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Research Article Open access CC BY 4.0

A Scrutiny of Diverse Parameters and Post Tracheostomy Outcome with Quality of Life in Severe COVID-19 Infection

Ria Emmanuel, M. V. Anoopa, A. M. Anitha Kumari

Asian Journal of Research in Infectious Diseases · pp. 18–26 · Published 28 Oct 2022

10.9734/ajrid/2022/v11i3220

Abstract

Objectives: The primary aim was to investigate the prognostic factors among critically ill COVID-19 patients, who required mechanical ventilation and tracheostomy. Secondary aim was to analyse their Health-related Quality of Life (HrQoL) at 90 days after ICU discharge. Study Design & Setting: An observational cohort study conducted at a quaternary care setting in Bengaluru, India. Patients’ demographics and clinical data including inflammatory markers, ventilatory parameters, details of intubation and tracheostomy were analysed. Methods: Data were analysed and expressed as mean with percentage (%).  Data from the 2 groups, survivors and non- survivors, were compared using Fisher's exact test for categorical variables and t test for continuous variables. The survivors and ‘age and sex’ - matched general population (not infected by COVID-19), from the same geographical area were subjected to questionnaires by the EuroQol group. Results: Among 33 critically ill COVID-19 patients who underwent tracheostomy,15 patients (45.4%) survived. Comorbidities and COVID-19 related complications were noted high among the non-survivors. Ventilatory parameters FiO2, PEEP and PaO2/FiO2 were better in the survivors group which favored the recovery. Complication rate of tracheostomy was 18.1%.Ventilation liberation rate from our study was found to be 45.4% and decannulation rate 42.4%. Low values of D-Dimer and Ferritin strongly favored better recovery. Health-related Quality of Life of the survivor group and general population were comparable. Conclusion: Ventilatory parameters, inflammatory markers and comorbidities do have a role in prognosticating outcome in patients who required tracheostomy. At 90 days follow up there was no significant impact of the disease in the quality of  life of survivors.

COVID-19 ARDS ICU ventilator tracheostomy health- related quality of life

References (10)

  1. 1 EuroQol - a new facility for the measurement of health-related quality of life [DOI]
  2. 2 Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area [DOI]
  3. 3 Intensive care management of coronavirus disease 2019 (COVID-19): challenges and recommendations [DOI]
  4. 4 The Post-COVID-19 Functional Status scale: a tool to measure functional status over time after COVID-19 [DOI]
  5. 5 Covid-19: What do we know about “long covid”? [DOI]
  6. 6 Quality of life, functional status, and persistent symptoms after intensive care of COVID-19 patients [DOI]
  7. 7 Mechanical ventilation parameters in critically ill COVID-19 patients: a scoping review [DOI]
  8. 8 Early Outcomes From Early Tracheostomy for Patients With COVID-19 [DOI]
  9. 9 Tracheostomy During the COVID‐19 Pandemic: Comparison of International Perioperative Care Protocols and Practices in 26 Countries [DOI]
  10. 10 Early vs. late tracheostomy in ventilated COVID-19 patients – A retrospective study [DOI]

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