COVID-19 patients from hospitalization to tracheostomy, the experience of a ‎high volume center

Keywords

Tracheostomy
COVID19
Intubation Rate
Hospitalization

Categories

How to Cite

Mokhber Dezfuli, M., Mosafaeii Rad, O. ., Ghorbani, F., Farzanegan, B. ., Mir-Moeini, E. ., & Shadmehr, M. B. (2022). COVID-19 patients from hospitalization to tracheostomy, the experience of a ‎high volume center. Iranian Red Crescent Medical Journal, 24(7). Retrieved from https://ircmj.com/index.php/IRCMJ/article/view/1598

Abstract

Background: Decision-making and planning considering tracheostomy are not clear yet.
Objectives: We aimed to report tracheostomy rates in different settings of admitted patients and compare tracheostomy outcomes in COVID-19 and non-COVID patients regarding both technics including surgical and Percutaneous dilational tracheostomy.
Methods: From Feb. 2020 to May 2021 admitted patients at Masih Daneshvary hospital were assessed respecting intubation and tracheostomy rate. Different aspects of tracheostomy and outcome were compared in both methods of tracheostomy including surgical vs. percutaneous. Among Non-COVID patients, 15 ICU admitted patients with different etiologies of pneumonia who required mechanical ventilation and tracheostomy were randomly selected and were compared with COVID patients.
Results: A total of 7748 covid19 patients were admitted and an average rate of 12.7% of the patients were admitted to ICU with an intubation rate of 5.13%. Tracheostomy was performed for a total of 36 patients for prolonging intubation with a trend including of range of 0.1 to 1.45% in 16 months. Regarding method, 24% and 33.3% of patients in surgical method and PDT groups were survived respectively, (P = 0.44). In non COVID, surgical tracheostomy and PDT was performed in 26.5% and 40%, respectively (P = 0.5). Mortality rate  was 72.2% and  20%, respectively, (P = 0.003).
Conclusion: Given the fact that in some centers tracheostomy is delayed till the PCR test for covid19 turned to negative, so, we recommend making an effort to reduce this complication and giving the proper information to the patients at risk of stenosis.

References

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