From: Open versus percutaneous tracheostomy in patients with COVID-19: retrospective cohort analysis
N (%) | Alive n = 55 (48.6%) | Dead n = 58 (51.3%) | P value | |
---|---|---|---|---|
Age (median) (p25-p75) | 66.0 (57.5 – 72.00) | 61.0 (53.0 – 68.0) | 70.0 (61.0 – 74.2) | < 0.001* |
Sex | 0.847 | |||
Male | 77 (68.1) | 37 (67.3) | 40 (69.0) | |
Female | 36 (31.8) | 18 (32.7) | 18 (31.0) | |
BMI (median) (p25-p75) | 27.2 (23.5 – 31.2) | 27.2 (23.4 – 31.5) | 27.2 (23.7 – 31.2) | 0.982* |
Comorbidities | ||||
Arterial hypertension | 58 (51.3) | 28 (50.9) | 30 (51.7) | 0.931 |
Diabetes mellitus | 35 (30.9) | 19 (34.5) | 16 (27.6) | 0.424 |
Cardiovascular disease | 12 (10.6) | 4 (7.3) | 8 (13.8) | 0.261 |
Chronic obstructive pulmonary disease | 20 (17.6) | 6 (10.9) | 14 (24.1) | 0.066 |
Chronic kidney disease | 19 (16.8) | 6 (10.9) | 13 (22.4) | 0.102 |
Oncologic disease | 9 (7.9) | 3 (5.5) | 6 (10.3) | 0.337 |
SOFA (median) (p25-p75) | 7.0 (4.5 – 9.0) | 7.0 (5.0 – 8.0) | 7.0 (3.7 – 9.0) | 0.972* |
APACHE II (median) (p25-p75) | 16.0 (12.0 – 21.0) | 15.0 (12.0 – 20.0) | 18.0 (12.0 – 23.0) | 0.097* |
PaO2/FiO2 intubation (median) (p25-p75) | 79.0 (67.0 – 100.0) | 78.0 (67.0 – 98.0) | 84.0 (67.0 – 104.7) | 0.367* |
PaO2/FiO2 tracheostomy (median) (p25-p75) | 150 (118.5 – 185.5) | 164.0 (137.0 – 194.0) | 142.5 (105.5 – 142.5) | 0.021* |
Intubation days (median) (p25-p75) | 17.0 (14.0 – 20.5) | 17.0 (14.0 – 21.0) | 16.5 (13.0 – 20.0) | 0.468* |
Time of tracheostomy | 0.031 | |||
Early | 24 (21.2) | 7 (12.7) | 17 (29.3) | |
Late | 89 (78.7) | 48 (87.3) | 41 (70.7) | |
Type of tracheostomy | < 0.001 | |||
Percutaneous | 40 (30.0) | 30 (54.5) | 10 (17.2) | |
Open | 73 (64.6) | 25 (45.5) | 48 (82.8) | |
Mechanical ventilation Day 0 | ||||
Tidal volume (mL) (median) (p25- p75) | 420 (400–450) | 420 (400–460) | 420 (400–440) | 0.546* |
Plateau pressure (cmH2O) (median) (p25- p75) | 23 (21–25) | 23 (21–26) | 22 (20–25) | 0.485* |
Compliance static (mL/cmH2O) (median) (p25- p75) | 32.3 (27.6–44.4) | 34.3 (27.0–45.1) | 30.7 (28.5–43) | 0.673* |
PEEP (cmH2O) (median) (p25- p75) | 10 (10–12) | 10 (10–12) | 10 (10–12) | 0.461* |
Driving pressure (cmH2O) (median) (p25- p75) | 12 (10–14) | 12 (10–14.25) | 12 (10–14) | 0.824* |
Mechanical ventilation Day 4 | ||||
Tidal volume (mL) (median) (p25- p75) | 430 (400–467.5) | 425 (400–470) | 430 (402–460) | 0.915* |
Plateau pressure (cmH2O) (median) (p25- p75) | 24 (22–26) | 24.5 (21.2–27) | 24 (22–24) | 0.406* |
Compliance static (mL/cmH2O) (median) (p25- p75) | 33.8 (28.2–42) | 34.0 (28.1–44.0) | 33.8 (31.2–40) | 0.857* |
PEEP (cmH2O) (median) (p25- p75) | 12 (10–12) | 12 (10–12) | 10.5 (10–12) | 0.403* |
Driving pressure (cmH2O) (median) (p25- p75) | 13 (10–14) | 13 (10.2–15) | 12 (10.5–14) | 0.718* |
Days in hospital (median) (p25-p75) | 38.0 (28.0 – 54.0) | 50.0 (39.0 – 67.0) | 28.0 (22.0 – 36.2) | < 0.001* |
Days in ICU (median) (p25-p75) | 28.0 (22.0 – 38.0) | 32.0 (26.0 – 44.0) | 25.5 (17.7 – 32.0) | < 0.001* |
Decannulation | 39 (34.5) | 37 (67.3) | 2 (3.4) | < 0.001 |
Complications | ||||
Bleeding | 7 (6.1) | 4 (7.3) | 3 (5.2) | 0.643 |
Surgical wound infection | 2 (1.7) | 2 (3.6) | 0 (0.0) | 0.143 |
Pneumothorax | 1 (0.8) | 0 (0.0) | 1 (1.7) | 0.328 |
Pneumomediastinum | 1 (0.8) | 0 (0.0) | 1 (1.7) | 0.328 |
Subcutaneous emphysema | 2 (1.7) | 1 (1.8) | 1 (1.7) | 0.970 |
Cardiac arrest | 2 (1.7) | 0 (0.0) | 2 (3.4) | 0.165 |
Laryngotracheal stenosis | 1 (0.8) | 1 (1.89 | 0 (0.0) | 0.302 |
Reintervention | 6 (5.3) | 2 (3.6) | 4 (6.9) | 0.440 |