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Clinical outcomes after tracheostomy in patients with coronavirus disease 2019: a single-center experience in Japan
PURPOSE: Many patients with coronavirus disease 2019 require mechanical ventilation and tracheostomy. However, the timing and indications for tracheostomy are controversial. This study assessed 11 patients with coronavirus disease 2019 who underwent tracheostomy with clinical information and retrosp...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Nature Singapore
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9244426/ https://www.ncbi.nlm.nih.gov/pubmed/35771302 http://dx.doi.org/10.1007/s00595-022-02541-4 |
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author | Sumiya, Ryusuke Nagasaka, Satoshi Okamoto, Tatsuya Ikeda, Takeshi Hojo, Masaaki Omagari, Norio Kokudo, Norihiro |
author_facet | Sumiya, Ryusuke Nagasaka, Satoshi Okamoto, Tatsuya Ikeda, Takeshi Hojo, Masaaki Omagari, Norio Kokudo, Norihiro |
author_sort | Sumiya, Ryusuke |
collection | PubMed |
description | PURPOSE: Many patients with coronavirus disease 2019 require mechanical ventilation and tracheostomy. However, the timing and indications for tracheostomy are controversial. This study assessed 11 patients with coronavirus disease 2019 who underwent tracheostomy with clinical information and retrospective analyses. METHODS: A single-center retrospective observational study was performed on patients with coronavirus disease 2019 who underwent tracheostomy between 2020 and 2021. RESULTS: Failure to wean was the most common indication for tracheostomy, followed by extracorporeal membrane oxygenation decannulation and the need for secretion management. After tracheostomy, six patients (54.5%) were liberated from the ventilator. The time from intubation to tracheostomy (21.1 ± 9.14 days) was correlated with the duration of ventilator dependency (36.83 ± 20.45 days, r(2) = 0.792, p = 0.018). The mean Acute Physiological and Chronic Health Evaluation II score was significantly lower in the ventilator-liberated group (23 ± 2.77) than in the non-ventilator-liberated group (31 ± 6.13, p = 0.0292). Furthermore, patients with Acute Physiological and Chronic Health Evaluation II scores of < 27 points achieved ventilator liberation and a long-term survival (p = 0.0006). CONCLUSIONS: This study describes the outcomes of a cohort of patients who underwent tracheostomy after intubation for coronavirus disease 2019. The Acute Physiological and Chronic Health Evaluation II score predicted whether or not the patient could achieve ventilator liberation. |
format | Online Article Text |
id | pubmed-9244426 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Nature Singapore |
record_format | MEDLINE/PubMed |
spelling | pubmed-92444262022-06-30 Clinical outcomes after tracheostomy in patients with coronavirus disease 2019: a single-center experience in Japan Sumiya, Ryusuke Nagasaka, Satoshi Okamoto, Tatsuya Ikeda, Takeshi Hojo, Masaaki Omagari, Norio Kokudo, Norihiro Surg Today Original Article PURPOSE: Many patients with coronavirus disease 2019 require mechanical ventilation and tracheostomy. However, the timing and indications for tracheostomy are controversial. This study assessed 11 patients with coronavirus disease 2019 who underwent tracheostomy with clinical information and retrospective analyses. METHODS: A single-center retrospective observational study was performed on patients with coronavirus disease 2019 who underwent tracheostomy between 2020 and 2021. RESULTS: Failure to wean was the most common indication for tracheostomy, followed by extracorporeal membrane oxygenation decannulation and the need for secretion management. After tracheostomy, six patients (54.5%) were liberated from the ventilator. The time from intubation to tracheostomy (21.1 ± 9.14 days) was correlated with the duration of ventilator dependency (36.83 ± 20.45 days, r(2) = 0.792, p = 0.018). The mean Acute Physiological and Chronic Health Evaluation II score was significantly lower in the ventilator-liberated group (23 ± 2.77) than in the non-ventilator-liberated group (31 ± 6.13, p = 0.0292). Furthermore, patients with Acute Physiological and Chronic Health Evaluation II scores of < 27 points achieved ventilator liberation and a long-term survival (p = 0.0006). CONCLUSIONS: This study describes the outcomes of a cohort of patients who underwent tracheostomy after intubation for coronavirus disease 2019. The Acute Physiological and Chronic Health Evaluation II score predicted whether or not the patient could achieve ventilator liberation. Springer Nature Singapore 2022-06-30 2023 /pmc/articles/PMC9244426/ /pubmed/35771302 http://dx.doi.org/10.1007/s00595-022-02541-4 Text en © The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd. 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Article Sumiya, Ryusuke Nagasaka, Satoshi Okamoto, Tatsuya Ikeda, Takeshi Hojo, Masaaki Omagari, Norio Kokudo, Norihiro Clinical outcomes after tracheostomy in patients with coronavirus disease 2019: a single-center experience in Japan |
title | Clinical outcomes after tracheostomy in patients with coronavirus disease 2019: a single-center experience in Japan |
title_full | Clinical outcomes after tracheostomy in patients with coronavirus disease 2019: a single-center experience in Japan |
title_fullStr | Clinical outcomes after tracheostomy in patients with coronavirus disease 2019: a single-center experience in Japan |
title_full_unstemmed | Clinical outcomes after tracheostomy in patients with coronavirus disease 2019: a single-center experience in Japan |
title_short | Clinical outcomes after tracheostomy in patients with coronavirus disease 2019: a single-center experience in Japan |
title_sort | clinical outcomes after tracheostomy in patients with coronavirus disease 2019: a single-center experience in japan |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9244426/ https://www.ncbi.nlm.nih.gov/pubmed/35771302 http://dx.doi.org/10.1007/s00595-022-02541-4 |
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