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10.1007/s00405-020-06220-3

http://scihub22266oqcxt.onion/10.1007/s00405-020-06220-3
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32749607!7399582!32749607
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suck abstract from ncbi


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pmid32749607      Eur+Arch+Otorhinolaryngol 2021 ; 278 (5): 1605-1612
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  • Outcome of 1890 tracheostomies for critical COVID-19 patients: a national cohort study in Spain #MMPMID32749607
  • Martin-Villares C; Perez Molina-Ramirez C; Bartolome-Benito M; Bernal-Sprekelsen M
  • Eur Arch Otorhinolaryngol 2021[May]; 278 (5): 1605-1612 PMID32749607show ga
  • BACKGROUND: The question of an optimal strategy and outcomes in COVID-19 tracheostomy has not been answered yet. The critical focus in our case study is to evaluate the outcomes of tracheostomy on intubated COVID-19 patients. METHODS: A multicentric prospective observational study of 1890 COVID-19 patients undergoing tracheostomy across 120 hospitals was conducted over 7 weeks in Spain (March 28 to May 15, 2020). Data were collected with an innovative approach: instant messaging via WhatsApp. OUTCOME MEASUREMENTS: complications, achieved weaning and decannulation and survival. RESULTS: We performed 1,461 surgical (81.3%) and 429 percutaneous tracheostomies. Median timing of tracheostomy was 12 days (4-42 days) since orotracheal intubation. A close follow-up of 1616/1890 (85.5%) patients at the cut-off time of 1-month follow-up showed that in 842 (52.1%) patients, weaning was achieved, while 391 (24.2%) were still under mechanical ventilation and 383 (23.7%) patients had died from COVID-19. Decannulation among those in whom weaning was successful (n = 842) was achieved in 683 (81%) patients. CONCLUSION: To the best of our knowledge, this is the largest cohort of COVID-19 patients undergoing tracheostomy. The critical focus is the unprecedented amount of tracheostomies: 1890 in 7 weeks. Weaning could be achieved in over half of the patients with follow-up. Almost one out of four tracheotomized patients died from COVID-19.
  • |*COVID-19[MESH]
  • |*Tracheostomy[MESH]
  • |Cohort Studies[MESH]
  • |Humans[MESH]
  • |Respiration, Artificial[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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