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Evaluation of Individual Quality of Life (QOL) Among Patients with Tracheostomy Using WHO-QOL BREF Questionnaire

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Tracheostomy is one of the most frequently performed surgical procedures worldwide. The placement of tracheostomy in a patient is associated with significant morbidities as apart from the physical impact of the procedure, a profound and persistent effect on psychosocial, financial, environmental and other aspects of global health of the patient becomes inevitable. However, there is a surprising paucity of literature assessing the Quality of Life (QOL) in patients with tracheostomy tube placement. This study was undertaken with the objective to assess the effect of tracheostomy on Quality of Life (QOL) of patients in an urban tertiary health care setup in India. Patients who underwent tracheostomy tube placement irrespective of the indication were included in the study and followed up for a period of up to 3 months to determine the effect of tracheostomy tube placement on the Quality of Life. A questionnaire based on World Health Organisation (WHO) QOL BREF scheme was utilized to evaluate QOL in the immediate post operative period and again appraised after a period of 3 months. The results were statistically analyzed, tabulated and compared using paired t test to evaluate the ‘p’ value in every domain i.e., physical, social, psychological and environmental, of the WHO QOL-BREF evaluation tool. 63 patients were enrolled in the study after excluding the patients not fulfilling the selection criteria. The majority of patients were male over the age of 50 years (mean age 57 years). There was a noteworthy depreciation in QOL score in patients as WHO-QOL-BREF scores in all the 4 domains were significantly lower after 3 months. The most affected were the Environmental domain (p value 5E−15) whereas the domain of Psychological showed least depreciation of mean QOL score (p value 7.7E−5). Insertion of a tracheostomy tube has a significant impact on the quality of life of the patient and the amount of burden increases with worsening quality of life. A holistic and scientific approach to assess and manage tracheostomy induced morbidity on the patient is necessary. The patients’ views of the aspects of life should be used by health policy makers, clinicians, and caregivers as a reliable guide to the most important priorities for treatment and medical interventions. Large prospective multicenter studies may be undertaken for the developement of a standardized and internationally accepted tracheostomy specific quality of life evaluation tool.

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References

  1. Bradley PJ (1997) Management of the obstructed airway and tracheostomy. In: Hibbert J (eds) Laryngology and head and neck surgery. In: Kerr AG, Booth JB (eds). Scott-Brown’s Otolaryngology, 6th edn. Oxford: Butterworth-Heinemann, 1997; 5(7): 1–20

  2. WHOQOL Group (1993) Study protocol for the world health organization project to develop a quality of life assessment instrument (WHOQOL). Qual Life Res 2:153–159

  3. Available from. https://www.apps.who.int/who/en/definition

  4. Skevington SM, Lotfy M, O’Connell KA, WHOQOL Group (2004) The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res 13(2):299–310

    Article  CAS  Google Scholar 

  5. O’Boyle CA, McGee HM, Hickey A, et al (2016) The schedule for the evaluation of individual quality of life (SEIQoL). Administration Manual. Dublin: Royal College of Surgeons in Ireland. Available from: http://epubs.rcsi.ie/psycholrep/39/. Accessed May 8, 2016

  6. Hickey AM, Bury G, O’Boyle CA, Bradley F, O’Kelly FD, Shannon W (1996) A new short form individual quality of life measure (SEIQoL-DW): application in a cohort of individuals with HIV/AIDS. BMJ 313(7048):29–33

    Article  CAS  Google Scholar 

  7. Jackson C (1909) Tracheostomy. Laryngoscope 19:285–290

    Article  Google Scholar 

  8. Diehl B, Dorsey L, Koller C (2000) Transitioning the client with a tracheostomy from acute care to alternative settings. In: Tippett D (ed) Tracheostomy and ventilator dependency. Thieme Medical Publishers Inc., New York, pp 237–265

    Google Scholar 

  9. Mirza S, Cameron DS (2001) The tracheostomy tube change: a review of techniques. Hosp Med 62(3):158–163

    Article  CAS  Google Scholar 

  10. Myers E, Johnson J, Murry T (1998) Tracheotomy. Singular Publishing Group, San Diego

    Google Scholar 

  11. Bottomley A (2002) The cancer patient and quality of life. Oncologist 7(2):120–125

    Article  Google Scholar 

  12. Burckhardt CS, Anderson KL (2003) The Quality of Life Scale (QOLS): reliability, validity, and utilization. Health Qual Life Outcomes 1:60

    Article  Google Scholar 

  13. Hirakawa T, Suzuki S, Kato K, Gotoh M, Yoshikawa Y (2013) Randomized controlled trial of pelvic floor muscle training with or without biofeedback for urinary incontinence. Int Urogynecol J 24(8):1347–1354

    Article  Google Scholar 

  14. Bottomley A, Flechtner H, Efficace F, Vanvoorden V, Coens C, Therasse P, Velikova G, Blazeby J, Greimel E (2005) Health related quality of life outcomes in cancer clinical trials. Eur J Cancer 41(12):1697–1709

    Article  CAS  Google Scholar 

  15. Silva SM, Corrêa FI, Faria CD, Corrêa JC (2015) Psychometric properties of the stroke specific quality of life scale for the assessment of participation in stroke survivors using the rasch model: a preliminary study. J Phys Ther Sci 27(2):389–392

    Article  Google Scholar 

  16. Whalley D, McKenna SP, de Jong Z, van der Heijde D (1997) Quality of life in rheumatoid arthritis. Br J Rheumatol 36(8):884–888

    Article  CAS  Google Scholar 

  17. Keenan AM, McKenna SP, Doward LC, Conaghan PG, Emery P, Tennant A (2008) Development and validation of a needs-based quality of life instrument for osteoarthritis. Arthr Rheum 59(6):841–848

    Article  Google Scholar 

  18. Doward LC, Spoorenberg A, Cook SA, Whalley D, Helliwell PS, Kay LJ, McKenna SP, Tennant A, van der Heijde D, Chamberlain MA (2003) Development of the ASQoL: a quality of life instrument specific to ankylosing spondylitis. Ann Rheum Dis 62(1):20–26

    Article  CAS  Google Scholar 

  19. Ndosi M, Alcacer-Pitarch B, Allanore Y, Del Galdo F, Frerix M, García-Díaz S, Hesselstrand R, Kendall C, Matucci-Cerinic M, Mueller-Ladner U, Sandqvist G, Torrente-Segarra V, Schmeiser T, Sierakowska M, Sierakowska J, Sierakowski S, Redmond A (2018) Common measure of quality of life for people with systemic sclerosis across seven European countries: a cross-sectional study. Ann Rheum Dis 77(7):1032–1038

    Article  Google Scholar 

  20. McKenna SP, Doward LC, Whalley D, Tennant A, Emery P, Veale DJ (2004) Development of the PsAQoL: a quality of life instrument specific to psoriatic arthritis. Ann Rheum Dis 63(2):162–169

    Article  CAS  Google Scholar 

  21. Serra A (2000) Tracheostomy care. Nurs Stand 14(42):45–55

    Article  CAS  Google Scholar 

  22. Gilbert M, Counsell C, Ross L (1997) Evolution of a role to enhance care co-ordination. Lippincott-Raven Publishers 2(1):19–22

    CAS  Google Scholar 

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Authors and Affiliations

  1. Department of ENT, PMCH, Ashok Rajpath, Patna, 800004, India

    Vivek Kumar, Vibhor Malhotra & Vineet Sinha

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  1. Vivek Kumar
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  2. Vibhor Malhotra
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  3. Vineet Sinha
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Correspondence to Vivek Kumar.

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Kumar, V., Malhotra, V. & Sinha, V. Evaluation of Individual Quality of Life (QOL) Among Patients with Tracheostomy Using WHO-QOL BREF Questionnaire. Indian J Otolaryngol Head Neck Surg 74 (Suppl 3), 5207–5216 (2022). https://doi.org/10.1007/s12070-020-02052-z

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