Early Percutaneous Tracheostomy in Coronavirus Disease 2019: Association With Hospital Mortality and Factors Associated With Removal of Tracheostomy Tube at ICU Discharge. A Cohort Study on 121 Patients.

Critical Care Medicine
Antonio RosanoGiuseppe Natalini

Abstract

Early tracheotomy, defined as a procedure performed within 10 days from intubation, is associated with more ventilator free days, shorter ICU stay, and lower mortality than late tracheotomy. During the coronavirus disease 2019 pandemic, it was especially important to save operating room resources and to have a shorter ICU stay for patients, when ICUs had insufficient beds. In this context of limited resources, early percutaneous tracheostomy could be an effective way to manage mechanically ventilated patients. Nevertheless, current recommendations suggest delaying or avoiding the tracheotomy in coronavirus disease 2019 patients. Aim of the study was to analyze the hospital mortality of coronavirus disease 2019 patients who had received early percutaneous tracheostomy and factors associated with removal of tracheostomy cannula at ICU discharge. Cohort study. Coronavirus disease 2019 ICU. Adult patients with coronavirus disease 2019 3 days after ICU admission. None. Three days after ICU admission, 164 patients were present in ICU and included in the analysis. One-hundred and twenty-one patients (74%) were tracheostomized, whereas the other 43 (26%) were managed with translaryngeal intubation only. In multivariable analysis, early...Continue Reading

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Citations

Nov 21, 2020·Critical Care Medicine·Georg Auzinger
Jan 6, 2021·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Antonio RosanoGiuseppe Natalini
Mar 4, 2021·Critical Care Medicine·Federica FusinaGiuseppe Natalini
Mar 4, 2021·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Jenelle BadulakUNKNOWN ELSO COVID-19 Working Group Members
May 21, 2021·Critical Care Medicine·Federica FusinaGiuseppe Natalini
Mar 30, 2021·Critical Care Medicine·Yusuke OkazakiNobuaki Shime
Apr 20, 2021·Critical Care Medicine·Federica FusinaGiuseppe Natalini
Jul 3, 2021·Journal of Clinical Medicine·Denise BattagliniPaolo Pelosi
Jul 24, 2021·The British Journal of Oral & Maxillofacial Surgery·A FerroK Fan
Aug 21, 2021·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Luís Roque ReisPedro Escada
Oct 8, 2021·Journal of Intensive Care Medicine·Michael J BrennerVinciya Pandian
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