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A Study on Quality of Life in Post-tracheostomised Patients
Jyotirmoy Phookan1, Rakesh Talukdar2
1Dibrugarh, Assam 786002 India Department of ENT, Assam Medical College and Hospital.
Summary
Quality of life for patients post-tracheostomy is significantly impacted, particularly concerning employment, anxiety, and voice production. Early screening and pre-operative counseling are crucial for improving outcomes in these patients.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Quality of Life Research
Background:
- Tracheostomy is a critical surgical procedure requiring meticulous stoma and wound care.
- Beyond surgical complications, tracheostomy significantly affects patients' quality of life, necessitating careful consideration for positive prognostic outcomes.
Purpose of the Study:
- To evaluate the quality of life in patients following a tracheostomy procedure.
Main Methods:
- A hospital-based observational study included 97 patients who underwent tracheostomy.
- Nineteen quality of life parameters were assessed at 1, 4, and 12 weeks post-procedure.
Main Results:
- Most patients were male, in their 6th-7th decades, and underwent emergency tracheostomy for malignant upper airway conditions.
- Initially, most quality of life parameters were affected, with employment, anxiety, and voice production being the most impacted in later weeks.
Conclusions:
- Late presentation of upper airway malignancies often necessitates emergency tracheostomy, limiting pre-operative counseling time.
- Increased awareness and timely screening from the 5th decade onwards are vital for early diagnosis and treatment, improving post-tracheostomy quality of life.
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