From: Open versus percutaneous tracheostomy in patients with COVID-19: retrospective cohort analysis
N (%) | Percutaneous n = 40 (35.3%) | Open n = 73 (64.6%) | P value | |
---|---|---|---|---|
Age (median) (p25-p75) | 66.0 (57.5 – 72.00) | 63.0 (56.2 – 71.0) | 67.0 (58.0 – 72.5) | 0.352* |
Sex | 0.072 | |||
Male | 77 (68.1) | 23 (57.5) | 54 (73.9) | |
Female | 36 (31.8) | 17 (42.5) | 19 (26.0) | |
BMI (median) (p25-p75) | 27.2 (23.5 – 31.2) | 27.8 (22.5 – 31.7) | 27.2 (23.7 – 29.7) | 0.810* |
Comorbidities | ||||
Arterial hypertension | 58 (51.3) | 20 (50.0) | 38 (52.0) | 0.834 |
Diabetes mellitus | 35 (30.9) | 14 (35.0) | 21 (28.7) | 0.493 |
Cardiovascular disease | 12 (10.6) | 3 (7.5) | 9 (12.3) | 0.426 |
Chronic obstructive pulmonary disease | 20 (17.6) | 7 (17.5) | 13 (17.8) | 0.967 |
Chronic kidney disease | 19 (16.8) | 4 (10.0) | 15 (20.5) | 0.152 |
Oncologic disease | 9 (7.9) | 5 (12.5) | 4 (5.4) | 0.187 |
SOFA (median) (p25-p75) | 7.0 (4.5 – 9.0) | 8.0 (5.2 – 9.0) | 6.0 (3.5 – 8.5) | 0.017* |
APACHE II (median) (p25-p75) | 16.0 (12.0 – 21.0) | 18.0 (13.0 – 23.0) | 15.0 (11.5 – 20.5) | 0.099* |
PaO2/FiO2 intubation (median) (p25-p75) | 79.0 (67.0 – 100.0) | 83.0 (70.2 – 98.7) | 78.0 (65.0 – 100.0) | 0.347* |
PaO2/FiO2 tracheostomy (median) (p25-p75) | 150 (118.5 – 185.5) | 162.0 (131.5 – 203.5) | 147.0 (113.0 – 180.0) | 0.141* |
Intubation days (median) (p25-p75) | 17.0 (14.0 – 20.5) | 16.0 (14.0 – 18.0) | 17.0 (14.0 – 21.0) | 0.233* |
Time of tracheostomy | 0.808 | |||
Early | 24 (21.2) | 9 (22.5) | 15 (20.5) | |
Late | 89 (78.7) | 31 (77.5) | 58 (79.4) | |
Mechanical ventilation Day 0 | ||||
Tidal volume (mL) (median) (p25- p75) | 420 (400–450) | 420 (397.5–457.5) | 420 (400–450) | 0.746* |
Plateau pressure (cmH2O) (median) (p25- p75) | 23 (21–25) | 22.5 (21.75–25.25) | 23 (20–25) | 0.475* |
Compliance static (mL/cmH2O) (median) (p25- p75) | 32.3 (27.6–44.4) | 31.4 (26.25–39.8) | 34.6 (28.5–44.4) | 0.367* |
PEEP (cmH2O) (median) (p25- p75) | 10 (10–12) | 10 (10–12) | 10 (10–12) | 0.881* |
Driving pressure (cmH2O) (median) (p25- p75) | 12 (10–14) | 12.5 (10.75–14) | 12 (10–14) | 0.633* |
Mechanical ventilation Day 4 | ||||
Tidal volume (mL) (median) (p25- p75) | 430 (400–467.5) | 409 (396.5–470) | 430 (412.5–460) | 0.261* |
Plateau pressure (cmH2O) (median) (p25- p75) | 24 (22–26) | 25 (23–27) | 23.5 (21.2–25) | 0.069* |
Compliance static (mL/cmH2O) (median) (p25- p75) | 33.8 (28.2–42) | 29.3 (26.6–39.4) | 35 (31.4–41.5) | 0.137* |
PEEP (cmH2O) (median) (p25- p75) | 12 (10–12) | 12 (10–12) | 12 (10–12) | 0.876* |
Driving pressure (cmH2O) (median) (p25- p75) | 13 (10–14) | 14 (11–15) | 12 (10–14) | 0.126* |
Days in hospital (median) (p25-p75) | 38.0 (28.0 – 54.0) | 44.0 (33.0 – 56.7) | 35.0 (24.0 – 50.5) | 0.012* |
Days in ICU (median) (p25-p75) | 28.0 (22.0 – 38.0) | 29.0 (25.0 – 29.0) | 27.0 (20.5 – 35.0) | 0.180* |
Decannulation | 39 (34.5) | 26 (65.0) | 13 (17.8) | < 0.001 |
Complications | ||||
Bleeding | 7 (6.1) | 1 (2.5) | 6 (8.2) | 0.228 |
Surgical wound infection | 2 (1.76) | 1 (2.5) | 1 (1.3) | 0.663 |
Pneumothorax | 1 (0.88) | 0 (0.0) | 1 (1.3) | 0.457 |
Pneumomediastinum | 1 (0.8) | 1 (2.5) | 0 (0.0) | 0.175 |
Subcutaneous emphysema | 2 (1.7) | 1 (2.5) | 1 (1.3) | 0.663 |
Cardiac arrest | 2 (1.7) | 1 (2.5) | 1 (1.3) | 0.663 |
Laryngotracheal stenosis | 1 (0.8) | 0 (0.0) | 1 (1.3) | 0.457 |
Reintervention | 6 (5.3) | 2 (5.0) | 4 (5.4) | 0.913 |
In-hospital mortality | 58 (51.3) | 10 (25.0) | 48 (65.7) | < 0.001 |