• Saudi Med J · Nov 2021

    Outcomes of tracheostomy in COVID-19 patients in National Guard Health Affairs, Riyadh, Saudi Arabia.

    • Salwa ALHumaid, Mohammed A Elkrim, Yazeed A AlOqaili, Ghada A AlSowailmi, Fahad A AlObaid, Abdulaziz A AlSalem, Mohammed A AlQabasani, Yaseen M Arabi, and Hasan M AlDorzi.
    • From the Division of Otolaryngology-Head and Neck Surgery (ALHumaid, Elkrim, AlOqaili, AlObaid, AlSalem, AlQabasani), Department of Surgery; from the Department of Intensive Care Unit (Arabi, AlDorzi), King Abdulaziz Medical City and King Abdullah Specialist Children's Hospital National Guard Health Affairs, and from the College of Medicine (AlSowailmi), King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
    • Saudi Med J. 2021 Nov 1; 42 (11): 1217-1222.

    ObjectivesTo evaluate coronavirus disease 2019 (COVID-19) patient tracheostomy outcomes.MethodsAll COVID-19 patients at the National Guard Hospital, Riyadh, Saudi Arabia, were retrospectively recruited. Those who had tracheostomies between April and December 2020 were included.ResultsThe population was 45 patients, of which 30 (66.7%) were males, 15 (33.3%) were females and the mean age was 66.76±12.74 years. The tracheostomy indications were anticipated prolonged weaning in 40 (88.9%) and failed extubation in 5 (11.1%) of the patients. The mean intubation to tracheostomy duration was 20.62±7.21 days. Mortalities were high, with most attributed to COVID-19. Mortality and a pre-tracheostomy C-reactive protein (CRP) uptrend were significantly related (p=0.039). Mortality and intubation to tracheostomy duration were not significantly related. The mean post-tracheostomy time to death was 10.64±6.9 days. Among the survivors, 20 (44.4%) males and 11 (24.4%) females were weaned off mechanical ventilation; 9 (20%) remained on ventilation during the study. The mean ventilation weaning time was 27.92±20 days.ConclusionThe high mortality rate was attributed to COVID-19. Mortality and a pre-tracheostomy CRP uptrend were significantly related; uptrend patients experienced far more mortalities than downtrend patients. Unlike previous findings, mortality and intubation to tracheostomy duration were not significantly related.Copyright: © Saudi Medical Journal.

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