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Tracheostomy prevalence at Skilled Nursing Facilities.

F Pereira1, A Maia Silva1, I Machado Vaz2

  • 1Hospital Senhora da Oliveira - Guimarães, Portugal.

Pulmonology
|June 26, 2019
PubMed
Summary

The prevalence of tracheostomized patients in Portuguese Skilled Nursing Facilities (SNFs) is significant, with many lacking resources for effective ventilatory weaning. Specialized units are needed to manage these complex cases.

Keywords:
Skilled Nursing FacilitiesTracheostomyVentilatory weaning

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Area of Science:

  • Pulmonology
  • Geriatrics
  • Healthcare Management

Background:

  • The number of chronically ill patients requiring prolonged mechanical ventilation has risen.
  • Skilled Nursing Facilities (SNFs) often care for patients with artificial airways but lack resources for weaning.
  • The prevalence of tracheostomized patients in Portuguese SNFs was previously unknown.

Purpose of the Study:

  • To determine the prevalence of tracheostomized patients in SNFs in Northern Portugal.
  • To characterize these SNFs and their tracheostomized populations.
  • To assess the resources and care provided for ventilatory weaning in these facilities.

Main Methods:

  • A cross-sectional study was conducted using an online questionnaire.
  • Data was collected from SNFs in Northern Portugal on a single day.
  • Response rate from 75 SNFs was 40% (30 facilities responded).

Main Results:

  • 33 patients had tracheostomies, representing a prevalence of 3.36% in responding SNFs.
  • All tracheostomized patients were in long-term care units, most transferred from hospitals.
  • Most patients required frequent suctioning, had impaired motor function, and lacked resources for weaning.
  • Only one patient was on mechanical ventilation, and few performed occlusion training.

Conclusions:

  • A significant prevalence of tracheostomized patients exists in Portuguese SNFs.
  • These facilities are ill-equipped to manage ventilatory weaning effectively.
  • Establishing specialized weaning units and new referral criteria is crucial.