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タイトル: | Tracheostomy decannulation rates in Japan: a retrospective cohort study using a claims database |
著者: | Ishizaki, Miho Toyama, Mayumi Imura, Haruki Takahashi, Yoshimitsu https://orcid.org/0000-0003-4073-9945 (unconfirmed) Nakayama, Takeo https://orcid.org/0000-0002-7918-6252 (unconfirmed) |
著者名の別形: | 石崎, 美保 當山, まゆみ 井村, 春樹 高橋, 由光 中山, 健夫 |
キーワード: | Cardiovascular diseases Epidemiology Health services Medical ethics Public health Quality of life Respiratory tract diseases |
発行日: | 17-Nov-2022 |
出版者: | Springer Nature |
誌名: | Scientific Reports |
巻: | 12 |
論文番号: | 19801 |
抄録: | Despite the exponential increase in the use of tracheostomy worldwide, rates of tracheostomy decannulation are unknown. We conducted a retrospective cohort study to investigate tracheostomy decannulation rates among adult patients over a two-year period and explored factors associated with prolonged tracheostomy. A health insurance claims database including 3, 758, 210 people in Japan was used. The primary outcome was time to decannulation. Assessed patient and hospital factors included age, sex, emergency endotracheal intubation, disease, and hospital size. A total of 917 patients underwent tracheostomy, and 752 met the eligibility criteria. Decannulation rates were 40.8% (95% confidence interval 36.8-44.9) at 3 months, 63.9% (58.4-69.0) at 12 months, and 65.0% (59.2-70.3) at 24 months. Hazard ratios of patient and hospital factors for tracheostomy decannulation were 0.44 for age (65-74 years) (95% confidence interval 0.28-0.68), 0.81 (0.63-1.05) for female sex, and 0.59 (0.45-0.76) for emergency endotracheal intubation. Cerebrovascular disease, head injuries, and cardiac arrest had lower hazard ratios compared to other diseases. Decannulation rates among adult patients in Japan increased rapidly up to 3 months after tracheostomy, reaching a plateau after 12 months. Older age, female sex, emergency endotracheal intubation, cerebrovascular disease, head injuries, and cardiac arrest were associated with prolonged tracheostomy. |
著作権等: | © The Author(s) 2022 This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. |
URI: | http://hdl.handle.net/2433/286815 |
DOI(出版社版): | 10.1038/s41598-022-24174-w |
PubMed ID: | 36396824 |
出現コレクション: | 学術雑誌掲載論文等 |
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