tetano
Editor, Senior Moderator
Am J Otolaryngol
. 2022 Apr 6;43(3):103437.
doi: 10.1016/j.amjoto.2022.103437. Online ahead of print.
Nine-month outcomes of tracheostomy in patients with COVID-19: A retrospective study
Xin-Hao Zhang[SUP] 1 [/SUP], Xiao-Bo Long[SUP] 1 [/SUP], Kai Xu[SUP] 1 [/SUP], Xiang Lu[SUP] 2 [/SUP], Zheng Liu[SUP] 3 [/SUP]
Affiliations
Abstract
Purpose: The outcome of performing a tracheostomy in patients with coronavirus disease (COVID-19) seems promising based on the reported 30-day survival rate. However, long-term outcomes are still lacking. Therefore, our aim in this study was to evaluate the long-term outcomes of tracheostomy performed in critically ill COVID-19 patients.
Methods: This was a retrospective analysis of 27 COVID-19 patients on whom tracheostomy was performed between February 28, 2020, and April 7, 2020, at Tongji Hospital (Wuhan, China). Patients' clinical characteristics, complications, and outcomes were analyzed.
Results: All patients underwent successful bedside tracheostomy. Thirteen patients (48.1%) were successfully weaned off ventilation within 1 month. The survival rate at one, three, and nine months after tracheostomy were 63.0%, 37.0%, and 29.6%, respectively. At nine months after tracheostomy, 8/27 patients had survived, with five (62.5%) being discharged home while the remaining were dependent on nursing care.
Conclusion: The survival rate of COVID-19 patients who underwent tracheotomy decreased markedly from 1 to 3 months after tracheotomy, remaining stable between 3 and 9 months. Medical support is much needed for COVID-19 patients over the first 90 days after tracheotomy.
Keywords: COVID-19; Long-term outcomes; Survival; Tracheostomy.
. 2022 Apr 6;43(3):103437.
doi: 10.1016/j.amjoto.2022.103437. Online ahead of print.
Nine-month outcomes of tracheostomy in patients with COVID-19: A retrospective study
Xin-Hao Zhang[SUP] 1 [/SUP], Xiao-Bo Long[SUP] 1 [/SUP], Kai Xu[SUP] 1 [/SUP], Xiang Lu[SUP] 2 [/SUP], Zheng Liu[SUP] 3 [/SUP]
Affiliations
- PMID: 35413543
- DOI: 10.1016/j.amjoto.2022.103437
Abstract
Purpose: The outcome of performing a tracheostomy in patients with coronavirus disease (COVID-19) seems promising based on the reported 30-day survival rate. However, long-term outcomes are still lacking. Therefore, our aim in this study was to evaluate the long-term outcomes of tracheostomy performed in critically ill COVID-19 patients.
Methods: This was a retrospective analysis of 27 COVID-19 patients on whom tracheostomy was performed between February 28, 2020, and April 7, 2020, at Tongji Hospital (Wuhan, China). Patients' clinical characteristics, complications, and outcomes were analyzed.
Results: All patients underwent successful bedside tracheostomy. Thirteen patients (48.1%) were successfully weaned off ventilation within 1 month. The survival rate at one, three, and nine months after tracheostomy were 63.0%, 37.0%, and 29.6%, respectively. At nine months after tracheostomy, 8/27 patients had survived, with five (62.5%) being discharged home while the remaining were dependent on nursing care.
Conclusion: The survival rate of COVID-19 patients who underwent tracheotomy decreased markedly from 1 to 3 months after tracheotomy, remaining stable between 3 and 9 months. Medical support is much needed for COVID-19 patients over the first 90 days after tracheotomy.
Keywords: COVID-19; Long-term outcomes; Survival; Tracheostomy.