Author: Battaglini, Denise; Missale, Francesco; Schiavetti, Irene; Filauro, Marta; Iannuzzi, Francesca; Ascoli, Alessandro; Bertazzoli, Alberto; Pascucci, Federico; Grasso, Salvatore; Murgolo, Francesco; Binda, Simone; Maraggia, Davide; Montrucchio, Giorgia; Sales, Gabriele; Pascarella, Giuseppe; Agrò, Felice Eugenio; Faccio, Gaia; Ferraris, Sandra; Spadaro, Savino; Falò, Giulia; Mereto, Nadia; Uva, Alessandro; Maugeri, Jessica Giuseppina; Agrippino, Bellissima; Vargas, Maria; Servillo, Giuseppe; Robba, Chiara; Ball, Lorenzo; Mora, Francesco; Signori, Alessio; Torres, Antoni; Giacobbe, Daniele Roberto; Vena, Antonio; Bassetti, Matteo; Peretti, Giorgio; Rocco, Patricia R. M.; Pelosi, Paolo
Title: Tracheostomy Timing and Outcome in Severe COVID-19: The WeanTrach Multicenter Study Cord-id: 3ml22dku Document date: 2021_6_16
ID: 3ml22dku
Snippet: Background: Tracheostomy can be performed safely in patients with coronavirus disease 2019 (COVID-19). However, little is known about the optimal timing, effects on outcome, and complications. Methods: A multicenter, retrospective, observational study. This study included 153 tracheostomized COVID-19 patients from 11 intensive care units (ICUs). The primary endpoint was the median time to tracheostomy in critically ill COVID-19 patients. Secondary endpoints were survival rate, length of ICU stay
Document: Background: Tracheostomy can be performed safely in patients with coronavirus disease 2019 (COVID-19). However, little is known about the optimal timing, effects on outcome, and complications. Methods: A multicenter, retrospective, observational study. This study included 153 tracheostomized COVID-19 patients from 11 intensive care units (ICUs). The primary endpoint was the median time to tracheostomy in critically ill COVID-19 patients. Secondary endpoints were survival rate, length of ICU stay, and post-tracheostomy complications, stratified by tracheostomy timing (early versus late) and technique (surgical versus percutaneous). Results: The median time to tracheostomy was 15 (1–64) days. There was no significant difference in survival between critically ill COVID-19 patients who received tracheostomy before versus after day 15, nor between surgical and percutaneous techniques. ICU length of stay was shorter with early compared to late tracheostomy (p < 0.001) and percutaneous compared to surgical tracheostomy (p = 0.050). The rate of lower respiratory tract infections was higher with surgical versus percutaneous technique (p = 0.007). Conclusions: Among critically ill patients with COVID-19, neither early nor percutaneous tracheostomy improved outcomes, but did shorten ICU stay. Infectious complications were less frequent with percutaneous than surgical tracheostomy.
Search related documents:
Co phrase search for related documents- acinetobacter baumannii and acute respiratory syndrome: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14
- acinetobacter baumannii and liver cirrhosis: 1
- acinetobacter baumannii and local infection: 1, 2
- acinetobacter baumannii and logistic regression: 1, 2, 3, 4, 5
- acinetobacter baumannii and long term mortality: 1
- acute ards respiratory distress syndrome and liver cirrhosis: 1, 2
- acute ards respiratory distress syndrome and logistic regression: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25
- acute ards respiratory distress syndrome and logistic regression model: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13
- acute ards respiratory distress syndrome and long term mortality: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10
- acute ards respiratory distress syndrome and low respiratory: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25
- acute ards respiratory distress syndrome and low respiratory tract: 1, 2
- acute respiratory syndrome and liver cirrhosis: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25
- acute respiratory syndrome and local infection: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25
- acute respiratory syndrome and log rank test group comparison: 1
- acute respiratory syndrome and logistic regression: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25
- acute respiratory syndrome and logistic regression model: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25
- acute respiratory syndrome and long term intubation: 1, 2, 3
- acute respiratory syndrome and long term mortality: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25
- acute respiratory syndrome and low respiratory: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25
Co phrase search for related documents, hyperlinks ordered by date