{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:35:33Z","timestamp":1777563333533,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100013238","name":"Faculty of Medicine Siriraj Hospital, Mahidol University","doi-asserted-by":"publisher","award":["(IO)R016531071"],"award-info":[{"award-number":["(IO)R016531071"]}],"id":[{"id":"10.13039\/501100013238","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To assess and compare tracheostomy outcomes between COVID-19 patients and non-COVID-19 patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This retrospective and prospective cohort study included patients over 18\u2009years of age who underwent tracheostomy at a tertiary care hospital. We divided patients into 2 groups: 41 with COVID-19 and 156 without COVID-19. Primary outcomes were successful tracheostomy tube downsizing and removal, ventilator weaning, length of hospital stay, and mortality rate. Statistical analyses compared outcomes between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      COVID-19 patients achieved higher rates of successful tracheostomy tube downsizing (54.2% vs 9.6%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001) and removal (36.6% vs 7.1%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.05) than non-COVID-19 patients. Mortality was lower in COVID-19 patients (29.3% vs 40.4%), although ventilator liberation rates were similar (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.346). COVID-19 patients had longer hospital stays (64 vs 56\u2009days); however, this difference was not statistically significant. We observed no significant differences in postoperative or long-term complications between groups. COVID-19 infection and age \u226460\u2009years were factors associated with accelerated decannulation. COVID-19 patients demonstrated significantly higher rates of invasive pulmonary aspergillosis (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Despite lower mortality, COVID-19 patients achieved higher rates of tracheostomy tube downsizing and decannulation than non-COVID-19 patients. Ventilator liberation, hospital stay duration, and complication rates remained similar between groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01455613251382742","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T11:06:48Z","timestamp":1759921608000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparing the Outcomes of Tracheostomy in COVID-19 and Non-COVID-19 Patients"],"prefix":"10.1177","author":[{"given":"Atiporn","family":"Kittipattana","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Bangkok Noi, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2743-4688","authenticated-orcid":false,"given":"Phawin","family":"Keskool","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Bangkok Noi, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5633-0787","authenticated-orcid":false,"given":"Vannipa","family":"Vathanophas","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Bangkok Noi, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4522-748X","authenticated-orcid":false,"given":"Paiboon","family":"Sureepong","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Bangkok Noi, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarunya","family":"Thipphayarom","sequence":"additional","affiliation":[{"name":"Unit of Investigation and Follow-Up by Special Instruments, Siriraj Hospital, Bangkok, Bangkok Noi, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18031089"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004955"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2021-006178"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-044640"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2021.102972"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsit-2020-000077"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1101\/2020.04.23.20076737"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2020.615845"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/cc3018"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-06220-3"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/01945998221075610"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-021-02795-3"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2021.05.011"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCE.0000000000000950"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.1135"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004166"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2022.07.032"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.926731"}],"container-title":["Ear, Nose &amp; 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