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Int J Otolaryngol. 2020 Nov 30;2020:8861013. doi: 10.1155/2020/8861013. eCollection 2020.

Open Tracheostomy for Critically Ill Patients with COVID-19.

International journal of otolaryngology

Estefanía Hernández-García, Mar Martínez-RuizCoello, Andrés Navarro Mediano, Nuria Pérez-Martín, Victoria García-Peces, Carlos Velayos, Belen Rodríguez-Campoo, Guillermo Plaza

Affiliations

  1. Department of Otorhinolaryngology, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, Madrid, Spain.
  2. Department of Intensive Care, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, Madrid, Spain.
  3. Department of Anesthesiology, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, Madrid, Spain.

PMID: 34966431 PMCID: PMC8711016 DOI: 10.1155/2020/8861013

Abstract

BACKGROUND: COVID-19 is a worldwide pandemic, with many patients requiring prolonged mechanical ventilation. Tracheostomy can shorten ICU length of stay and help weaning.

RESULTS: Out of a total of 1612 hospital admissions for COVID-19, only 5.8% (93 patients) required ICU admission and IOT. Twenty-seven patients (29%) underwent a tracheostomy. After three months, within the group of tracheotomized patients, 29.6% died and 48.15% were extubated in a mean time of 28.53 days. In the nontracheostomized patients, the mortality was 42.4%.

CONCLUSIONS: Tracheostomy is a safe procedure for COVID-19 and helps weaning of prolonged OTI. Mortality after tracheostomy was less common than in nontracheostomized patients.

Copyright © 2020 Estefanía Hernández-García et al.

Conflict of interest statement

The authors declare that they have no conflicts of interest.

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