Factors Affecting Wound Healing after Decannulation of Tracheostomy Tube.

, Kim, Seong Kyun; , Jung, Jae Hwan; , Kim, Ji Sung; , Kim, Yong Kyun

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2010;34(4):432-435.

Kim, Seong Kyun , Jung, Jae Hwan , Kim, Ji Sung , Kim, Yong Kyun

Department of Physical Medicine and Rehabilitation, Kwandong University College of Medicine, Korea. ykkim@kwandong.ac.kr

기관절개용 튜브 제거술 후 상처 회복에 영향을 미치는 요소

김성균, 정재환, 김지성, 김용균

관동대학교 의과대학 재활의학교실

Abstract

Objective
To see the factors affecting wound recovery of the patients who decannulated tracheostomy tube and to provide an index to guide proper time for stomaplasty.
Method
The subjects were 41 patients having received tracheostomy tube decannulation. The medical records of the subject patients were investigated retrospectively. Among the group with natural sealing off, the factors affecting spontaneous closure were compared in terms of the duration of tracheostomy tube cannulation, age, hemoglobin, protein, albumin, peak flow meter, mini-mental status examination (MMSE), and oral feeding.
Results
The group with natural sealing off had 142 days as the average period of tracheostomy tube cannulation while the group without showed 652.33 days. The duration of tracheostomy was statistically significant in linear regression analysis. In addition, the groups with oral feeding and without oral feeding were significantly different from each other (p＜0.05).
Conclusion
Significant factors affecting wound recovery after tracheostomy tube decannulation were the duration from tracheostomy operation to tracheostomy tube decannulation and oral feeding. (J Korean Acad Rehab Med 2010; 34: 432-435)

Key Words: Tracheostomy, Decannulation, Seal off, Wound healing