The Impact of the COVID-19 Pandemic on Tracheostomy Applications in the COVID and Non-COVID Intensive Care Units: A Single-center Experience
Objective:In the early stages of the pandemic, there were reservations about early tracheostomy due to the high risk of infection transmission. We reported the clinical characteristics and outcomes of patients who underwent an elective tracheostomy during the pandemic.Materials and Methods:The data...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2023-06-01
|
| Series: | Türk Yoğun Bakim Derneği Dergisi |
| Subjects: | |
| Online Access: |
http://www.turkishjic.org/archives/archive-detail/article-preview/the-mpact-of-the-covd-19-pandemic-on-tracheostomy-/57406
|
| _version_ | 1827921670369705984 |
|---|---|
| author | Gülbahar Çalışkan Serra Topal Pınar Küçükdemirci Kaya Gökhan Tüzemen Elifgül Ulutaş Nermin Kelebek Girgin |
| author_facet | Gülbahar Çalışkan Serra Topal Pınar Küçükdemirci Kaya Gökhan Tüzemen Elifgül Ulutaş Nermin Kelebek Girgin |
| author_sort | Gülbahar Çalışkan |
| collection | DOAJ |
| description | Objective:In the early stages of the pandemic, there were reservations about early tracheostomy due to the high risk of infection transmission. We reported the clinical characteristics and outcomes of patients who underwent an elective tracheostomy during the pandemic.Materials and Methods:The data from patients who underwent the elective tracheostomy between March 20, 2020, and January 01, 2021, were evaluated retrospectively. Medical records were analyzed for age, gender, comorbidities, complications, and outcomes. The duration from intubation to tracheostomy and the length of intensive care unit (ICU) and hospital stay were calculated. The data of coronavirus disease-2019 (COVID-19) patients (group I) and non-COVID-19 patients (group II) were compared. Additionally, early tracheostomy (≤14 days) and late tracheostomy (>14 days) groups were compared in terms of clinical outcomes.Results:A total of 144 patients, 70 of whom were diagnosed with COVID-19, were included. Tracheostomy was performed on the median 19th day in both groups (p=0.85). Percutaneous tracheostomy (68.6%) was performed more frequently in COVID-19 patients. The time of tracheostomy application had no positive effect on mortality in either groups. Bleeding occurred less frequently in group I.Conclusion:Percutaneous tracheostomy was performed more frequently in COVID-19 patients. Percutaneous tracheostomy is feasible to be conducted by the ICU team at the bedside with few complications. |
| first_indexed | 2024-03-13T04:30:45Z |
| format | Article |
| id | doaj.art-3819f520300946a79fa492b5350b19c6 |
| institution | Directory Open Access Journal |
| issn | 2146-6416 2147-267X |
| language | English |
| last_indexed | 2024-03-13T04:30:45Z |
| publishDate | 2023-06-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Yoğun Bakim Derneği Dergisi |
| spelling | doaj.art-3819f520300946a79fa492b5350b19c62023-06-19T13:15:21ZengGalenos YayineviTürk Yoğun Bakim Derneği Dergisi2146-64162147-267X2023-06-0121211912610.4274/tybd.galenos.2022.3826813049054The Impact of the COVID-19 Pandemic on Tracheostomy Applications in the COVID and Non-COVID Intensive Care Units: A Single-center ExperienceGülbahar Çalışkan0Serra Topal1Pınar Küçükdemirci Kaya2Gökhan Tüzemen3Elifgül Ulutaş4Nermin Kelebek Girgin5 Bursa Uludağ University Faculty of Medicine, Department of Anesthesiology and Reanimation, Division of Intensive Care, Bursa, Turkey Bursa Uludağ University Faculty of Medicine, Department of Anesthesiology and Reanimation, Division of Intensive Care, Bursa, Turkey University of Health Sciences Turkey, Bursa City Hospital, Clinic of Otolaryngology, Bursa, Turkey University of Health Sciences Turkey, Bursa City Hospital, Clinic of Anesthesiology and Reanimation, Intensive Care Unit, Bursa, Turkey University of Health Sciences Turkey, Bursa City Hospital, Clinic of Otolaryngology, Bursa, Turkey Bursa Uludağ University Faculty of Medicine, Department of Anesthesiology and Reanimation, Division of Intensive Care, Bursa, Turkey Objective:In the early stages of the pandemic, there were reservations about early tracheostomy due to the high risk of infection transmission. We reported the clinical characteristics and outcomes of patients who underwent an elective tracheostomy during the pandemic.Materials and Methods:The data from patients who underwent the elective tracheostomy between March 20, 2020, and January 01, 2021, were evaluated retrospectively. Medical records were analyzed for age, gender, comorbidities, complications, and outcomes. The duration from intubation to tracheostomy and the length of intensive care unit (ICU) and hospital stay were calculated. The data of coronavirus disease-2019 (COVID-19) patients (group I) and non-COVID-19 patients (group II) were compared. Additionally, early tracheostomy (≤14 days) and late tracheostomy (>14 days) groups were compared in terms of clinical outcomes.Results:A total of 144 patients, 70 of whom were diagnosed with COVID-19, were included. Tracheostomy was performed on the median 19th day in both groups (p=0.85). Percutaneous tracheostomy (68.6%) was performed more frequently in COVID-19 patients. The time of tracheostomy application had no positive effect on mortality in either groups. Bleeding occurred less frequently in group I.Conclusion:Percutaneous tracheostomy was performed more frequently in COVID-19 patients. Percutaneous tracheostomy is feasible to be conducted by the ICU team at the bedside with few complications. http://www.turkishjic.org/archives/archive-detail/article-preview/the-mpact-of-the-covd-19-pandemic-on-tracheostomy-/57406 intensive care unittracheostomyinvasive mechanical ventilationcovid-19 |
| spellingShingle | Gülbahar Çalışkan Serra Topal Pınar Küçükdemirci Kaya Gökhan Tüzemen Elifgül Ulutaş Nermin Kelebek Girgin The Impact of the COVID-19 Pandemic on Tracheostomy Applications in the COVID and Non-COVID Intensive Care Units: A Single-center Experience Türk Yoğun Bakim Derneği Dergisi intensive care unit tracheostomy invasive mechanical ventilation covid-19 |
| title | The Impact of the COVID-19 Pandemic on Tracheostomy Applications in the COVID and Non-COVID Intensive Care Units: A Single-center Experience |
| title_full | The Impact of the COVID-19 Pandemic on Tracheostomy Applications in the COVID and Non-COVID Intensive Care Units: A Single-center Experience |
| title_fullStr | The Impact of the COVID-19 Pandemic on Tracheostomy Applications in the COVID and Non-COVID Intensive Care Units: A Single-center Experience |
| title_full_unstemmed | The Impact of the COVID-19 Pandemic on Tracheostomy Applications in the COVID and Non-COVID Intensive Care Units: A Single-center Experience |
| title_short | The Impact of the COVID-19 Pandemic on Tracheostomy Applications in the COVID and Non-COVID Intensive Care Units: A Single-center Experience |
| title_sort | impact of the covid 19 pandemic on tracheostomy applications in the covid and non covid intensive care units a single center experience |
| topic | intensive care unit tracheostomy invasive mechanical ventilation covid-19 |
| url |
http://www.turkishjic.org/archives/archive-detail/article-preview/the-mpact-of-the-covd-19-pandemic-on-tracheostomy-/57406
|
| work_keys_str_mv | AT gulbaharcalıskan theimpactofthecovid19pandemicontracheostomyapplicationsinthecovidandnoncovidintensivecareunitsasinglecenterexperience AT serratopal theimpactofthecovid19pandemicontracheostomyapplicationsinthecovidandnoncovidintensivecareunitsasinglecenterexperience AT pınarkucukdemircikaya theimpactofthecovid19pandemicontracheostomyapplicationsinthecovidandnoncovidintensivecareunitsasinglecenterexperience AT gokhantuzemen theimpactofthecovid19pandemicontracheostomyapplicationsinthecovidandnoncovidintensivecareunitsasinglecenterexperience AT elifgululutas theimpactofthecovid19pandemicontracheostomyapplicationsinthecovidandnoncovidintensivecareunitsasinglecenterexperience AT nerminkelebekgirgin theimpactofthecovid19pandemicontracheostomyapplicationsinthecovidandnoncovidintensivecareunitsasinglecenterexperience AT gulbaharcalıskan impactofthecovid19pandemicontracheostomyapplicationsinthecovidandnoncovidintensivecareunitsasinglecenterexperience AT serratopal impactofthecovid19pandemicontracheostomyapplicationsinthecovidandnoncovidintensivecareunitsasinglecenterexperience AT pınarkucukdemircikaya impactofthecovid19pandemicontracheostomyapplicationsinthecovidandnoncovidintensivecareunitsasinglecenterexperience AT gokhantuzemen impactofthecovid19pandemicontracheostomyapplicationsinthecovidandnoncovidintensivecareunitsasinglecenterexperience AT elifgululutas impactofthecovid19pandemicontracheostomyapplicationsinthecovidandnoncovidintensivecareunitsasinglecenterexperience AT nerminkelebekgirgin impactofthecovid19pandemicontracheostomyapplicationsinthecovidandnoncovidintensivecareunitsasinglecenterexperience |