1. Outcome of 1890 tracheostomies for critical COVID-19 patients: a national cohort study in Spain
- Author
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Martin-Villares, Cristina, Perez Molina-Ramirez, Carmen, Bartolome-Benito, Margarita, Bernal-Sprekelsen, Manuel, Perez-Fernandez, Aranzazu, Alcantara-Armenteros, Sara, Monjas-Cánovas, Irene, Sancho-Mestre, Manuela, Alemán-Lopez, Oscar, Deola-Trasserra, M Dolors, Villarraga-Cova, Vanessa, Carreras-Alcaraz, Azor, Montaner-Sala, Esther, Sota-Eguizabal, Esther, Tolosa, Aihnoa, De la Iglesia, Belen, Garcia-Sardon, Rafael, Diez, Laura, Lehrer, Eduardo, Aviles-Jurado, Francisco Xavier, Tudela-Cabello, Kiara, Huguet-Llull, Gabriel, Mesalles-Ruíz, Marta, Jimenez-Montoya, Ramon, Navazo-Eguïa, Ana, Galindo-Torres, Blanca, Fernandez-Pello, Marta, Rodriguez-Prado, Nuria, Salazar, Carmen, Ramos, Francisco, Amor-Dorado, Juan Carlos, Faubel-Serra, Marta, Nuñez-Carrasco, Valery, Agüero-Medina, Adriana, Carlos-Villatoro, Juan, Lopez-Diu, Roser, Gonzalez-Melgan, Selvyn, Uzcanga-Lacabe, María, Cardier-Suárez, Marisela, Úbeda-Fernández, Esther, Alañon-Fernández, Miguel Ángel, Sanchez-Herrero, Carlos, Municio-Martin, Jose Antonio, Pascua-Gomez, Luis, Andrino-Martin, Sergio, Ayala-Mejias, Sandra, Molina-Gil, Bárbara, De Abajo-Larriba, Jorge, Piñeiro-Aguín, Zenaida, Gil-Carcedo, Elisa, Herrero-Agustín, Javier, Freijanes-Otero, Jorge, Cuetos-Azcona, Mario, Garcia-Fernandez, Alfredo, Jimenez-Huerta, Ignacio, Babarro-Fernández, Rosa, Junjgohann-Jofre, Felipe, Martel-Lopez, Antonio, Martin-Sanchez, Maria Dolores, Benitez-del Rosario, Jesus, Luorido, Diana, Granda, Monica, Tejeda, Jose Miguel, Martinez Ruiz-Coello, Antonio, Almodovar-Iniesta, Antonio, Bonnin, Jesus, Chao-Vietes, Jacobo, Hernández-Garcia, Estefanía, Plaza, Guillermo, Villacampa-Auba, Jose Miguel, Campos-Gonzalez, Alfonso, Casqueiro, Jose Carlos, Baguena-Campos, Lucia, Encinas-Vicente, Alberto, Rubio-Yanguas, Raul, Lowy-Benoliel, Alejandro, Poletti-Serafini, Daniel, Pasamontes-Pingarron, Juan Antonio, Aristegui-Ruiz, Miguel, Hernando-Cuñado, Monica, Souviron-Encabo, Rosalia, Martinez-Guirado, Tomas, Fernandez-Fernandez, Mario, Gonzalez-Orus, Ricardo, Molina-Montes, Beatriz, De la Fuente-Hernandez, Raquel, Crovato-Rojas, Jesús, Ruminot, Cristian, Laguado, Daniella, Acosta, Hander, Hernández-Garcia, María José, Zuaza-Gonzalez, Alejandro, Domingo-Carrasco, Carlos, Valor-García, Cristina, Lopez-Martin, Javier, Mogollon-Cano, Tomas, Meler-Claramonte, Carla, Flores-Martín, Juan Carlos, Arzok del Toro, Juanjo, Garcia-Piñero, Alfonso, Muñoz-Fernandez, Noelia, del Palacio, Antonio, Mateos-Serrano, Blanca, Garcia-Lopez, Isabel, Rodrigañez-Riesco, Laura, Aragon, Paula, Rivera, Teresa, Eisenberg-Plaza, Gustavo, Fernandez-Robledo, Inmaculada, Prada-Pendolero, Jorge, Alvarez-Alvarez, Ignacio, Puente-Verez, Maria, Quintana-Sanjuas, Ana, Parente-Arias, Pablo, García-Cordoba, Francisco, Garcia-Purriños, Francisco Jose, Morales-Angulo, Carmelo, Rodriguez-Rondon, Simara, Lopez-Lopez, Diana, Fernandez-Liesa, Rafael, Lázaro-Sánchez, Amaya, Alonso-Alonso, I, Rusiecka, Michalina, Ramirez, Rosa Delia, Vila, Javier, Bellmunt-Fontanet, Angela, Montoro-Martinez, Victoria, Piqueras, Francisco, Novoa-Morales, Vania, Simonetti, Gabriela, Guillen-Lozada, Enrique, Velasco, Maria Jesus, Alonso-Castiñeira, Ignacio, Hernandez, Maria, Rovira-Ramos, Carlota, Diaz-Argüello, Juan Jose, Escamilla-Carpintero, Yolanda, Torrico-Roman, Pablo, Calvo-Navarro, Carlos, Viza-Puiggros, Ignacio, Vaduva, Cristina, Higuera-Lucas, Juan, Tato, Jose Ignacio, Rivera-Rodriguez, Teresa, Rodriguez-Contreras, Diego, Caravaca-Garcia, Antonio, Ayala, Alejandra, Morales-Puebla, José Manuel, Ruiz-Escudero, Carlos, Lozano-Reina, E, Maza-Solano, Juan Manuel, Alfaro-Garcia, Jorge, Sanchez, Fatima, Montes-Jovellar, Luordes, Medina, Mar, Barbera, Rafael, Marco-Garrido, Alfonso, Cremades-Navalon, Isabel, García-Callejo, Javier, Bastida, C Garcia, Gutierrez-Fonseca, Raimundo, Muñoz-Herrera, Angel, Calvo, Marta, Rosal-Fraga, Carmen, Iglesias-Moreno, Mari Cruz, Gimeno-Hernández, Jesus, Vázquez-Romero, Cristina A, Alzate-Amaya, Fabian, Palomino, Laura, Alcaraz, Marta, Romeu-Figuerola, Coia, Foglia-Fernandez, Maria, Dios-Loureiro, Cristina, Gonzalez-Guijarro, Isabel, Vera-Llao, Rafael, Sancho-Calvo, Rosa, Ramos-Fernandez, Jesus Jose, Lasso-delaVega, Mar, Martinez-Pascual, Paula, Dominguez-Ovejas, Silvia, Morera-Senra, Eduardo, Alba-Mesquida, Jacoba, Bonilla, Alfonso, Martinez-Subias, Javier, Martinez-Salazar, Jesus M, Martinez-Lapeña, Antonio, Corrales-Millan, Rocio, Ruiz, Rosario, Mata, Nieves, Espinosa, Alfredo, Cianci-Jaimes, Laura Gerarda, Zapater-Latorre, Enrique, Alba-Garcia, Jose Ramon, Oishi-Konari, Miriam Natsuki, Pallares-Marti, Beatriz, Rubio-Fernandez, Andrea, Santos-Pérez, Jaime, Idigora-Planas, Albert, Sanchez-Barrueco, Alvaro, Alcala-Rueda, Ignacio, Jara-Rubio, Ruben, Lozano, Estefanía, Tirado-Zamora, Isabel, Coscaron-Blanco, Enrique, Suarez-Ortega, Soledad, Gil-Grasa, Guillermo, Lavilla-Martin de Valmaseda, Maria Jose, Sebastian, Jose Miguel, Nijim, Hazem, Dominguez-Calvo, Jesus, Gonzalez-Gimeno, Maria Jose, Carvajal-Urueña, Ana, Anel, Luis, and Gonzalo-Orden, Manuel
- Subjects
medicine.medical_specialty ,Percutaneous ,medicine.medical_treatment ,law.invention ,Cohort Studies ,03 medical and health sciences ,Tracheostomy ,Mechanical ventilation ,0302 clinical medicine ,law ,medicine ,Humans ,Weaning ,Intensive care unit ,030223 otorhinolaryngology ,Retrospective Studies ,SARS-CoV-2 ,business.industry ,General surgery ,COVID-19 ,General Medicine ,Respiration, Artificial ,Otorhinolaryngology ,Spain ,030220 oncology & carcinogenesis ,Cohort ,Observational study ,Neurosurgery ,business ,Head and Neck - Abstract
Background The question of an optimal strategy and outcomes in COVID-19 tracheostomy has not been answered yet. The critical focus in our case study is to evaluate the outcomes of tracheostomy on intubated COVID-19 patients. Methods A multicentric prospective observational study of 1890 COVID-19 patients undergoing tracheostomy across 120 hospitals was conducted over 7 weeks in Spain (March 28 to May 15, 2020). Data were collected with an innovative approach: instant messaging via WhatsApp. Outcome measurements: complications, achieved weaning and decannulation and survival. Results We performed 1,461 surgical (81.3%) and 429 percutaneous tracheostomies. Median timing of tracheostomy was 12 days (4–42 days) since orotracheal intubation. A close follow-up of 1616/1890 (85.5%) patients at the cut-off time of 1-month follow-up showed that in 842 (52.1%) patients, weaning was achieved, while 391 (24.2%) were still under mechanical ventilation and 383 (23.7%) patients had died from COVID-19. Decannulation among those in whom weaning was successful (n = 842) was achieved in 683 (81%) patients. Conclusion To the best of our knowledge, this is the largest cohort of COVID-19 patients undergoing tracheostomy. The critical focus is the unprecedented amount of tracheostomies: 1890 in 7 weeks. Weaning could be achieved in over half of the patients with follow-up. Almost one out of four tracheotomized patients died from COVID-19.
- Published
- 2020
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