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European Archives of Oto-Rhino-Laryngology

Erschienen in:

04.08.2020 | COVID-19 | Head and Neck Zur Zeit gratis

Outcome of 1890 tracheostomies for critical COVID-19 patients: a national cohort study in Spain

verfasst von: Cristina Martin-Villares, Carmen Perez Molina-Ramirez, Margarita Bartolome-Benito, Manuel Bernal-Sprekelsen, COVID ORL ESP Collaborative Group (*)

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 5/2021

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Abstract

Background

The question of an optimal strategy and outcomes in COVID-19 tracheostomy has not been answered yet. The critical focus in our case study is to evaluate the outcomes of tracheostomy on intubated COVID-19 patients.

Methods

A multicentric prospective observational study of 1890 COVID-19 patients undergoing tracheostomy across 120 hospitals was conducted over 7 weeks in Spain (March 28 to May 15, 2020). Data were collected with an innovative approach: instant messaging via WhatsApp. Outcome measurements: complications, achieved weaning and decannulation and survival.

Results

We performed 1,461 surgical (81.3%) and 429 percutaneous tracheostomies. Median timing of tracheostomy was 12 days (4–42 days) since orotracheal intubation. A close follow-up of 1616/1890 (85.5%) patients at the cut-off time of 1-month follow-up showed that in 842 (52.1%) patients, weaning was achieved, while 391 (24.2%) were still under mechanical ventilation and 383 (23.7%) patients had died from COVID-19. Decannulation among those in whom weaning was successful (n = 842) was achieved in 683 (81%) patients.

Conclusion

To the best of our knowledge, this is the largest cohort of COVID-19 patients undergoing tracheostomy. The critical focus is the unprecedented amount of tracheostomies: 1890 in 7 weeks. Weaning could be achieved in over half of the patients with follow-up. Almost one out of four tracheotomized patients died from COVID-19.

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Titel: Outcome of 1890 tracheostomies for critical COVID-19 patients: a national cohort study in Spain
verfasst von: Cristina Martin-Villares
Carmen Perez Molina-Ramirez
Margarita Bartolome-Benito
Manuel Bernal-Sprekelsen
COVID ORL ESP Collaborative Group (*)
Publikationsdatum: 04.08.2020
Verlag: Springer Berlin Heidelberg
Schlagwörter: COVID-19
Erkrankungen von Larynx und Trachea
Beatmungsmedizin, inhalative Medizin
Respiratorische Störungen in der Intensivmedizin
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 5/2021
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-020-06220-3

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Abstract

Background

Methods

Results

Conclusion

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