Chile.

Revista Medica De Chile
|May 12, 2001
PubMed

Insights

Home care for tracheostomized children is safe and cost-effective. This study found that children with tracheostomies can be successfully managed at home, reducing complications and costs.

Area of Science:

  • Pediatric Respiratory Medicine
  • Home Healthcare Management
  • Tracheostomy Care

Context:

  • Home care for tracheostomized children is a recognized safe and economical approach.
  • The Pediatric Respiratory Unit of the Catholic University Hospital has experience managing these patients.

Purpose:

  • To document the experience and outcomes of tracheostomized children managed at the Catholic University Hospital's Pediatric Respiratory Unit.
  • To evaluate the safety and efficacy of home care for pediatric tracheostomies.

Summary:

  • A review of 16 children (9 male) with tracheostomies (TQ) under home care between 1992 and 1998 was conducted.
  • Indications for TQ included upper airway obstruction and chronic assisted ventilation.
  • Complication rates were lower during home care (2 per 100 TQ months) compared to hospital care (8 per 100 TQ months), with no TQ-related deaths. An education program for parents was implemented.

Impact:

  • Demonstrates the feasibility and safety of home-based tracheostomy management for children.
  • Highlights the importance of comprehensive parent education for successful home care.
  • Suggests home care as a viable, low-cost alternative to prolonged hospitalization for pediatric tracheostomy patients.
Abstract

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