作者
Constance S Harrell Shreckengost, Jorge Esteban Foianini, Karen Milenka Moron Encinas, Hugo Tola Guarachi, Katrina Abril, Dina Amin, David Berkowitz, Christine Aisha Castater, J Miller Douglas, April A Grant, Onkar Vohra Khullar, Andrea Nichole Lane, Alice Lin, Abesh Niroula, Azhar Nizam, Ammar Rashied, Alexandra W Reitz, Steven M Roser, Julia Spychalski, Sérgio Samir Arap, Ricardo Ferreira Bento, Pedro Prosperi Desenzi Ciaralo, Rui Imamura, Luiz Paulo Kowalski, Ali Mahmoud, Alessandro Wasum Mariani, Carlos Augusto Metidieri Menegozzo, Hélio Minamoto, Fábio Luiz M Montenegro, Paulo Manoel Pêgo-Fernandes, Jones Santos Jr, Edivaldo Massozo Utiyama, Jithin K Sreedharan, Or Kalchiem-Dekel, Jonathan Nguyen, Rohan K Dhamsania, Kerianne Allen, Adrian Modzik, Vikas Pathak, Cheryl White, Juan Blas, Issa Talal El-Abur, Gabriel Tirado, Carlos Yánez Benítez, Thomas G Weiser, Mark Barry, Marissa Boeck, Michael Farrell, Anya Greenberg, Phoebe Miller, Paul Park, Maraya Camazine, Deidre Dillon, Randi N Smith
发表日期
2022/11
期刊
Critical care explorations
卷号
4
期号
11
出版商
Wolters Kluwer Health
简介
Objectives:
Timing of tracheostomy in patients with COVID-19 has attracted substantial attention. Initial guidelines recommended delaying or avoiding tracheostomy due to the potential for particle aerosolization and theoretical risk to providers. However, early tracheostomy could improve patient outcomes and alleviate resource shortages. This study compares outcomes in a diverse population of hospitalized COVID-19 patients who underwent tracheostomy either “early”(within 14 d of intubation) or “late”(more than 14 d after intubation).
Design:
International multi-institute retrospective cohort study.
Setting:
Thirteen hospitals in Bolivia, Brazil, Spain, and the United States.
Patients:
Hospitalized patients with COVID-19 undergoing early or late tracheostomy between March 1, 2020, and March 31, 2021.
Interventions:
Not applicable.
Measurements and Main Results:
A total of 549 patients from 13 hospitals in four countries …
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