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Published on: February 22, 2016
Percutaneous tracheostomy: a cost-effective alternative to standard open tracheostomy
C R McHenry1, C D Raeburn, R L Lange
1Department of Surgery, MetroHealth Medical Center, Case Western Reserve University, School of Medicine, Cleveland, Ohio 44109-1998, USA.
The American Surgeon
|July 1, 1997
Summary
Percutaneous tracheostomy is a safe, faster, and more cost-effective alternative to open tracheostomy. This study found it reduced operative time and costs with comparable safety outcomes.
Area of Science:
- Surgical Procedures
- Critical Care Medicine
- Otolaryngology
Background:
- Open tracheostomy is a standard surgical procedure.
- Percutaneous tracheostomy was introduced as a potentially safer and more efficient alternative.
Purpose of the Study:
- To compare the safety, operative time, and cost of percutaneous tracheostomy versus open tracheostomy.
- To evaluate the outcomes of percutaneous tracheostomy at the institution.
Main Methods:
- Retrospective analysis of patients undergoing percutaneous tracheostomy (n=74) from Dec 1993 to Mar 1996.
- Comparison with patients undergoing open tracheostomy (n=109) in the 12 months prior.
- Evaluation of indications, operative length, morbidity, and costs.
Main Results:
- Percutaneous tracheostomy operative time was significantly shorter (21 min vs 46 min, P < 0.05).
- Perioperative morbidity was similar between groups (3% vs 9%, P > 0.05).
- Mean operating room costs were lower for percutaneous tracheostomy ($1093 vs $1370).
Conclusions:
- Percutaneous tracheostomy is a safe and effective procedure.
- It offers significant advantages in reduced operative time and lower costs compared to open tracheostomy.
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