Letter to the editor regarding “How to avoid nosocomial spread during tracheostomy for Covid‐19 patients”

D’Ascanio, Luca; Pandolfini, Manlio; Cingolani, Cristina; Latini, Giulio; Giardini, Damiano

doi:10.1002/hed.26333

Cited by 2 publications

(3 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Practice of tracheostomy is difficult to compare to other cohorts of invasively ventilated COVID–19 patients because of the large variability seen in both incidence and timing in a number of identified studies. Incidence of tracheostomy in invasively ventilated COVID–19 patients has been shown to range from 8 to 77% 4 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , and mean or median timing from 4 to 23 days 6 , 20 , 23 , 25 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 . As many of these identified studies are single center, this may reflect differences in local practices irrespective of national guidelines.…”

Section: Discussionmentioning

confidence: 99%

Practice of tracheostomy in patients with acute respiratory failure related to COVID–19 – Insights from the PRoVENT–COVID study

et al. 2022

View full text Add to dashboard Cite

Objective Invasively ventilated patients with acute respiratory failure related to coronavirus disease 2019 (COVID–19) potentially benefit from tracheostomy. The aim of this study was to determine the practice of tracheostomy during the first wave of the pandemic in 2020 in the Netherlands, to ascertain whether timing of tracheostomy had an association with outcome, and to identify factors that had an association with timing. Methods Secondary analysis of the ‘PRactice of VENTilation in COVID–19’ (PRoVENT–COVID) study, a multicenter observational study, conducted from March 1, 2020 through June 1, 2020 in 22 Dutch intensive care units (ICU) in the Netherlands. The primary endpoint was the proportion of patients receiving tracheostomy; secondary endpoints were timing of tracheostomy, duration of ventilation, length of stay in ICU and hospital, mortality, and factors associated with timing. Results Of 1023 patients, 189 patients (18.5%) received a tracheostomy at median 21 [17 to 28] days from start of ventilation. Timing was similar before and after online publication of an amendment to the Dutch national guidelines on tracheostomy focusing on COVID–19 patients (21 [17–28] vs. 21 [17–26] days; P=NS). Tracheostomy performed ≤21 days was independently associated with shorter duration of ventilation (median 26 [21 to 32] vs. 40 [34 to 47] days) and higher mortality in ICU (22.1% vs. 10.2%), hospital (26.1% vs. 11.9%) and at day 90 (27.6% vs. 14.6%). There were no patient demographics or ventilation characteristics that had an association with timing of tracheostomy. Conclusions Tracheostomy was performed late in COVID–19 patients during the first wave of the pandemic in the Netherlands and timing of tracheostomy possibly had an association with outcome. However, prospective studies are needed to further explore these associations. It remains unknown which factors influenced timing of tracheostomy in COVID–19 patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Practice of tracheostomy in patients with acute respiratory failure related to COVID–19 – Insights from the PRoVENT–COVID study

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Cancer surgery is generally considered non-elective, although there is a range of potential risks in which patients can occur if not promptly treated especially in case of head and neck malignancies. In fact, several upper aerodigestive tract malignancies can rapidly grow and quickly metastasize to locoregional lymph nodes [3] , [4] , [5] , so a treatment delay over 20 days exposes patients to an increased risk of survival [3] , [6] .…”

mentioning

confidence: 99%

“…Head and neck surgical procedures often require a relevant amount of healthcare resources in addition to potential infectious risks for healthcare workers, which may affect the decision to postpone or modify the surgery in case of financial restrictions or different use of economic/personnel resources (i.e. for Intensive Care Units or Covid Departments) [6] , [7] , [8] , [9] . For example, free flap reconstructive surgery requires longer operative times and postoperative intensive care unit (ICU) occupancy [9] .…”

mentioning

confidence: 99%

Covid-19 negatively impacted on small oncology surgery but none on major procedures: Regional experience

et al. 2022

Self Cite

View full text Add to dashboard Cite

Aim to understand the impact of COVID pandemic on the activity and patients’ care of the Head and Neck regional Unit, temporary moved in a COVID-free hospital. Methods we retrospectively analyzed the yearly activity of the “Head & Neck Cancer Unit” at the Azienda Ospedali Riuniti Marche Nord (Italy) during 2020 (COVID-19 pandemic) and we compared it with the one performed in 2019. Statistical analyses were performed using Chi-square. Results No significant differences were observed comparing the total number of patients treated for H&N squamous cell carcinoma (SCC) in 2019 with the ones in 2020. Moreover, no differences were identified in term of cancer stage at the moment of the surgery between 2019 and 2020. On the contrary, a significant reduction in the number of surgical procedures carried out for thyroid (p<0.05) and skin (p<0.001) malignancies was identified. Conclusions Despite Covid-19 limitations, our institution was able to preserve the number of major oncologic procedures without negative impact on patients’ care. We believe that the creation of specific COVID-free hospital can be the key preserve quality of care in epidemic emergency.

show abstract

Letter to the editor regarding “How to avoid nosocomial spread during tracheostomy for Covid‐19 patients”

Cited by 2 publications

References 4 publications

Practice of tracheostomy in patients with acute respiratory failure related to COVID–19 – Insights from the PRoVENT–COVID study

Practice of tracheostomy in patients with acute respiratory failure related to COVID–19 – Insights from the PRoVENT–COVID study

Covid-19 negatively impacted on small oncology surgery but none on major procedures: Regional experience

Contact Info

Product

Resources

About