Epidemiology of tracheotomy cases in Birjand,s Hospitals during 2000-2007

Elective tracheotomy is a common operation in hospitals in associations with intensive care unit. According to the high incidence of this operation and its importance, we designed our study by gathering information about patient including the most common and post operation complications. In our retrospective study, all patients need tracheotomy in both Imam Reza and Vali-Asr hospitals in Birjand during 2000-2007 were studied. The most common indications of tracheotomy were coma, laryngeal cancer, thyroid cancer, sub glottis stenosis, respectively. In this study, 176 patients during 7 years were analyzed. 65.9% of cases were male, the most common indication for tracheotomy were long intubations (54%). Laryngeal cancer (26%). 39 patients (22.1%) were complicated. The most common post operative complications were hemorrhage of the site of operation (5.1%), Tube difficulties (4.5%), tracheal stenosis (2.85%), and the difficulties in deconolation (2.3%), sub cotaneous emphysema (1.7%), infection (1.7%), granulation tissues (1.1%) and others (2.85%). According to prevalence of tracheotomy and its complications, more post-operative care of patients in ICU and emergency wards can be effective in reducing complications and having a better prognosis.