Long-term tracheostomy complications

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1. Verfasser: Vasquez Oropeza, Angel
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Sprache:Englisch
Veröffentlicht: Zenodo 2025
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author Vasquez Oropeza, Angel
author_facet Vasquez Oropeza, Angel
contents <p><strong><em>Long-term tracheostomy complications</em></strong> is a retrospective observational study with a cross-sectional design conducted in a specialized chronic care facility in Buenos Aires, Argentina, during 2024. The research included 87 adult patients with tracheostomy maintained for ≥3 months to analyze the prevalence, characteristics, and predictors of chronic structural and functional complications.</p> <p>A high burden of morbidity was observed: 64.3% of patients developed multiple complications, the most frequent being granulation tissue formation (21.8%), recurrent respiratory infections (20.7%), and tracheal stenosis or tracheomalacia (18.4%). Prolonged cannulation time and invasive mechanical ventilation were independent predictors of adverse outcomes (OR = 1.18, p < 0.01). Functional deterioration was notable, with 68.9% of patients showing severe or total dependency according to the Barthel Index.</p> <p>The study underscores the clinical relevance of long-term tracheostomy follow-up and the need for structured surveillance protocols, periodic endoscopic assessment, and interdisciplinary rehabilitation. These findings contribute local evidence to a scarcely studied population and support the development of national guidelines for chronic tracheostomy care.</p> <p>Originally published in <em>Interamerican Journal of Health Sciences</em> (2025; 5:395) – DOI: <a href="https://doi.org/10.59471/ijhsc2025395" target="_new" rel="noopener">10.59471/ijhsc2025395</a>.<br>Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0).</p>
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spellingShingle Long-term tracheostomy complications
Vasquez Oropeza, Angel
Tracheostomy/rehabilitation
Tracheostomy/adverse effects
Tracheotomy
long-term complications
chronic tracheostomy
<p><strong><em>Long-term tracheostomy complications</em></strong> is a retrospective observational study with a cross-sectional design conducted in a specialized chronic care facility in Buenos Aires, Argentina, during 2024. The research included 87 adult patients with tracheostomy maintained for ≥3 months to analyze the prevalence, characteristics, and predictors of chronic structural and functional complications.</p> <p>A high burden of morbidity was observed: 64.3% of patients developed multiple complications, the most frequent being granulation tissue formation (21.8%), recurrent respiratory infections (20.7%), and tracheal stenosis or tracheomalacia (18.4%). Prolonged cannulation time and invasive mechanical ventilation were independent predictors of adverse outcomes (OR = 1.18, p < 0.01). Functional deterioration was notable, with 68.9% of patients showing severe or total dependency according to the Barthel Index.</p> <p>The study underscores the clinical relevance of long-term tracheostomy follow-up and the need for structured surveillance protocols, periodic endoscopic assessment, and interdisciplinary rehabilitation. These findings contribute local evidence to a scarcely studied population and support the development of national guidelines for chronic tracheostomy care.</p> <p>Originally published in <em>Interamerican Journal of Health Sciences</em> (2025; 5:395) – DOI: <a href="https://doi.org/10.59471/ijhsc2025395" target="_new" rel="noopener">10.59471/ijhsc2025395</a>.<br>Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0).</p>
title Long-term tracheostomy complications
topic Tracheostomy/rehabilitation
Tracheostomy/adverse effects
Tracheotomy
long-term complications
chronic tracheostomy
url https://doi.org/10.59471/ijhsc2025395