A Retrospective Observational Study Exploring 30- and 90-Day Outcomes for Patients With COVID-19 After Percutaneous Tracheostomy and Gastrostomy Placement.
Journal
Critical care medicine
ISSN: 1530-0293
Titre abrégé: Crit Care Med
Pays: United States
ID NLM: 0355501
Informations de publication
Date de publication:
01 05 2022
01 05 2022
Historique:
pubmed:
19
2
2022
medline:
3
5
2022
entrez:
18
2
2022
Statut:
ppublish
Résumé
To determine the 30- and 90-day outcomes of COVID-19 patients receiving tracheostomy and percutaneous endoscopic gastrostomy (PEG). Retrospective observational study. Multisite, inpatient. Hospitalized COVID-19 patients who received tracheostomy and PEG at four Boston hospitals. Tracheostomy and PEG placement. The primary outcome was mortality at 30 and 90 days post-procedure. Secondary outcomes included continued device presence, place of residence, complications, and rehospitalizations. Eighty-one COVID-19 patients with tracheostomy and PEG placement were included. At 90 days post-device placement, the mortality rate was 9.9%, 2.7% still had the tracheostomy, 32.9% still had the PEG, and 58.9% were at home. More than nine-in-10 patients in our population of COVID-19 patients who underwent tracheostomy and PEG were alive 90 days later and most were living at home. This study provides new information regarding the outcomes of this patient population that may serve as a step in guiding clinicians, patients, and families when making decisions regarding these devices.
Identifiants
pubmed: 35180721
doi: 10.1097/CCM.0000000000005451
pii: 00003246-202205000-00011
pmc: PMC9005100
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
819-824Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2022 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
Déclaration de conflit d'intérêts
Dr. Leiter received funding from the New England Journal of Medicine, New York University, the New York Times, and the United States Uniformed Services University. Dr. Mazzola received funding from The VeraMedica Institute LLC. The remaining authors have disclosed that they do not have any potential conflicts of interest.
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