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Tracheostomy home care: in a resource-limited setting

A Vanker1, S Kling, J R Booysen

  • 1Faculty of Health Sciences, Department of Paediatrics and Child Health, Stellenbosch University, Tygerberg Children's Hospital, PO Box 19063, Tygerberg 7505, South Africa. aneesa@sun.ac.za

Archives of Disease in Childhood
|September 28, 2010
PubMed

Insights

Children with tracheostomies can receive safe home care in South Africa. A home tracheostomy program demonstrated an 82% survival rate, highlighting the importance of training and support.

Area of Science:

  • Pediatric critical care
  • Home healthcare services
  • Resource-limited healthcare settings

Background:

  • Home tracheostomy care in South Africa initiated in 1989.
  • Tygerberg Children's Hospital (TCH) established a home tracheostomy program.
  • Program operates in Cape Town, a resource-limited setting.

Purpose of the Study:

  • Describe the tracheostomy home program at TCH.
  • Evaluate the feasibility and outcomes of home-based tracheostomy care.
  • Assess the impact of a resource-constrained environment on the program.

Main Methods:

  • Retrospective descriptive study design.
  • Analysis of data from the TCH tracheostomy home program.
  • Inclusion of caregiver training by nurses as a key component.

Main Results:

  • Fifty-six children entered the home program (median age 3 months).
  • Successful decannulation in 43% of children; overall survival rate of 82%.
  • Significant social work support generated (745 contacts).

Conclusions:

  • Home tracheostomy care is viable for children in resource-limited settings.
  • Effective caregiver training is crucial for successful home care.
  • Adequate technology and social support enhance patient outcomes.
Abstract

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