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- 花田 有紀子
- 大阪大学大学院医学系研究科 耳鼻咽喉科・頭頸部外科学
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- 小川 真
- 大阪大学大学院医学系研究科 耳鼻咽喉科・頭頸部外科学
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- 細川 清人
- 大阪大学大学院医学系研究科 耳鼻咽喉科・頭頸部外科学
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- 識名 崇
- 大阪大学大学院医学系研究科 耳鼻咽喉科・頭頸部外科学
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- 猪原 秀典
- 大阪大学大学院医学系研究科 耳鼻咽喉科・頭頸部外科学
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- 長井 美樹
- 大阪府立急性期・総合医療センター 耳鼻咽喉・頭頸部外科
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- 上塚 学
- 大阪府立急性期・総合医療センター 耳鼻咽喉・頭頸部外科
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- 坂田 義治
- 大阪府立急性期・総合医療センター 耳鼻咽喉・頭頸部外科
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- 笹井 久徳
- 関西ろうさい病院 耳鼻咽喉科・頭頸部外科
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- 宮原 裕
- 安田女子大学 薬学部
書誌事項
- タイトル別名
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- Investigation of Management of Tracheostomy Tube and Mortality at an Acute-care General Hospital
- キュウセイキ ビョウイン ニ オケル キカン セッカイジュツ ノ ジュツゴ ケイカ ニ カンスル リンショウテキ ケントウ
この論文をさがす
抄録
Tracheostomy is a common surgical procedure performed by the otolaryngologist. However, very few reports exist concerning long-term decannulation and survival rates following tracheostomy. The aim of this study was to investigate the association between long-term outcomes of patients who underwent a tracheostomy and the causal diseases at an acute-care general hospital retrospectively. The subjects were 214 (155 male and 59 female) cases who underwent a tracheo-stomy during admission. The state of the tracheostomy tube and mortality were assessed for each case every 4 weeks until 24 weeks after the operation. Decannulation and mortality rates were compared among the causal diseases. The decannulation rate in all cases increased to a plateau of 31.8% 12 weeks after the operation. In an investigation of the individual groups, the group of cases with head and neck diseases, for which tracheostomy was performed because of unstable airway, achieved a 50%decannulation rate. The groups with cases of cardiac, respiratory, or gastrointestinal diseases, for which tracheostomy was performed because of prolonged mechanical ventilation, showed 31.8%,27.7% and 23.1% decannulation rates, respectively. The group of cases with neurological diseases included more than 40% of cases transferred to other chronic-care institutes with unknown outcome. In conclusion, these findings suggest that decannulation and mortality rates in tracheostomized cases at an acute-care hospital are dependent on the causal diseases and indications of the tracheostomy.
収録刊行物
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- 日本気管食道科学会会報
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日本気管食道科学会会報 63 (6), 451-459, 2012
特定非営利活動法人 日本気管食道科学会
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詳細情報 詳細情報について
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- CRID
- 1390001205015003904
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- NII論文ID
- 130004915892
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- NII書誌ID
- AN00187474
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- ISSN
- 18806848
- 00290645
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- NDL書誌ID
- 024168493
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可