Timing of Tracheotomy in Covid-19 Patients

NCT ID: NCT04412356

Last Updated: 2021-09-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-06

Study Completion Date

2021-09-20

Brief Summary

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Critically ill covid-19 patients may require respiratory support including mechanical ventilation. After an initial period with an endotracheal tube, a tracheotomy is performed in order to reduce potential airway complications, reduce the need of sedation and facilitate the monitoring and recovery. The optimal timing of this surgical procedure is, however, still unknown. The aim of this randomized, controlled trial is to compare the outcome of early (within 7 days after intubation) vs late (at least 10 days after intubation) tracheotomy in covid-19 patients. The need for mechanical ventilation, sedation, additional oxygen support, frequency of complications, duration at the ICU and mortality through the ICU stay will be evaluated and compared.

Detailed Description

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Conditions

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Covid-19 ARDS Tracheostomy Complication Respiratory Insufficiency Corona Virus Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized, single blinded, controlled trial
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
Patients will be blinded to the randomization outcome.

Study Groups

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Early tracheotomy

Tracheotomy within 7 days after intubation.

Group Type EXPERIMENTAL

Tracheotomy

Intervention Type PROCEDURE

Surgical procedure to secure airway

Late tracheotomy

Tracheotomy after at least 10 days after intubation.

Group Type ACTIVE_COMPARATOR

Tracheotomy

Intervention Type PROCEDURE

Surgical procedure to secure airway

Interventions

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Tracheotomy

Surgical procedure to secure airway

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Verified Covid-19 infection
* Intubated due to respiratory insufficiency and need for mechanical ventilation
* Informed consent from patient or relative

Exclusion Criteria

* Age below 18 years
* Need for mechanical ventilation less than 14 days
* Tracheotomy not possible within 7 days
* Tracheotomy not possible due to anatomical or other medical reasons
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sahlgrenska University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Henrik Bergquist

MD, PhD, Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Henrik Bergquist, Assoc Prof

Role: PRINCIPAL_INVESTIGATOR

Sahlgrenska University Hospital

Locations

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Sahlgrenska University Hospital

Gothenburg, , Sweden

Site Status

Countries

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Sweden

References

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Eeg-Olofsson M, Pauli N, Hafsten L, Jacobsson J, Lundborg C, Brink M, Larsson H, Lindell E, Lowhagen K, Gisslen M, Bergquist H. TTCOV19: timing of tracheotomy in SARS-CoV-2-infected patients: a multicentre, single-blinded, randomized, controlled trial. Crit Care. 2022 May 18;26(1):142. doi: 10.1186/s13054-022-04005-0.

Reference Type DERIVED
PMID: 35585614 (View on PubMed)

Other Identifiers

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HBergquist

Identifier Type: -

Identifier Source: org_study_id

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