The incidence of tracheoarterial fistula in patients with chronic tracheostomy tubes - A retrospective study of 544 patients in a long-term care facility
The incidence of tracheoarterial fistula in patients with chronic tracheostomy tubes - A retrospective study of 544 patients in a long-term care facility
复制标题
DOI：
10.1378/chest.128.6.3906
复制
发表时间：
2005-12-01
期刊：
影响因子：
9.6
通讯作者：
Votto, J
中科院分区：
文献类型：
--
作者：
Scalise, P;Prunk, SR;Votto, J
目的：近期气管切开置管患者气管动脉瘘(TAF)的发生率为0.6%~0.7%。方法：回顾分析1981年1月至2002年12月收治的544例慢性呼吸衰竭患者的病历资料。所有患者在入院前都接受了气管切开术。比较有无TAF患者的年龄、住院时间、气管切开时间和血清白蛋白水平；采用学生非配对t检验进行均方差检验。结果：有5例患者诊断为TAF。TAF在我国人群中的发病率为0.7%。这些患者的平均年龄显著低于研究人群(31.20岁对68.27岁)。剔除1例异常值后，LOS无显著差异。结论：TAF是气管切开置管的少见并发症。使用长期气管切开导管的TAF M患者的发生率与报告的短期气管切开导管的发生率相似。
Objective: The incidence of tracheoarterial fistula (TAF) in patients with short-term tracheostomy tubes has been reported between 0.6% and 0.7%. The purpose of this study was to determine the incidence of TAF in patients with long-term tracheostomy tubes used for the management of chronic respiratory failure.Setting: Long-term ventilator facility.Design: Retrospective.Methods: Medical records of 544 patients admitted to our institution between January 1981 and December 2002 were reviewed. All patients underwent tracheostomy prior to admission to our facility. Patient age, length of stay (LOS), duration of tracheostomy, and serum albumin levels were compared between patients with and without TAF; p values were obtained using the Student unpaired t test for equal variances.Results: TAF was diagnosed in five patients. The incidence of TAF in our population was 0.7%. The average age of these patients was significantly less than the study population (31.20 years vs 68.27 years). When one patient outlier was eliminated, LOS was not significant.Conclusion: TAF is an uncommon complication of tracheostomy tubes. The incidence of TAF M patients with long-term tracheostomy tubes is similar to that reported in short-term tracheostomy tubes.