دورية أكاديمية
Tracheal stenosis as a complication of prolonged intubation in coronavirus disease 2019 (COVID-19) patients: a Peruvian cohort.
| العنوان: | Tracheal stenosis as a complication of prolonged intubation in coronavirus disease 2019 (COVID-19) patients: a Peruvian cohort. |
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| المؤلفون: | Palacios JM; Service of Thoracic Surgery, Guillermo Almenara Irigoyen National Hospital, Lima, Peru., Bellido DA; Service of Thoracic Surgery, Guillermo Almenara Irigoyen National Hospital, Lima, Peru., Valdivia FB; Service of Thoracic Surgery, Guillermo Almenara Irigoyen National Hospital, Lima, Peru., Ampuero PA; Service of Thoracic Surgery, Guillermo Almenara Irigoyen National Hospital, Lima, Peru., Figueroa CF; Service of Thoracic Surgery, Guillermo Almenara Irigoyen National Hospital, Lima, Peru., Medina C; Service of Thoracic Surgery, Guillermo Almenara Irigoyen National Hospital, Lima, Peru., Cervera JE; Service of Thoracic Surgery, Guillermo Almenara Irigoyen National Hospital, Lima, Peru. |
| المصدر: | Journal of thoracic disease [J Thorac Dis] 2022 Apr; Vol. 14 (4), pp. 995-1008. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: AME Publishing Company Country of Publication: China NLM ID: 101533916 Publication Model: Print Cited Medium: Print ISSN: 2072-1439 (Print) Linking ISSN: 20721439 NLM ISO Abbreviation: J Thorac Dis Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: Hong Kong : AME Publishing Company Original Publication: Hong Kong : Pioneer Bioscience Pub. Co. |
| مستخلص: | Background: Tracheal stenosis (TS) is associated with prolonged intubation and inflammation due to coronavirus disease 2019 (COVID-19) infection. Because of the COVID-19 pandemic, longer times of mechanical ventilation have been required, and different tracheostomies beyond 10 to 12 days have been made. All of these have increased the number of cases and complexity of tracheal pathology in patients with severe COVID-19 infection. Methods: A retrospective, chart review, from patients who were managed in the Service of Thoracic Surgery of Guillermo Almenara Irigoyen National Hospital, Lima, Peru, with a diagnosis of TS, tracheo-esophageal fistula and tracheomalacia between June 2020 until May 2021. Results: Sixty-three patients were diagnosed with TS because of prolonged intubation due to COVID-19 infection. Mean hospitalization time in the intensive care unit (ICU) was 30 days. Mean mechanical ventilation time was 25 days. The most frequent anatomical localization of TS was upper and middle third (55.6%), upper third (44.4%). Fifty-three patients (84.1%) had TS between 1-4 cm, and ten patients (15.9%) had TS longer than 4 cm. Most patients with TS were classified with Cotton-Myer grade III (88.9%). Conclusions: We report a retrospective study of 63 patients with a diagnosis of TS, in whom corrective surgery was performed: cervical tracheoplasty, Montgomery T tube, or tracheostomy. Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://jtd.amegroups.com/article/view/10.21037/jtd-21-1721/coif). The authors have no conflicts of interest to declare. (2022 Journal of Thoracic Disease. All rights reserved.) |
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| فهرسة مساهمة: | Keywords: Tracheal stenosis (TS); coronavirus disease 2019 (COVID-19); tracheo-esophageal fistula; tracheomalacia |
| تواريخ الأحداث: | Date Created: 20220516 Latest Revision: 20230328 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9096309 |
| DOI: | 10.21037/jtd-21-1721 |
| PMID: | 35572866 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2072-1439 |
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| DOI: | 10.21037/jtd-21-1721 |