From: Open versus percutaneous tracheostomy in patients with COVID-19: retrospective cohort analysis
N (%) | Early n = 24 (%) | Late n = 89 (%) | P value | |
---|---|---|---|---|
Age (median) (p25-p75) | 66.0 (57.5 – 72.00) | 68.0 (60.7 – 71.0) | 64.0 (56.5 – 73.0) | 0.413 |
Sex | 0.861 | |||
Male | 77 (68.1) | 16 (66.6) | 61 (68.5) | |
Female | 36 (31.8) | 8 (33.3) | 28 (31.4) | |
BMI (median) (p25-p75) | 27.2 (23.5 – 31.2) | 26.2 (23.7 – 29.6) | 27.3 (23.4 – 31.5) | 0.603* |
Comorbidities | ||||
Arterial hypertension | 58 (51.3) | 15 (62.5) | 43 (48.3) | 0.217 |
Diabetes mellitus | 35 (30.9) | 8 (33.3) | 27 (30.3) | 0.778 |
Cardiovascular disease | 12 (10.6) | 1 (4.1) | 11 (12.3) | 0.248 |
Chronic obstructive pulmonary disease | 20 (17.6) | 9 (37.5) | 11 (12.3) | 0.004 |
Chronic kidney disease | 19 (16.8) | 5 (20.8) | 14 (15.7) | 0.553 |
Oncologic disease | 9 (7.9) | 1 (4.1) | 8 (8.9) | 0.439 |
SOFA (median) (p25-p75) | 7.0 (4.5 – 9.0) | 6.0 (5.0 – 9.0) | 7.0 (4.0 – 9.0) | 0.989* |
APACHE II (median) (p25-p75) | 16.0 (12.0 – 21.0) | 17.5 (12.0 – 23.7) | 15.0 (12.0 – 21.0) | 0.471* |
PaO2/FiO2 intubation (median) (p25-p75) | 79.0 (67.0 – 100.0) | 82.5 (68.0 – 115.2) | 78.0 (67.0 – 98.5) | 0.489* |
PaO2/FiO2 tracheostomy (median) (p25-p75) | 150 (118.5 – 185.5) | 143.5 (99.5 – 179.0) | 155.0 (125.0 – 192.0) | 0.179* |
Intubation days (median) (p25-p75) | 17.0 (14.0 – 20.5) | 12.0 (10.0. – 13.0) | 17.0 (15.5 – 22.0) | < 0.001* |
Type of tracheostomy | 0.808 | |||
Percutaneous | 40 (30.0) | 9 (37.5) | 31 (34.8) | |
Open | 73 (64.6) | 15 (62.5) | 58 (65.1) | |
Days in hospital (median) (p25-p75) | 38.0 (28.0 – 54.0) | 30.5 (19.2 – 45.5) | 40.0 (31.0 – 55.00) | 0.009* |
Days in ICU (median) (p25-p75) | 28.0 (22.0 – 38.0) | 19.5 ( 16.2 – 27.7) | 29.0 (25.0 – 39.0) | < 0.001* |
Decannulation | 39 (34.5) | 4 (16.6) | 35 (39.3) | 0.038 |
Complications | ||||
Bleeding | 7 (6.1) | 2 (8.3) | 5 (5.6) | 0.624 |
Surgical wound infection | 2 (1.7) | 0 (0.0) | 2 (2.2) | 0.459 |
Pneumothorax | 1 (0.8) | 0 (0.0) | 1 (1.1) | 0.602 |
Pneumomediastinum | 1 (0.8) | 0 (0.0) | 1 (1.1) | 0.602 |
Subcutaneous emphysema | 2 (1.7) | 1 (4.1) | 1 (1.1) | 0.316 |
Cardiac arrest | 2 (1.7) | 2 (8.3) | 0 (0.0) | 0.006 |
Laryngotracheal stenosis | 1 (0.8) | 0 (0.0) | 1 (1.1) | 0.602 |
Reintervention | 6 (5.3) | 1 (4.1) | 5 (5.6) | 0.778 |
In-hospital mortality | 58 (51.3) | 17 (70.8) | 41 (46.0) | 0.031 |