TRACHEOSTOMY STATS
With tracheotomy statistics difficult to confirm it appears there may be as many as 6.5 million people living with tracheostomies in the U.S. (2.21% of 294,043,000 population 2003) Please see Table 4 below.
Experts believe this number will increase significantly as 62.5 million baby
boomers are reaching 65 years of age and will continue to over the next few years. Some estimates indicate
as many as half - 30 million patients will face respiratory problems, resulting
in many needing tracheotomies over
the next decade.
GENERAL TRACHEOTOMY STATS (2004 AHRQ)
· Tracheotomies are the 2nd most costly hospital stays =
$240,000
(mean cost) In both 1997 and 2003, hospital charges were highest for stays involving organ transplantations of the pancreas, liver, intestine, heart, and lung. The mean charge associated with a hospital stay that included these five transplants was $275,600 (a 17-percent increase from 1997, after adjusting for inflation). Hospital stays in which a tracheostomy was performed were nearly as expensive, with a mean charge of $240,000 (a 23-percent increase from 1997, after adjusting for inflation). http://www.hcup-us.ahrq.gov/reports.jsp
· 1 in 25 patients received respiratory intubation or
mechanical ventilation which is the 3rd most common procedure
·
Tracheostomy longevity 'Short-term' up to 18 months for Accidents/ Injuries/ diseases/ end of Disease-life
· Tracheostomy longevity 'Long-term' = 2-30 years for Quadriplegic patients; Airway management / Airway specific diseases
TRACH STATS ARE DIFFICULT TO FIND...
Information is power, it's hope, it brings levity and it brings Quality of Life!
So what? Who cares about Trach Stats?
We care!
As the person with a hole in his neck Dean cared! As his loved one and caregiver, cleaning and suctioning that hole, I cared!
We wanted to know we weren’t alone. We wanted to know that in this new millennium medical expertise and support was in place.
Of course we wanted to know the science, about the loss of voice/voice distortion, the difficulty swallowing, the mucus, secretions, the coughing, cleaning, infections, etc.
We also wanted to know about the personal side of this new community we found ourselves in! Who has to have trachs. How old are they, how long do they live with this additional orifice? What insights can they share with us?
Unfortunately there's no one place that compiles complete trach stats. We know our mask will make a difference in your life. It will improve the quality of your life and by answering our 'Survey Page', together we will gather our own trach stats.
Trached
Little did we know that once Dean’s tracheostomy was in place he would become an ambassador for Tracheostomies!
Ambassador
From seniors to children everyone had questions about it but were embarrassed to ask.
Dean boasted that a Tracheotomy procedure is one of the most expensive Medical procedures one can have – after organ transplants.
He got a chuckle out of suggesting that people not stand directly in front of him because if he coughed and didn’t have time to cover his trach he could spew mucus 6’ straight out!
Dean even went so far as to suggest our friends’ children brush up on their math by working out how fast the mucus travels - how much velocity is behind a cough. He also showed them how we cleaned, nebulized and suctioned his trach.
We care!
The Federal AHRQ (Agency for Healthcare Research & Quality) along with some state and industry partners have compiled a data base called HCUP (Healthcare Cost & Utilization Project). The partners report patient hospital stays, the number of procedures performed, the cost of procedures etc.
Unfortunately not every state and few ‘Industry’ entities take part in this sharing of information with HCUP. Needless to say tracheotomy procedures and related stats are inconclusive.
Below is a list of HCUP partners and those states unrepresented. Table 1
HCUP’s State |
& Industry Partners that share Medical Stats |
States not sharing stats w/ HCUP |
Arizona |
Dept of Health Services |
Alabama |
Arkansas |
Dept of Health & Human Services |
Alaska |
California |
Office of Statewide Health Planning & Devlmnt |
Delaware |
Colorado |
Health & Hospital Association |
District of Columbia |
Connecticut |
Integrated Health Information (Chime, Inc.) |
Idaho |
Florida |
Agency for Health Care Administration |
Louisiana |
Georgia |
An Assoc. of Hospitals & Heath Systems (GHA) |
Maine |
Hawaii |
Health Information Corporation |
Mississippi |
Illinois |
Health Care Cost Containment Council |
Montana |
Indiana |
Hospital & Health Association |
New Mexico |
Iowa |
Hospital Association |
North Dakota |
Kansas |
Hospital Association |
Pennsylvania |
Kentucky |
Department of Public Health |
Wyoming |
Maryland |
Health Services Cost Review Commission |
|
Massachusetts |
Division of Health Care Finance & Policy |
|
Michigan |
Health & Hospital Association |
|
Minnesota |
Hospital Association |
|
Missouri |
Hospital Industry Data Institute |
|
Nebraska |
Hospital Association |
|
Nevada |
Division of Health Care Fiancing & Policy, Dept of HR |
|
New Hampshire |
Dept of Health & Human Services |
|
New Jersey |
Department of Health & Senior Services |
|
New York |
State Department of Health |
|
North Carolina |
Department of Health & Human Services |
|
Ohio |
Hospital Association |
|
Oklahoma |
Oklahoma Hospital Association |
|
Oregon
Oregon |
Association of Hospitals & Health Systems
Office of Oregon Health and Research |
|
Rhode Island |
Department of Health |
|
South Carolina |
State Budget and Control Board |
|
South Dakota |
Association of Healthcare Organizations |
|
Tennessee |
Hospital Association |
|
Texas |
Health Care Information Council |
|
Utah |
Department of Health |
|
Vermont |
Association of Hospitals & Health Systems |
|
Virginia |
Health Information |
|
Washington |
State Department of Health |
|
West Virginia |
Health Care Authority |
|
Wisconsin |
Department of Health and Family Services |
|
2005 National statistics - principal procedure only
Tracheostomy (surgical placement of a hole in the trachea - passage to lung - to assist breathing Table 2
| |
| |
Total number of discharges |
| All discharges |
66,920 (100.00%) |
| Age group |
<1 |
1,561 (2.33%) |
| 1-17 |
1,637 (2.45%) |
| 18-44 |
10,376 (15.50%) |
| 45-64 |
23,828 (35.61%) |
| 65-84 |
25,361 (37.90%) |
| 85+ |
4,137 (6.18%) |
| Missing |
* |
|
Weighted national estimates from HCUP Nationwide Inpatient Sample (NIS), 2005, Agency for Healthcare Research and Quality (AHRQ), based on data collected by 38 individual States and provided to AHRQ by the States.
AHRQ http://hcupnet.ahrq.gov/HCUPnet
2005 National statistics - principal procedure only
Tracheostomy (surgical placement of a hole in the trachea - passage to lung - to assist breathing Table 3
| All discharges |
Total number of discharges |
| |
66,920 (100.00%) |
| Region |
Northeast |
16,461 (24.60%) |
| Midwest |
15,275 (22.83%) |
| South |
23,927 (35.76%) |
| West |
11,257 (16.82%) |
AHRQ http://hcupnet.ahrq.gov/HCUPnet
Internationally most countries do not consider tracheotomy procedures statistically noteworthy as it is considered a secondary procedure carried out because of a primary issue. The following countries (with the exception of USA*) do consider the statistics below noteworthy. Table 4
| Country |
Population 2003 |
Trached Population |
% |
Australia |
20,358,000 |
4,700,662 |
23.09 |
Canada |
32,508,000 |
3,302,813 |
10.16 |
Scotland |
5,057,400 |
822,839 |
16.27 |
UK |
60,270,000 |
5,050,626 |
8.38 |
USA |
294,043,000* |
6,498,350* |
2.21* |
* denotes estimates only
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info@wrighttrachsolutions.com
Tel: 305-289-7369
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