COVIDTrach; the outcomes of mechanically ventilated COVID-19 patients undergoing tracheostomy in the UK: Interim Report

• Published in: British Journal of Surgery 2020-11, Vol.107 (12), p.e583-e584
• Main Authors: Hamilton, NJI, Arora, A, George, MM, Green, F, McGrath, B, Tolley, NS, Tatla, T, Surda, P, Xie, C, Bhargava, EK, Tornari, C, Pennell, D, Amin, N, Ranford, D, Ritchie, L, Mistry, R, Rouhani, M, Cereceda‐Monteoliva, N, Ghufoor, K, Warner, E, Drewery, H, Hadley, J, Bhandari, R, Shepherd, S, Wilson, H, Griffiths, M, Fan, K, Bentley, R, Rovira, A, Munroe‐Gray, T, Sethukumar, P, Ekpemi, I, Glibbery, N, Walker, C, Saha, S, Smart, C, Lee, M, Allin, D, Kumar, R, Cosway, B, Hill, B, Udall, W, Khwaja, S, Fang, S, Van‐Damme, F, Bondin, D, Thorley, D, Kandiah, S, Husband, C Davies, Barrera‐Groba, C, Mahalingam, S, Leakey, E, Buglass, H, Tam, E, Suresh, S, Celinski, M, Osborne, M, Kirkland, P, Ladan, S, Anwar, M, Bates, J, Moorthy, R, Meghji, S, Ali, T, Stubington, T, Kumar, A, Winter, S, Hunt, T, Lechner, M, Chandrasekharan, D, Srinivasan, V, Junaid, M, Temple, R, Nagalotimath, U, Cook, C, Ranganathan, B, Linton, S, Stewart, R, Nakagawa, S, Turner, H, Whiteside, J, Ward, P, Lockie, C, Lignos, L, Courtney, A, Starnes, S, Thompson, A, Whittaker, J, Hassan, A, Cameron, M, Walker, A, McCadden, L, Sanyal, S, Wilkinson, S, Abou‐Foul, AK, Walton, G, Kara, A, Dhariwal, Daljit, Vallabh, N, Riley, E
• Format: Article
• Language: English
• Subjects: COVID-19 - epidemiology; COVID-19 - therapy; Hospital Mortality - trends; Humans; Intensive Care Units; Research Letter; Respiration, Artificial - methods; SARS-CoV-2; Tracheostomy - methods; United Kingdom - epidemiology
• ISSN: 0007-1323; 1365-2168
• DOI: 10.1002/bjs.12020

Outcomes following tracheostomy in COVID‐19 patients All cause mortality following tracheostomy in COVID‐19 patients n (%) [N = 530] Died following tracheostomy 62 (12) Still alive at the point of survey 468 (88) Cause of death following tracheostomy n (%) [N = 62] COVID‐19 related 60 (97) Tracheostomy related 2 (3) Duration (days) from tracheostomy to death [N = 62] Median (IQR) 8 (5, 12) Weaning from mechanical ventilation n (%) [N = 465] Successfully weaned from mechanical ventilation 244 (52) Still ventilated at the time of completing the survey 221 (48) Time (days) from tracheostomy to successful wean [N = 217] 1‐3 days 28 (13) 4‐6 days 50 (23) 7‐9 days 48 (22) 10‐12 days 40 (18) 13‐15 days 26 (12) >15 days 25 (12) Discharge from ICU n (%), [N = 450] Discharged from ICU at the point of survey 169 (38) Still in ICU at the point of survey 281 (62) Adequate PPE should be viewed as mandatory for tracheostomy in COVID‐19 patients due to the significant potential for aerosol generation1, 2. Data collection Study data were collected and managed using REDCap electronic data capture tools hosted at University College London. REDCap (Research Electronic Data Capture) is a secure, web‐based application designed to support data capture for research studies, providing: 1) an intuitive interface for validated data entry; 2) audit trails for tracking data manipulation and export procedures; 3) automated export procedures for seamless data downloads to common statistical packages; and 4) procedures for data integration and interoperability with external sources.