Open AccessEarly Percutaneous Tracheostomy in Coronavirus Disease 2019: Association With Hospital Mortality and Factors Associated With Removal of Tracheostomy Tube at ICU Discharge. A Cohort Study on 121 Patients*
Author(s) -
Antonio Rosanò,
Enrico Martinelli,
Federica Fusina,
Filippo Albani,
R Caserta,
Alessandro Morandi,
Piera Dell’Agnolo,
Alessandra Dicembrini,
Leila Mansouri,
Andrea Marchini,
Valeria Schivalocchi,
Giuseppe Natalini
Publication year - 2020
Publication title -
critical care medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.002
H-Index - 271
eISSN - 1530-0293
pISSN - 0090-3493
DOI - 10.1097/ccm.0000000000004752
Subject(s) - medicine , tracheotomy , intubation , percutaneous , tracheal intubation , cannula , retrospective cohort study , surgery , intensive care medicine , emergency medicine
Early tracheotomy, defined as a procedure performed within 10 days from intubation, is associated with more ventilator free days, shorter ICU stay, and lower mortality than late tracheotomy. During the coronavirus disease 2019 pandemic, it was especially important to save operating room resources and to have a shorter ICU stay for patients, when ICUs had insufficient beds. In this context of limited resources, early percutaneous tracheostomy could be an effective way to manage mechanically ventilated patients. Nevertheless, current recommendations suggest delaying or avoiding the tracheotomy in coronavirus disease 2019 patients. Aim of the study was to analyze the hospital mortality of coronavirus disease 2019 patients who had received early percutaneous tracheostomy and factors associated with removal of tracheostomy cannula at ICU discharge.