Survival Rate of Critically Ill Coronavirus Disease 2019 Patients on Tracheostomy in Indonesia

Authors

Aris Ramdhani, Department of Surgery, Universitas Indonesia Hospital, Depok, IndonesiaFollow
Dita Aditianingsih, Department of Anesthesia and Critical Care, Universitas Indonesia Hospital, Depok, IndonesiaFollow
Raihanita Zahra, Department of Anesthesia and Critical Care, Universitas Indonesia Hospital, Depok, IndoensiaFollow
Muhammad A. Putra, Department of Surgery, Universitas Indonesia Hospital, Depok, IndonesiaFollow
Wuryantoro Soeharto, Department of Surgery, Faculty of Medicine, Universitas Indonesia, dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaFollow
Melvin D.B. Kwa, Department of Anesthesia and Critical Care, Universitas Indonesia Hospital, Depok, IndonesiaFollow

Abstract

Introduction. During COVID-19 global pandemic, tracheostomy is often performed on critically ill COVID-19 patients. There is no available data on the survival rate of critically ill COVID-19 patients on tracheostomy in Indonesia. This study aimed to find the survival rate of critically ill COVID-19 patients on tracheostomy in Indonesia.

Methods. A descriptive survival analysis study enrolled critically ill COVID-19 patients in RSUI who underwent a tracheostomy procedure. Baseline data, including clinical characteristics and laboratory findings before tracheostomy, were recorded. Survival analysis was conducted using the Kaplan-Meier plot.

Results. Forty-two subjects were enrolled in the study: 25 males (59.5%) and 17 females (40.5%). The median age was 57 (26 – 72) years. Subjects with diabetes mellitus or hypertension were 78.6% and 78.6% with BMI >25 kg/m². The mean duration of intubation was 16.24 ±7.62 days, the median duration of tracheostomy before the outcome was 8 (0 – 53) days. There were 9.5% of subjects survived and were discharged. The median survival time was 8 (0 – 53). In the first 15 days after tracheostomy procedures, those who were deceased were 75% of the subjects.

Conclusion. In this study, the survival rate of critically ill COVID-19 patients on tracheostomy remains low. Another study to evaluate the cause of the low survival rate of critically ill patients with COVID-19 on tracheostomy is required.

Recommended Citation

Ramdhani, Aris; Aditianingsih, Dita; Zahra, Raihanita; Putra, Muhammad A.; Soeharto, Wuryantoro; and Kwa, Melvin D.B. (2021) "Survival Rate of Critically Ill Coronavirus Disease 2019 Patients on Tracheostomy in Indonesia," The New Ropanasuri Journal of Surgery: Vol. 6: No. 2, Article 3.
DOI: 10.7454/nrjs.v6i2.1110
Available at: https://scholarhub.ui.ac.id/nrjs/vol6/iss2/3