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return to: Tracheotomy - Tracheostomy
Note: last updated before 2017
Subsequent cost-analysis by Liu et al (2016) - identified need to balance the clinical benefits of an early tracheostomy while trying to minimize the risks of unnecessary surgery.
They employed a complex modeling-based economic evaluation - concluded that early tracheostomy strategy might be more cost-effective - but also depends on the hospital and payers' threshold to pay for the avoidance of a tracheostomy.
References
Liu CC and Rudmik L: A cost-effectivenss Analysis of Early vs Late Tracheostomy JAMA otolaryngol Head Neck Surg. 2016;142(10):981-87
Cheung NH, Napolitano LM. Tracheostomy: epidemiology, indications, timing, technique, and outcomes. Respir Care. 2014 Jun;59(6):895-915; discussion 916-9. doi: 10.4187/respcare.02971. PMID: 24891198.
Plummer AL, Gracey DR. Consensus conference on artificial airways in patients receiving mechanical ventilation. Chest. 1989 Jul;96(1):178-80. doi: 10.1378/chest.96.1.178. PMID: 2500308.
Liu CC, Livingstone D, Dixon E, Dort JC. Early versus late tracheostomy: a systematic review and meta-analysis. Otolaryngol Head Neck Surg. 2015 Feb;152(2):219-27. doi: 10.1177/0194599814561606. Epub 2014 Dec 12. PMID: 25505259.