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Table 1 Characteristics of studies included in systematic review

From: Tracheostomy timing and clinical outcomes in ventilated COVID-19 patients: a systematic review and meta-analysis

First author, location

Study period

Publication format

Type of study

Definition of early versus late tracheostomy, days

Number of patients, early versus late groups

Age, early versus late groups, yearsa

Female patients, early versus late groups, n (%)

PDT, early versus late groups, n (%)

Major complications of tracheostomyb

Number of infections in health care workers

Angel LF, USA

March 11 to April 29, 2020

Journal

Prospective, multicenter

 ≤ 13 versus > 13

89 versus 89

59 (46–67) versus 64 (55–70)

23 (20) versus 26 (29)

All in both groups

12 moderate-to-severe bleedingb

None

Arnold J, USA

March 2020 to January 2021

Preprint

Retrospective, single center

 ≤ 14 versus > 14

12 versus 47

NA

NA

All in both groups

None

None

Breik O, UK

March 9, 2020, to April 21, 2020

Journal

Prospective, single center

 ≤ 14 versus > 14

64 versus 36

NA

NA

NA

None

None

Chandran A, India

April 1, 2020, to January 31, 2021

Journal

Prospective, single center

 ≤ 10 versus > 10

32 versus 19

NA

NA

None in both groups

None

None

Glibbery N, UK

March 15, 2020, to May 15, 2020

Journal

Prospective, single center

 ≤ 14 versus > 14

9 versus 19

NA

NA

NA

None

None

Hansson A, Sweden

March 14, 2020, to March 13, 2021

Preprint

Retrospective, multicenter

 ≤ 7 versus > 7

56 versus 61

67 (22–87) versus 65 (18–83)

10 (18) versus 17 (28)

NA

1 tracheal injury

NA

1 perioperative hypoxemia ( SpO2 < 80%)

Hernandez Gc, Spain

February 15 to May 15, 2020

Journal

Retrospective, multicenter

 ≤ 14 versus > 14

382 versus 300

63.5 ± 10.4 versus 63.6 ± 10.1

116 (30) versus 77 (26)

198 (52) versus 149 (50)

82 bleeding that required transfusion or surgical control

NA

Livneh N, Israel

March 2020 to January 2021

Journal

Retrospective, single center

 ≤ 7 versus > 7

19 versus 19

60 (54–67) versus 68 (59–74)

3 (16) versus 2 (11)

None in both groups

NA

None

Mahmood Kd, USA

February 1, 2020, to September 4, 2020

Journal

Retrospective, multicenter

 ≤ 14 versus > 14

9 versus 109

NA

NA

9 (100) versus 49 (80)

None

NA

Prats-Uribe A, Spain

March 11, 2020, to July 20, 2020

Preprint

Prospective, multicenter

7–10 versus > 10

142 versus 554

60.2 ± 10.0 versus 63.8 ± 8.9

53 (37) versus 166 (30)

NA

135 bleeding that required revision of stoma

NA

Takhar A, UK

March 21 to May 20, 2020

Journal

Prospective, single center

 < 14 versus ≥ 14

24 versus 57

58.4 ± 11.8 versus 50.6 ± 11.8

9 (37.5) versus 17 (29.8)

NA

1 tracheal injury

None

 

1 intraoperative oxygen desaturations (SpO2 < 90%)

Tang Y, China

January 8, 2020, to March 25, 2020

Journal

Retrospective, multicenter

 ≤ 14 versus > 14

30 versus 50

66.5 ± 15.1 versus 62.3 ± 13.2

9 (30) versus 16 (32)

27 (90) versus 36 (72)

4 major bleeding that required blood transfusion

NA

Tetaj N, Italy

April 1, 2020, to March 31, 2021

Journal

Retrospective, single center

 ≤ 12 versus > 12

61 versus 59

70 (64–77) versus 65 (69–73)

19 (31) versus21 (36)

All in both groups

None

None

Volo T, Italy

February 22 to April 26, 2020

Journal

Retrospective, single center

 ≤ 10 versus > 10

9 versus 14

NA

NA

NA

1 bleedingb

None

  1. NA, not available; PDT, percutaneous dilational tracheostomy
  2. aAge is expressed as mean ± SD or median (interquartile range)
  3. bmajor complications of tracheostomy were defined as excessive bleeding (determined by need for blood transfusion or an additional operative intervention), tracheal or oesophageal injury, a severe hypoxic episode (saturation < 90%), or death attributed to tracheostomy. In the studies by Angel et al. and Volo T et al., they did not describe how to manage the bleeding.
  4. cIn the study by Hernandez et al., there were five groups: ≤ 7 days, 8–10 days, 11–14 days, 15–20, ≥ 21 days. The first three groups were combined (hence, the value for age) and considered as early tracheostomy group. The last two groups were combined (hence, the value for age) and considered as late tracheostomy group.
  5. dIn the study by Mahmood et al., there were three groups: ≤ 14 days, 15–21 days, > 21 days. The last two groups were combined (hence, the value for age) and considered as late tracheostomy group