RT Journal Article
SR Electronic
T1 Outcomes of tracheostomy in COVID-19 patients in National Guard Health Affairs, Riyadh, Saudi Arabia
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1217
OP 1222
DO 10.15537/smj.2021.42.11.20210505
VO 42
IS 11
A1 ALHumaid, Salwa
A1 Elkrim, Mohammed A.
A1 AlOqaili, Yazeed A.
A1 AlSowailmi, Ghada A.
A1 AlObaid, Fahad A.
A1 AlSalem, Abdulaziz A.
A1 AlQabasani, Mohammed A.
A1 Arabi, Yaseen M.
A1 AlDorzi, Hasan M.
YR 2021
UL http://smj.org.sa/content/42/11/1217.abstract
AB Objectives: To evaluate coronavirus disease 2019 (COVID-19) patient tracheostomy outcomes.Methods: All 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.Results: The 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.Conclusion: The 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.