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Association of tracheostomy with outcomes in patients with COVID-19 and SARS-CoV-2 transmission among healthcare professionals: A systematic review and meta-analysis

JAMA Otolaryngology—Head & Neck Surgery Jun 01, 2021

Staibano P, Levin M, McHugh T, et al. - Researchers conducted this systematic review and meta-analysis to assess the correlation of tracheostomy with COVID-19 patient outcomes and the risk of SARS-CoV-2 transmission among healthcare professionals (HCPs). From January 1, 2020, to March 4, 2021, EMBASE (Ovid), Medline (Ovid), and Web of Science were searched. In total, 4,669 patients were involved in the 69 studies, and the mean (range) patient age across studies was 60.7 (49.1-68.8) years (43 studies [62.3%] with 1,856 patients). Findings suggested no association of mortality or perioperative complications with the type of tracheostomy. This study suggests that tracheostomy is a relatively effective and safe treatment for COVID-19 patients, as well as for the HCPs performing the procedures who wear personal protective equipment, but the conclusions are limited by the observational nature of the included studies.

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