Characteristics, complications, and a comparison between early and late tracheostomy: A retrospective observational study on tracheostomy in patients with COVID‐19‐related acute respiratory distress syndrome

Background and Aims As the coronavirus disease 2019 (COVID‐19) pandemic spread worldwide in 2020, the number of patients requiring intensive care and invasive mechanical ventilation (IMV) has increased rapidly. During the pandemic, early recommendations suggested that tracheostomy should be postpone...

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Published in:Health science reports 2022-05, Vol.5 (3), p.e595-n/a
Main Authors: Hansson, Anna, Sunnergren, Ola, Hammarskjöld, Anneli, Alkemark, Catarina, Taxbro, Knut
Format: Article
Language:English
Subjects:
acute respiratory distress syndrome
Aerosols
Airway management
Coronaviruses
COVID-19
Diabetes
Disease transmission
Fistula
Hospitals
Hypertension
ICU
Infections
Intensive care
Intubation
Kidney diseases
Medical records
Mortality
Observational studies
Original Research
Ostomy
Pandemics
Patients
Pneumonia
Respiratory distress syndrome
Severe acute respiratory syndrome coronavirus 2
Statistical analysis
Surgery
tracheostomy
Ventilators
Weaning
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Summary:Background and Aims As the coronavirus disease 2019 (COVID‐19) pandemic spread worldwide in 2020, the number of patients requiring intensive care and invasive mechanical ventilation (IMV) has increased rapidly. During the pandemic, early recommendations suggested that tracheostomy should be postponed, as the potential benefits were not certain to exceed the risk of viral transmission to healthcare workers. The aim of this study was to assess the utility of tracheostomy in patients with COVID‐19‐related acute respiratory distress syndrome, in terms of patient and clinical characteristics, outcomes, and complications, by comparing between early and late tracheostomy. Methods A multicenter, retrospective observational study was conducted in Jönköping County, Sweden. Between 14 March 2020 and 13 March 2021, 117 patients were included. All patients ≥18 years of age with confirmed COVID‐19, who underwent tracheostomy were divided into two groups based on the timing of the procedure (≤/>7 days). Outcomes including the time on IMV, intensive care unit (ICU) length of stay, and mortality 30 days after ICU admission, as well as complications due to tracheostomy were compared between the groups. Results Early tracheostomy (
ISSN:2398-8835
2398-8835
DOI:10.1002/hsr2.595