The COVID-19 Tracheostomy Experience at a Large Academic Medical Center in New York during the First Year
<b>Background:</b> New York City was the epicenter of the initial surge of the COVID-19 pandemic in the United States. Tracheostomy is a critical procedure in the care of patients with COVID-19. We hypothesized that early tracheostomy would decrease the length of time on sedation, time o...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/7/2130 |
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| author | Dhruv Patel Anthony Devivo Evan Leibner Atinuke Shittu Usha Govindarajulu Pranai Tandon David Lee Randall Owen Gustavo Fernandez-Ranvier Robert Hiensch Michael Marin Roopa Kohli-Seth Adel Bassily-Marcus |
| author_facet | Dhruv Patel Anthony Devivo Evan Leibner Atinuke Shittu Usha Govindarajulu Pranai Tandon David Lee Randall Owen Gustavo Fernandez-Ranvier Robert Hiensch Michael Marin Roopa Kohli-Seth Adel Bassily-Marcus |
| author_sort | Dhruv Patel |
| collection | DOAJ |
| description | <b>Background:</b> New York City was the epicenter of the initial surge of the COVID-19 pandemic in the United States. Tracheostomy is a critical procedure in the care of patients with COVID-19. We hypothesized that early tracheostomy would decrease the length of time on sedation, time on mechanical ventilation, intensive care unit length of stay, and mortality. <b>Methods:</b> A retrospective analysis of outcomes for all patients with COVID-19 who underwent tracheostomy during the first year of the COVID-19 pandemic at the Mount Sinai Hospital in New York City, New York. All adult intensive care units at the Mount Sinai Hospital, New York. Patients/subjects: 888 patients admitted to intensive care with COVID-19. Results: All patients admitted to the intensive care unit with COVID-19 (888) from 1 March 2020 to 1 March 2021 were analyzed and separated further into those intubated (544) and those requiring tracheostomy (177). Of those receiving tracheostomy, outcomes were analyzed for early (≤12 days) or late (>12 days) tracheostomy. Demographics, medical history, laboratory values, type of oxygen and ventilatory support, and clinical outcomes were recorded and analyzed. <b>Conclusions:</b> Early tracheostomy resulted in reduced duration of mechanical ventilation, reduced hospital length of stay, and reduced intensive care unit length of stay in patients admitted to the intensive care unit with COVID-19. There was no effect on overall mortality. |
| first_indexed | 2024-04-24T10:41:00Z |
| format | Article |
| id | doaj.art-375f7de2f43c4415958324268dae3634 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-04-24T10:41:00Z |
| publishDate | 2024-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-375f7de2f43c4415958324268dae36342024-04-12T13:21:38ZengMDPI AGJournal of Clinical Medicine2077-03832024-04-01137213010.3390/jcm13072130The COVID-19 Tracheostomy Experience at a Large Academic Medical Center in New York during the First YearDhruv Patel0Anthony Devivo1Evan Leibner2Atinuke Shittu3Usha Govindarajulu4Pranai Tandon5David Lee6Randall Owen7Gustavo Fernandez-Ranvier8Robert Hiensch9Michael Marin10Roopa Kohli-Seth11Adel Bassily-Marcus12Institute for Critical Care Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USAInstitute for Critical Care Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USAInstitute for Critical Care Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USAInstitute for Critical Care Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USACenter for Biostatistics, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADepartment of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADepartment of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADepartment of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADepartment of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADepartment of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USADepartment of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USAInstitute for Critical Care Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USAInstitute for Critical Care Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA<b>Background:</b> New York City was the epicenter of the initial surge of the COVID-19 pandemic in the United States. Tracheostomy is a critical procedure in the care of patients with COVID-19. We hypothesized that early tracheostomy would decrease the length of time on sedation, time on mechanical ventilation, intensive care unit length of stay, and mortality. <b>Methods:</b> A retrospective analysis of outcomes for all patients with COVID-19 who underwent tracheostomy during the first year of the COVID-19 pandemic at the Mount Sinai Hospital in New York City, New York. All adult intensive care units at the Mount Sinai Hospital, New York. Patients/subjects: 888 patients admitted to intensive care with COVID-19. Results: All patients admitted to the intensive care unit with COVID-19 (888) from 1 March 2020 to 1 March 2021 were analyzed and separated further into those intubated (544) and those requiring tracheostomy (177). Of those receiving tracheostomy, outcomes were analyzed for early (≤12 days) or late (>12 days) tracheostomy. Demographics, medical history, laboratory values, type of oxygen and ventilatory support, and clinical outcomes were recorded and analyzed. <b>Conclusions:</b> Early tracheostomy resulted in reduced duration of mechanical ventilation, reduced hospital length of stay, and reduced intensive care unit length of stay in patients admitted to the intensive care unit with COVID-19. There was no effect on overall mortality.https://www.mdpi.com/2077-0383/13/7/2130COVID-19tracheostomyICU length of stayARDS |
| spellingShingle | Dhruv Patel Anthony Devivo Evan Leibner Atinuke Shittu Usha Govindarajulu Pranai Tandon David Lee Randall Owen Gustavo Fernandez-Ranvier Robert Hiensch Michael Marin Roopa Kohli-Seth Adel Bassily-Marcus The COVID-19 Tracheostomy Experience at a Large Academic Medical Center in New York during the First Year Journal of Clinical Medicine COVID-19 tracheostomy ICU length of stay ARDS |
| title | The COVID-19 Tracheostomy Experience at a Large Academic Medical Center in New York during the First Year |
| title_full | The COVID-19 Tracheostomy Experience at a Large Academic Medical Center in New York during the First Year |
| title_fullStr | The COVID-19 Tracheostomy Experience at a Large Academic Medical Center in New York during the First Year |
| title_full_unstemmed | The COVID-19 Tracheostomy Experience at a Large Academic Medical Center in New York during the First Year |
| title_short | The COVID-19 Tracheostomy Experience at a Large Academic Medical Center in New York during the First Year |
| title_sort | covid 19 tracheostomy experience at a large academic medical center in new york during the first year |
| topic | COVID-19 tracheostomy ICU length of stay ARDS |
| url | https://www.mdpi.com/2077-0383/13/7/2130 |
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