Juntos Ante el PeligroResultados de traquetomías para pacientes críticos por COVID-19, unidades multicéntricas de ORL en Castilla y León: Estudio de cohortes de más de 139 pacientes críticos COVD-19

  1. Sancho-Calvo, Rosa María 1
  2. Martín-Villares, Cristina 2
  3. Pérez-Molina-Ramírez, María Carmen 1
  4. Velasco-García, Maria Jesús 3
  5. Navazo-Eguia, Ana Isabel 4
  6. Álvarez-Álvarez, Ignacio 5
  7. Puente-Vérez, María 5
  8. Alonso-Castañeira, Ignacio 6
  9. Calvo-Pérez, Marta 7
  10. Ibáñez-Lagunas, Isabel 1
  11. Díaz-Sastre, María Ángeles 1
  12. Castillo-Varela, Francisco Gabriel 1
  13. Martínez-Subias, José Javier 8
  14. Santos-Pérez, Jaime 9
  15. Alonso-Mesonero, Marta 9
  16. Gil-Carcedo-Sañudo , Elisa 10
  17. Suárez-Ortega, Soledad 11
  18. Morales-Angulo, Carmelo 12
  19. Díaz-Decerio, Pedro 13
  1. 1 Complejo Asistencial de Segovia
    info

    Complejo Asistencial de Segovia

    Segovia, España

    ROR https://ror.org/004qj2391

  2. 2 Hospital del Bierzo
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    Hospital del Bierzo

    Ponferrada, España

    ROR https://ror.org/028d75n58

  3. 3 Complejo Asistencial de Ávila
    info

    Complejo Asistencial de Ávila

    Avila, España

  4. 4 Complejo Asistencial Universitario de Burgos
    info

    Complejo Asistencial Universitario de Burgos

    Burgos, España

    ROR https://ror.org/01j5v0d02

  5. 5 Complejo Asistencial de León
  6. 6 Complejo Asistencial de Palencia
  7. 7 Complejo Asistencial de Salamanca
  8. 8 Complejo Asistencial de Soria
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    Complejo Asistencial de Soria

    Soria, España

  9. 9 Hospital Universitario de Valladolid
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    Hospital Universitario de Valladolid

    Valladolid, España

    ROR https://ror.org/04fffmj41

  10. 10 Hospital Universitario Río Hortega de Valladolid
  11. 11 Hospital Virgen de la Concha
    info

    Hospital Virgen de la Concha

    Zamora, España

    ROR https://ror.org/02bhk3j29

  12. 12 Hospital Universitario Marqués de Valdecilla de Santander
  13. 13 Hospital San Pedro de Logroño
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Journal:
Revista ORL

ISSN: 2444-7986,  2444-7986

Year of publication: 2022

Issue Title: XXVIII Congreso de la Sociedad Otorrinolaringológica de Castilla y León, Cantabria y La Rioja Valladolid 2, 3 y 4 de junio de 2022

Volume: 13

Issue: 2

Pages: 65-66

Type: Article

DOI: 10.14201/ORL.28985 DIALNET GOOGLE SCHOLAR

More publications in: Revista ORL

Abstract

Introduction and objective: The question of an optimal strategy and outcomes in COVID-19 tracheotomy has not been answered yet. The critical focus in our case study is to evaluate the outcomes of tracheotomy on intubated COVID-19 patients. Method: A multicentric prospective observational study of COVID-19 patients undergoing tracheotomy in 13 hospitals from Castilla y León (Spain) was conducted over 7 weeks (from March 28 to May 15, 2020). Data were collected daily with instant messaging via WhatsApp. Outcome measurements: complications, achieved weaning and decannulation and survival. Results: We performed 139 tracheotomies in critical COVID-19 patients : 90 surgical tracheotomies (64,8%) and 49 percutaneous tracheotomies. Median timing of tracheotomy was 12 days (4–42 days) since orotracheal intubation. A close follow-up at the cut-off time of 1-month follow-up showed that weaning was achieved in 73 patients ( 52,5%) while 51 (30,7%) were still under mechanical ventilation and 15 (10,8%) patients had died from COVID-19. Decannulation among those in whom weaning was successful was achieved in 31patients. 15 otolaryngologists testing positive for SARS-CoV-19 by RT-PCR during this 7 weeks. Conclusions: The critical focus is the unprecedented amount of tracheotomies: 139 in 7 weeks. Weaning could be achieved in over half of the patients with follow-up.

Data source: Dialnet