NDLI: Predictive factors for death and long-term outcomes in elderly critically ill patients following tracheotomy: a retrospective analysis

Content Provider	Springer Nature : BioMed Central
Author	Zhao, Jingjing Zhan, Yuan Chen, Ting Ling, Gaoqiang Fang, Xiang Yao, Li
Abstract	Objective To explore the factors influencing death in elderly critically ill patients within 3 months and 6 months after tracheotomy and to discuss the long-term quality of life of patients and the burden on caregivers by disease type. Methods This retrospective study included 160 elderly patients with tracheostomies. The study aimed to analyze the risk factors associated with mortality at 3 and 6 months post-tracheotomy using both single-factor analysis and multifactor logistic regression. The subjects were categorized into three groups based on the type of disease. Kaplan–Meier survival curves and log-rank tests were utilized to assess differences in survival rates among these groups. Furthermore, the Personal Activities of Daily Living (PADL) scale, the SF- 12 scale, and the Zarit Burden Interview (ZBI) were administered to analyze and compare the quality of life among the patients. Results The PSI score (95% CI: 1.008–1.036), total dose of vasoactive drugs (95% CI: 1.001–1.007), and the number of medical consultations (95% CI: 0.418–0.929,) were identified as independent risk factors for mortality within three months following tracheotomy in elderly patients. Additionally, the PSI score (95% CI: 1.001–1.026, P < 0.05) and the total dose of vasoactive drugs (95% CI: 1.001–1.007, P < 0.05) were also independent risk factors for patient death within six months. No significant differences were observed in the survival rates among the three subgroups followed up for six months, significant differences were noted in the PADL, ZBI, and SF- 12 scores among these subgroups. Conclusion The quality of life and risk factors for mortality within six months following tracheotomy in critically ill elderly patients warrant careful consideration. Caregivers face varying challenges due to different underlying conditions, particularly in cases involving severe pneumonia and cardiac insufficiency, which require increased social awareness.
Related Links	https://bmcanesthesiol.biomedcentral.com/counter/pdf/10.1186/s12871-025-03036-8.pdf
Ending Page	9
Page Count	9
Starting Page	1
File Format	HTM / HTML
ISSN	14712253
DOI	10.1186/s12871-025-03036-8
Journal	BMC Anesthesiology
Issue Number	1
Volume Number	25
Language	English
Publisher	BioMed Central
Publisher Date	2025-04-10
Access Restriction	Open
Subject Keyword	Anesthesiology Internal Medicine Emergency Medicine Intensive Critical Care Medicine Elderly Critically ill patients Tracheotomy Quality of life Risk factors
Content Type	Text
Resource Type	Article
Subject	Anesthesiology and Pain Medicine
Journal Impact Factor	2.3/2023
5-Year Journal Impact Factor	2.6/2023

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