An Overview Of The Patient With Tracheostomy Actions At H Adam Malik Hospital Medan In 2006-2010

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Introduction

Tracheostomy is a surgical procedure that creates an artificial hole (stoma) in the trachea to help breathing. This procedure is often performed in critical patients who require assistance with breathing due to various medical conditions. The study aims to describe the characteristics of patients undergoing tracheostomy at H Adam Malik Hospital Medan during the 2006-2010 period. This study uses a descriptive design with the case series approach and patient data undergoing tracheostomy is obtained retrospectively from medical records.

Methodology

The study used a descriptive design with the case series approach to analyze the characteristics of patients undergoing tracheostomy at H Adam Malik Hospital Medan during the 2006-2010 period. Patient data undergoing tracheostomy was obtained retrospectively from medical records. The study aimed to describe the demographic characteristics, indications, and complications of tracheostomy in patients.

Results

The results of the analysis showed that there were 83 patients undergoing tracheostomy during that period, with male dominance (83.1%) compared to women (16.9%). The most age range is 46-60 years (36.1%), followed by 61 years and over (32.5%), 16-30 years (13.3%), 31-45 years (10.9%), and under 15 years (7.2%). The main indication of tracheostomy in patients is the most upper respiratory tract obstruction (83.1%) is caused by laryngeal tumors. Elective tracheostomy (62.7%) is more often done than emergency tracheostomy (37.3%). The most commonly used skin incision is horizontal incision (61.4%). Lower tracheostomy (38.5%) is done more. The tracheostomy procedure is mostly carried out by the ENT department (88.0%).

Complications and Outcomes

The complication rate reaches 43.4% with the final complications due to thick secretion to be the most common. The deanulation was successful in 14.5% of patients with a median time of 48 days.

Further Analysis

Male Dominance

This research shows that men undergo more tracheostomy than women. This may be caused by several factors, such as exposure to certain risk of diseases that are higher in men, or differences in lifestyle.

Most Age Group

Age range 46-60 years and 61 years and over become the most age group that underwent tracheostomy. This indicates that the tracheostomy procedure is more commonly carried out in patients with deteriorating health conditions as we get older.

Obstruction of Upper Respiratory Tract

Obstruction of the upper respiratory tract is the main indication of tracheostomy. This indicates that tracheostomy is widely used to help patients who have difficulty breathing due to blockages in the upper respiratory tract.

Elective vs Emergency Tracheostomy

Elective tracheostomy dominance shows that this procedure is more often planned and carried out as part of planned medical treatment.

Complication Level

A fairly high level of complications indicate that tracheostomy is a risk procedure and requires intensive monitoring after surgery.

Conclusion

This study provides an overview of the characteristics of patients undergoing tracheostomy at H Adam Malik Hospital Medan in 2006-2010. The results of this study can be important information in improving the quality of health services and patient management that require tracheostomy. The study highlights the importance of tracheostomy in patients with upper respiratory tract obstruction and the need for careful monitoring and management of complications.

Implications for Practice

The study's findings have implications for practice in several areas:

  • Patient selection: The study highlights the importance of careful patient selection for tracheostomy, taking into account the patient's age, sex, and underlying medical conditions.
  • Indications for tracheostomy: The study's findings suggest that tracheostomy is widely used to help patients with upper respiratory tract obstruction, and that elective tracheostomy is more common than emergency tracheostomy.
  • Complication management: The study's findings highlight the need for careful monitoring and management of complications, particularly thick secretion, which is the most common complication.
  • ENT department involvement: The study's findings suggest that the ENT department is heavily involved in tracheostomy procedures, and that they play a crucial role in patient management.

Limitations of the Study

The study has several limitations, including:

  • Retrospective design: The study used a retrospective design, which may limit the generalizability of the findings.
  • Small sample size: The study had a small sample size, which may limit the power of the analysis.
  • Limited data: The study used data from a single hospital, which may limit the generalizability of the findings.

Future Research Directions

The study's findings suggest several future research directions, including:

  • Prospective studies: Future studies should use a prospective design to examine the characteristics of patients undergoing tracheostomy and the outcomes of the procedure.
  • Large sample size: Future studies should aim to recruit a larger sample size to increase the power of the analysis.
  • Multi-center studies: Future studies should aim to recruit patients from multiple centers to increase the generalizability of the findings.

References

The study's findings are based on a review of the literature and analysis of data from H Adam Malik Hospital Medan. The references used in the study are listed below:

  • [1] [1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13] [14] [15] [16] [17] [18] [19] [20] [21] [22] [23] [24] [25] [26] [27] [28] [29] [30] [31] [32] [33] [34] [35] [36] [37] [38] [39] [40] [41] [42] [43] [44] [45] [46] [47] [48] [49] [50] [51] [52] [53] [54] [55] [56] [57] [58] [59] [60] [61] [62] [63] [64] [65] [66] [67] [68] [69] [70] [71] [72] [73] [74] [75] [76] [77] [78] [79] [80] [81] [82] [83] [84] [85] [86] [87] [88] [89] [90] [91] [92] [93] [94] [95] [96] [97] [98] [99] [100] [101] [102] [103] [104] [105] [106] [107] [108] [109] [110] [111] [112] [113] [114] [115] [116] [117] [118] [119] [120] [121] [122] [123] [124] [125] [126] [127] [128] [129] [130] [131] [132] [133] [134] [135] [136] [137] [138] [139] [140] [141] [142] [143] [144] [145] [146] [147] [148] [149] [150] [151] [152] [153] [154] [155] [156] [157] [158] [159] [160] [161] [162] [163] [164] [165] [166] [167] [168] [169] [170] [171] [172] [173] [174] [175] [176] [177] [178] [179] [180] [181] [182] [183] [184] [185] [186] [187] [188] [189] [190] [191] [192] [193] [194] [195] [196] [197] [198] [199] [200] [201] [202] [203] [204] [205] [206] [207] [208] [209] [210] [211] [212] [213] [214] [215] [216] [217] [218] [219] [220] [221] [222] [223] [224] [225] [226] [227] [228] [229] [230] [231] [232] [233] [234] [235] [236] [237] [238] [239] [240] [241] [242] [243] [244] [245] [246] [247] [248] [249] [250] [251] [252] [253] [254] [255] [256] [257] [258] [259] [260] [261] [262] [263] [264] [265] [266] [267] [268] [269] [270] [271] [272] [273] [274] [275] [276] [277] [278] [279] [280] [281] [282] [283] [284] [285] [286] [287

Introduction

Tracheostomy is a surgical procedure that creates an artificial hole (stoma) in the trachea to help breathing. This procedure is often performed in critical patients who require assistance with breathing due to various medical conditions. The study aims to describe the characteristics of patients undergoing tracheostomy at H Adam Malik Hospital Medan during the 2006-2010 period. This Q&A article provides answers to common questions related to tracheostomy at H Adam Malik Hospital Medan in 2006-2010.

Q: What is tracheostomy?

A: Tracheostomy is a surgical procedure that creates an artificial hole (stoma) in the trachea to help breathing. This procedure is often performed in critical patients who require assistance with breathing due to various medical conditions.

Q: Who undergoes tracheostomy?

A: The study found that male patients (83.1%) underwent tracheostomy more than female patients (16.9%). The most age range is 46-60 years (36.1%), followed by 61 years and over (32.5%), 16-30 years (13.3%), 31-45 years (10.9%), and under 15 years (7.2%).

Q: What is the main indication of tracheostomy?

A: The main indication of tracheostomy in patients is the most upper respiratory tract obstruction (83.1%) is caused by laryngeal tumors.

Q: What is the complication rate of tracheostomy?

A: The complication rate reaches 43.4% with the final complications due to thick secretion to be the most common.

Q: What is the success rate of tracheostomy?

A: The deanulation was successful in 14.5% of patients with a median time of 48 days.

Q: Who performs tracheostomy?

A: The tracheostomy procedure is mostly carried out by the ENT department (88.0%).

Q: What are the implications of the study's findings?

A: The study's findings have implications for practice in several areas, including patient selection, indications for tracheostomy, complication management, and ENT department involvement.

Q: What are the limitations of the study?

A: The study has several limitations, including retrospective design, small sample size, and limited data.

Q: What are the future research directions?

A: The study's findings suggest several future research directions, including prospective studies, large sample size, and multi-center studies.

Q: What are the references used in the study?

A: The study's findings are based on a review of the literature and analysis of data from H Adam Malik Hospital Medan. The references used in the study are listed below:

  • [1] [1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13] [14] [15] [16] [17] [18] [19] [20] [21] [22] [23] [24] [25] [26] [27] [28] [29] [30] [31] [32] [33] [34] [35] [36] [37] [38] [39] [40] [41] [42] [43] [44] [45] [46] [47] [48] [49] [50] [51] [52] [53] [54] [55] [56] [57] [58] [59] [60] [61] [62] [63] [64] [65] [66] [67] [68] [69] [70] [71] [72] [73] [74] [75] [76] [77] [78] [79] [80] [81] [82] [83] [84] [85] [86] [87] [88] [89] [90] [91] [92] [93] [94] [95] [96] [97] [98] [99] [100] [101] [102] [103] [104] [105] [106] [107] [108] [109] [110] [111] [112] [113] [114] [115] [116] [117] [118] [119] [120] [121] [122] [123] [124] [125] [126] [127] [128] [129] [130] [131] [132] [133] [134] [135] [136] [137] [138] [139] [140] [141] [142] [143] [144] [145] [146] [147] [148] [149] [150] [151] [152] [153] [154] [155] [156] [157] [158] [159] [160] [161] [162] [163] [164] [165] [166] [167] [168] [169] [170] [171] [172] [173] [174] [175] [176] [177] [178] [179] [180] [181] [182] [183] [184] [185] [186] [187] [188] [189] [190] [191] [192] [193] [194] [195] [196] [197] [198] [199] [200] [201] [202] [203] [204] [205] [206] [207] [208] [209] [210] [211] [212] [213] [214] [215] [216] [217] [218] [219] [220] [221] [222] [223] [224] [225] [226] [227] [228] [229] [230] [231] [232] [233] [234] [235] [236] [237] [238] [239] [240] [241] [242] [243] [244] [245] [246] [247] [248] [249] [250] [251] [252] [253] [254] [255] [256] [257] [258] [259] [260] [261] [262] [263] [264] [265] [266] [267] [268] [269] [270] [271] [272] [273] [274] [275] [276] [277] [278] [279] [280] [281] [282] [283] [284] [285] [286] [287]