TABLE 3.
Outcomes for Patients With Tracheostomy
| Outcome | Overall (n = 8.343) | Age < 65 yr (n = 3,757) | Age ≥ 65 yr (n = 4,586) | p |
|---|---|---|---|---|
| Hospital discharge destination, n (%)a | < 0.0001 | |||
| Home | 758 (11.2) | 545 (17.6) | 213 (5.8) | |
| Long-term facility | 5,825 (86.1) | 2,476 (80.0) | 3,349 (91.2) | |
| Other | 182 (2.7) | 73 (2.4) | 109 (3.0) | |
| Mortality, n (%)b | ||||
| Hospital | 1,578 (18.9) | 663 (17.7) | 915 (20.0) | 0.008 |
| 30-d | 1,846 (22.1) | 695 (18.5) | 1,151 (25.1) | < 0.0001 |
| 90-d | 2,987 (35.8) | 1,071 (28.5) | 1,916 (41.8) | < 0.0001 |
| 1-yr | 3,877 (46.5) | 1,370 (36.5) | 2,507 (54.7) | < 0.0001 |
| All cause hospital readmission, n (%)c | ||||
| 30-d | 2,361 (40.2) | 922 (32.6) | 1,439 (47.1) | < 0.0001 |
| 90-d | 2,464 (48.4) | 1,070 (41.6) | 1,394 (55.4) | < 0.0001 |
| 1-yr | 2,648 (60.3) | 1,299 (55.2) | 1,349 (66.1) | < 0.0001 |
| Median hospital days following tracheostomy for survivors (interquartile range)d | ||||
| Within 30 d | 26 (12–30) | 24 (13–30) | 27 (12–30) | 0.03 |
| Within 90 d | 28 (13–50) | 27 (14–47) | 30 (13–53) | 0.006 |
| Within 1 yr | 30 (15–55) | 29 (15–52) | 32 (14–57) | 0.11 |
| Percent of patients that spent ≥ 50% of days alive in hospital, n (%) | 3,015 (36.3) | 1,075 (28.7) | 1,940 (42.5) | < 0.0001 |
| Total hospital costs (U.S. dollars), mean (SD)e | $215,369 (160,874) | $215,570 (166,124) | $215,138 (154,658) | 0.93 |
a
Among survivors of index hospitalization.
b
30-d, 90-d, and 1 yr mortality is calculated from date of tracheostomy procedure.
c
All cause readmission rates are calculated from date of discharge for patients that survive the specified time-period (survive 30 d, 90 d, and 1 yr post discharge).
d
Acute care hospital days were calculated among individuals who survived the specified period.
e
Indicates total acute care hospital costs in the first year following tracheostomy for individuals who survive the first year. Costs do not include postacute care.