Laryngotracheal Pathologies and Symptoms Associated to Airway Management of Critically Ill COVID‐19 Patients at One‐Year Follow Up: An Observational Study
Authors' conclusion
A high incidence of visible laryngotracheal pathologies, two airway management-related factors, and symptom-pathology associations for VHI-10 and EAT-10 scores were found in a cohort of COVID-19 survivors ≥ 12 months after critical care.
Study context
- Population
- Tracheotomized and long-term intubated critically ill COVID-19 survivors ≥ 12 months after initial intubation, Stockholm region
- Participants
- 73 participants
- Exposure
- OST vs percutaneous tracheotomy (PCT) vs long-term intubation
- OSTn = 40
- PCTn = 24
- Long-term intubatedn = 9
- Outcome
- Incidence of visible laryngotracheal pathologies (laryngotracheoscopy under local anaesthesia)
- Follow-up
- ≥ 12 months after initial intubation
Methodological detailsretrospective data extraction
- Retrospective data extraction
Main finding
As reported in the abstract
Visible laryngotracheal pathologies
Visible laryngotracheal pathologies, all participants
58%
Observational data: associations, not effects.
Further findings
Factors associated with skin and soft tissue pathology and tracheal pathology
- Tracheostomy tube size and number of days with tracheostomy associated with skin and soft tissue pathology and tracheal pathology
- P < 0.05
Patient-reported symptoms (VHI-10, EAT-10, Dyspnea Index (DI))
- VHI-10 and EAT-10 results congruent with both laryngeal and skin and soft tissue pathologies
- Highest DI scores in participants with both laryngeal and tracheal pathologies, followed by tracheal pathology alone
Original publication
Laryngotracheal Pathologies and Symptoms Associated to Airway Management of Critically Ill COVID‐19 Patients at One‐Year Follow Up: An Observational Study. Acta Anaesthesiol Scand. Published 19 June 2025. doi:10.
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