The COVID-19 Tracheostomy Experience at a Large Academic Medical Center in New York during the First Year

New York City was the epicenter of the initial surge of the COVID-19 pandemic in the United States. Tracheostomy is a critical procedure in the care of patients with COVID-19. We hypothesized that early tracheostomy would decrease the length of time on sedation, time on mechanical ventilation, inten...

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Published in:Journal of clinical medicine 2024-04, Vol.13 (7), p.2130
Main Authors: Patel, Dhruv, Devivo, Anthony, Leibner, Evan, Shittu, Atinuke, Govindarajulu, Usha, Tandon, Pranai, Lee, David, Owen, Randall, Fernandez-Ranvier, Gustavo, Hiensch, Robert, Marin, Michael, Kohli-Seth, Roopa, Bassily-Marcus, Adel
Format: Article
Language:English
Subjects:
Anesthesia
COVID-19
Critical care
Disease transmission
Evaluation
Hospitals
Intensive care
Intubation
Length of stay
Mortality
Ostomy
Pandemics
Patient outcomes
Pneumonia
Severe acute respiratory syndrome coronavirus 2
Tracheostomy
Tracheotomy
Ventilators
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Summary:New York City was the epicenter of the initial surge of the COVID-19 pandemic in the United States. Tracheostomy is a critical procedure in the care of patients with COVID-19. We hypothesized that early tracheostomy would decrease the length of time on sedation, time on mechanical ventilation, intensive care unit length of stay, and mortality. A retrospective analysis of outcomes for all patients with COVID-19 who underwent tracheostomy during the first year of the COVID-19 pandemic at the Mount Sinai Hospital in New York City, New York. All adult intensive care units at the Mount Sinai Hospital, New York. Patients/subjects: 888 patients admitted to intensive care with COVID-19. Results: All patients admitted to the intensive care unit with COVID-19 (888) from 1 March 2020 to 1 March 2021 were analyzed and separated further into those intubated (544) and those requiring tracheostomy (177). Of those receiving tracheostomy, outcomes were analyzed for early (≤12 days) or late (>12 days) tracheostomy. Demographics, medical history, laboratory values, type of oxygen and ventilatory support, and clinical outcomes were recorded and analyzed. Early tracheostomy resulted in reduced duration of mechanical ventilation, reduced hospital length of stay, and reduced intensive care unit length of stay in patients admitted to the intensive care unit with COVID-19. There was no effect on overall mortality.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm13072130