Tracheostomy home care: In a resource-limited setting

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dc.contributor.authorVanker A.
dc.contributor.authorKling S.
dc.contributor.authorBooysen J.R.
dc.contributor.authorRhode D.
dc.contributor.authorGoussard P.
dc.contributor.authorHeyns L.
dc.contributor.authorGie R.P.
dc.date.accessioned2011-05-15T16:15:37Z
dc.date.available2011-05-15T16:15:37Z
dc.date.issued2010
dc.description.abstractIntroduction: Home tracheostomy care for children in South Africa dates back to 1989. Objective: This study aimed to describe the tracheostomy home programme at Tygerberg Children's Hospital (TCH), situated in a resource-limited setting in Cape Town, South Africa. Design: Retrospective descriptive study. Setting: Tracheostomy home programme at TCH. The primary care giver is trained by nurses. Results: Fifty-six children (29 girls) were discharged to the home programme (47 to home and 9 to institutions). The median age at tracheostomy was 3 months, mainly for airway obstruction. The mean duration of home care was 26.6 months. Twenty-seven children (43%) were successfully decannulated. Seven children lived in informal housing. The 56 children generated 745 social work contacts. The overall survival was 82%. Conclusion: Children with tracheostomies can be safely cared for at home, even in a resource-constrained environment, provided training, appropriate technology and social support services are available. Copyright Article author (or their employer) 2010.
dc.description.versionArticle in Press
dc.identifier.citationArchives of Disease in Childhood
dc.identifier.issn00039888
dc.identifier.other10.1136/adc.2010.187153
dc.identifier.urihttp://hdl.handle.net/10019.1/13415
dc.titleTracheostomy home care: In a resource-limited setting
dc.typeArticle in Press
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