Laryngotracheal Complications after Intubation for COVID-19: A Multicenter Study

Many of the patients with COVID-19 have suffered respiratory distress requiring prolonged endotracheal intubation (ETI) resulting in laryngotracheal complication with an impact on breathing, phonation, and swallowing. Our aim is to describe laryngeal injuries diagnosed after ETI in patients with COV...

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Authors: Hernandez-Garcia, E, Hernandez-Sandemetrio, R, Quintana-Sanjuas, A, Zapater-Latorre, E, Gonzalez-Herranz, R, Sanz, L, Reboll, R, Pallares-Marti, B, Olle-Moliner, M, Martinez-Pascual, P, Gotxi, I, Chacon-Uribe, A, Plaza, G
Format: article
Status:Published version
Publication Date:2023
Country:España
Institution:Institut d'Investigació i Innovació Parc Taulí (I3PT)
Repository:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
OAI Identifier:oai:i3pt.fundanetsuite.com:p3747
Online Access:https://i3pt.portalinvestigacion.com/publicaciones/3747
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85160253373&doi=10.3390%2flife13051207&partnerID=40&md5=6a0af1670c5c1ed5cffd75808209cf2b
Access Level:Open access
Keyword:laryngeal complications
COVID-19
prolonged intubation
tracheostomy
subglottic stenosis
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spelling Laryngotracheal Complications after Intubation for COVID-19: A Multicenter StudyHernandez-Garcia, EHernandez-Sandemetrio, RQuintana-Sanjuas, AZapater-Latorre, EGonzalez-Herranz, RSanz, LReboll, RPallares-Marti, BOlle-Moliner, MMartinez-Pascual, PGotxi, IChacon-Uribe, APlaza, Glaryngeal complicationsCOVID-19prolonged intubationtracheostomysubglottic stenosisMany of the patients with COVID-19 have suffered respiratory distress requiring prolonged endotracheal intubation (ETI) resulting in laryngotracheal complication with an impact on breathing, phonation, and swallowing. Our aim is to describe laryngeal injuries diagnosed after ETI in patients with COVID-19 in a multicentre study. Methods: A prospective descriptive observational study was conducted from January 2021 to December 2021, including COVID-19 patients with laryngeal complications due to ETI diagnosed in several Spanish hospitals. We analyzed the epidemiological data, previous comorbidities, mean time to ICU admission and ETI, need for tracheostomy, mean time on invasive mechanical ventilation until tracheostomy or weaning, mean time in ICU, type of residual lesions, and their treatment. Results: We obtained the collaboration of nine hospitals during the months of January 2021 to December 2021. A total of 49 patients were referred. Tracheostomy was performed in 44.9%, being late in most cases (more than 7-10 days). The mean number of days of ETI until extubation was 17.63 days, and the main post-intubation symptoms were dysphonia, dyspnea, and dysphagia, in 87.8%, 34.7%, and 42.9%, respectively. The most frequent injury was altered laryngeal mobility, present in 79.6%. Statistically, there is a greater amount of stenosis after late ETI and after delayed tracheostomy, not observing the data with the immobility alterations. Conclusion: The mean number of days of ETI was long, according to the latest guidelines, with the need for several cycles of pronation. This long ETI may have had an impact on the increase of subsequent laryngeal sequelae, such as altered laryngeal mobility or stenosis.MDPI2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://i3pt.portalinvestigacion.com/publicaciones/3747https://www.scopus.com/inward/record.uri?eid=2-s2.0-85160253373&doi=10.3390%2flife13051207&partnerID=40&md5=6a0af1670c5c1ed5cffd75808209cf2bLife-BaselISSN: 20751729reponame:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulíinstname:Institut d'Investigació i Innovació Parc Taulí (I3PT)Inglésinfo:eu-repo/semantics/openAccessoai:i3pt.fundanetsuite.com:p37472026-06-21T15:30:37Z
dc.title.none.fl_str_mv Laryngotracheal Complications after Intubation for COVID-19: A Multicenter Study
title Laryngotracheal Complications after Intubation for COVID-19: A Multicenter Study
spellingShingle Laryngotracheal Complications after Intubation for COVID-19: A Multicenter Study
Hernandez-Garcia, E
laryngeal complications
COVID-19
prolonged intubation
tracheostomy
subglottic stenosis
title_short Laryngotracheal Complications after Intubation for COVID-19: A Multicenter Study
title_full Laryngotracheal Complications after Intubation for COVID-19: A Multicenter Study
title_fullStr Laryngotracheal Complications after Intubation for COVID-19: A Multicenter Study
title_full_unstemmed Laryngotracheal Complications after Intubation for COVID-19: A Multicenter Study
title_sort Laryngotracheal Complications after Intubation for COVID-19: A Multicenter Study
dc.creator.none.fl_str_mv Hernandez-Garcia, E
Hernandez-Sandemetrio, R
Quintana-Sanjuas, A
Zapater-Latorre, E
Gonzalez-Herranz, R
Sanz, L
Reboll, R
Pallares-Marti, B
Olle-Moliner, M
Martinez-Pascual, P
Gotxi, I
Chacon-Uribe, A
Plaza, G
author Hernandez-Garcia, E
author_facet Hernandez-Garcia, E
Hernandez-Sandemetrio, R
Quintana-Sanjuas, A
Zapater-Latorre, E
Gonzalez-Herranz, R
Sanz, L
Reboll, R
Pallares-Marti, B
Olle-Moliner, M
Martinez-Pascual, P
Gotxi, I
Chacon-Uribe, A
Plaza, G
author_role author
author2 Hernandez-Sandemetrio, R
Quintana-Sanjuas, A
Zapater-Latorre, E
Gonzalez-Herranz, R
Sanz, L
Reboll, R
Pallares-Marti, B
Olle-Moliner, M
Martinez-Pascual, P
Gotxi, I
Chacon-Uribe, A
Plaza, G
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv laryngeal complications
COVID-19
prolonged intubation
tracheostomy
subglottic stenosis
topic laryngeal complications
COVID-19
prolonged intubation
tracheostomy
subglottic stenosis
description Many of the patients with COVID-19 have suffered respiratory distress requiring prolonged endotracheal intubation (ETI) resulting in laryngotracheal complication with an impact on breathing, phonation, and swallowing. Our aim is to describe laryngeal injuries diagnosed after ETI in patients with COVID-19 in a multicentre study. Methods: A prospective descriptive observational study was conducted from January 2021 to December 2021, including COVID-19 patients with laryngeal complications due to ETI diagnosed in several Spanish hospitals. We analyzed the epidemiological data, previous comorbidities, mean time to ICU admission and ETI, need for tracheostomy, mean time on invasive mechanical ventilation until tracheostomy or weaning, mean time in ICU, type of residual lesions, and their treatment. Results: We obtained the collaboration of nine hospitals during the months of January 2021 to December 2021. A total of 49 patients were referred. Tracheostomy was performed in 44.9%, being late in most cases (more than 7-10 days). The mean number of days of ETI until extubation was 17.63 days, and the main post-intubation symptoms were dysphonia, dyspnea, and dysphagia, in 87.8%, 34.7%, and 42.9%, respectively. The most frequent injury was altered laryngeal mobility, present in 79.6%. Statistically, there is a greater amount of stenosis after late ETI and after delayed tracheostomy, not observing the data with the immobility alterations. Conclusion: The mean number of days of ETI was long, according to the latest guidelines, with the need for several cycles of pronation. This long ETI may have had an impact on the increase of subsequent laryngeal sequelae, such as altered laryngeal mobility or stenosis.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://i3pt.portalinvestigacion.com/publicaciones/3747
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85160253373&doi=10.3390%2flife13051207&partnerID=40&md5=6a0af1670c5c1ed5cffd75808209cf2b
url https://i3pt.portalinvestigacion.com/publicaciones/3747
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85160253373&doi=10.3390%2flife13051207&partnerID=40&md5=6a0af1670c5c1ed5cffd75808209cf2b
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv Life-Basel
ISSN: 20751729
reponame:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
instname:Institut d'Investigació i Innovació Parc Taulí (I3PT)
instname_str Institut d'Investigació i Innovació Parc Taulí (I3PT)
reponame_str r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
collection r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
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