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European Archives of Oto-Rhino-Laryngology

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01-06-2019 | Tracheostomy | Miscellaneous

Outcome and survival following tracheostomy in patients ≥ 85 years old

Authors: Oded Cohen, Yael Shapira-Galitz, Ruth Shnipper, Dekel Stavi, Doron Halperin, Nimrod Adi, Yonatan Lahav

Published in: European Archives of Oto-Rhino-Laryngology | Issue 6/2019

Abstract

Purpose

To evaluate percutaneous dilatational tracheostomy in patients ≥ 85 years old: its complication rate and possible risk factors. In addition, to assess prognostic factors for short, intermediate and long term survival following the procedure.

Methods

A retrospective case–control study of 72 patients ≥ 85 years who received percutaneous dilatation tracheotomy (PTD), compared to a control group of younger patients (n = 182). Demographics, clinical and laboratory data were collected. Survival and risk for complications were analyzed.

Results

The study group’s mean age was 89 ± 4. Twelve patients had complications, three (4.2%) were major. No significant difference was found in overall complication rates between the groups. Cerebrovascular disease with neurologic deficits and pre-procedure albumin levels were significantly associated with complications. Survival rates did not differ in 1 week and 1 month following procedure between study and control group. There was a significant difference in the 1-year survival rates between the patients ≥ 85 years and the control groups (18.1% vs. 34.4%, p = 0.01, respectively). Congestive heart failure, a frailty score > 0.27 and failure to wean from a cannula were associated with reduced 1-year survival.

Conclusion

PTD is safe for patients ≥ 85 years. Complication risk factors and reduced survival should be discussed with patients and families before conducting tracheostomies.

Level of evidence

3b.

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Title: Outcome and survival following tracheostomy in patients ≥ 85 years old
Authors: Oded Cohen
Yael Shapira-Galitz
Ruth Shnipper
Dekel Stavi
Doron Halperin
Nimrod Adi
Yonatan Lahav
Publication date: 01-06-2019
Publisher: Springer Berlin Heidelberg
Keyword: Tracheostomy
Published in: European Archives of Oto-Rhino-Laryngology / Issue 6/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-019-05447-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Outcome and survival following tracheostomy in patients ≥ 85 years old

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

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