COVIDTrach; the outcomes of mechanically ventilated COVID-19 patients undergoing tracheostomy in the UK: Interim Report
Hamilton NJI., Jacob T., Schilder AGM., Arora A., George MM., Green F., Jackson E., Goulder J., Kumar N., Schilling C., Laha S., Ahmad I., McGrath B., Birchall MA., Tolley NS., Sandhu G., Tatla T., Sharma N., Stimpson P., Andrews P., Surda P., Takhar A., Xie C., Bhargava EK., Tornari C., Verkerk M., Kelly M., Collins J., Pennell D., Amin N., Ranford D., Al-Yaghchi C., Ritchie L., Jaafar M., Mistry R., Rouhani M., Ashcroft M., Cereceda-Monteoliva N., Holroyd A., Ng J., Ghufoor K., Warner E., Drewery H., Hadley J., Bhandari R., Bhatti N., O’mahoney H., Shepherd S., Wilson H., Griffiths M., Rovira A., Munroe-Gray T., Dawson D., Sethukumar P., Ekpemi I., Bance RR., Karamali K., Glibbery N., Walker C., Valchanov K., Bates L., Saha S., Smart C., Magos T., Loizidou A., Lee M., Allin D., Kumar R., Cosway B., Glore R., Omakobia E., Tattersall G., Hill B., Udall W., Khwaja S., Anmolsingh R., Smyth C., Al-Dulaimy B., Kapoor K., Sirajuddin S., Fang S., Van-Damme F., Bondin D., Thorley D., Nair D., Kandiah S., Husband CD., Barrera-Groba C., Seymour N., Mahalingam S., Leakey E., Okhovat S., Buglass H., Tam E., Sheikh U., Suresh S., Westwood J., Smith J., Celinski M., Shahidi S., Jolly K., Osborne M., Fussey J., Kirkland P., Staufenberg J., Vasanthan R., Ladan S., Paul P., Tsirevelou P., Ratnam V., Anwar M., Pericleous A., Bates J., Moorthy R., Bothma P., Meghji S., Judd O., Ali T., Stubington T., Kumar A., Parker W., Davis T., Burgess A., Tsagkovits A., Winter S., Hunt T., Vijendren A., Venkatachalam V., Lechner M., Chandrasekharan D., Arya A., Brown R., Srinivasan V., Junaid M., Temple R., Pinto R., Nagalotimath U., Sheikh R., Cook C., Lunn J., Ranganathan B., Mani N., Saeed H., Linton S., Stewart R., Nakagawa S., Turner H., Whiteside J., Whiteside J., Cooper F., Collier J., Ward P., Lockie C., Lignos L., Courtney A., Browning T., Mulla O., Stobbs N., Alegria A., Starnes S., Thompson A., Whittaker J., Hassan A., Cameron M., Walker A., Leach L., Gill P., McCadden L., Baker S., Sanyal S., Wilkinson S., Siau R., Vallabh N., Riley E., Abou-Foul AK.
AbstractCOVIDTrach is a UK multidisciplinary collaborative project that aims to evaluate the outcomes of tracheostomy in COVID-19 patients. An invitation to participate in an online survey tool (REDCap) was disseminated to all UK NHS departments involved in tracheostomy in mechanically ventilated COVID-19 patients. Fifty-two percent (n=219/465) of patients who had undergone tracheostomy and were still alive, had been successfully weaned from mechanical ventilation at the point of completing the survey. The all cause in-hospital mortality following tracheostomy was 12% (n=62/530), with 3% of these (n=2/62) due to tracheostomy related complications and the remaining deaths due to COVID-19 related complications. Amongst 400 cases submitting data two weeks after the tracheostomy, no instance of COVID-19 infection amongst operators was recorded. This interim report highlights early outcomes following tracheostomy in mechanically ventilated COVID-19 patients. Future reporting from COVIDTrach will include more detailed analysis at later timepoints using comparator groups in order to provide a more comprehensive assessment of tracheostomy in COVID-19.