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FSSA projects

COVIDTrach: the outcomes of mechanically ventilated COVID-19 patients undergoing tracheostomy in the UK

Executive summary

Introduction

COVIDTrach is an interdisciplinary contemporaneous audit of COVID-19 positive patients that undergo tracheostomy during the course of their illness in the UK.

The NHS is in a unique global position to pull together equivalent data across hospitals and specialties to answer some of the questions that are pertinent to our colleagues worldwide.

The COVIDTrach dataset will allow analysis of different methods of tracheostomy, indications and accepted parameters for tracheostomy, immediate complications related to the procedure, long term outcomes for these patients as well as the rates of COVID-19 infection in staff following tracheostomy.

This endeavour is supported by major bodies that represent anaesthetists, ITU doctors, and all surgical specialties in the UK.

Aim

The aim of COVIDTrach is to establish the clinical outcome of patients diagnosed with COVID-19 and mechanically ventilated who undergo tracheostomy to expedite ventilator weaning

The full project protocol can be found here:

Data Collection

Anonymised data input is via a secured REDcap database

There are two available links for data entry:

Instructions on data entry 

Patient identifiable information should be held locally and entered and saved in this format.

This will allow future follow up data collection, this may be as part of a centrally run data analysis project with approval to access identifiable patient data.

Publication and dissemination of results

The COVIDTrach project aims to deliver useful clinical information to those working on the frontline as soon as possible. Initial analysis will be disseminated via specialist organisations in the first instance.

Any future publications in peer reviewed journals will include corporate authorship for data contributors.

Oversight

Data governance and security has been approved by University College London (UCL).  Data is held in a secure server by UCL.

This project has a multidisciplinary steering committee:

Chair

Tony Jacob

Consultant ENT & Head & Neck Surgeon,

Lewisham & Greenwich NHS Trust

 

Nick J I Hamilton

NIHR Clinical Lecturer

Specialist Trainee in ENT

University College London Hospital (UCLH)

 

Anne G M Schilder,

Director NIHR UCLH BRC Hearing Theme & evidENT, UCL Ear Institute

Professor of Otorhinolaryngology University College London  

 

Asit Arora

Consultant ENT & Head & Neck Surgeon,

Guy’s & St Thomas’ Foundation NHS Trust

 

Imran Ahmad

Difficult airway society (DAS) representative

Consultant Anaesthetist

Guy’s & St Thomas’ Foundation NHS Trust

 

Peter Andrews

Consultant ENT Surgeon

University College London Hospital

 

Martin Birchall

Consultant ENT Surgeon

University College London Hospital

 

Nirmal Kumar

President of ENT UK

Consultant ENT Surgeon

University Hospital of South Manchester

 

Shondipon Laha

Intensive Care Society representative

Consultant in Intensive Care Medicine

Royal Preston Hospital

 

Brendan McGrath

Consultant in Anaesthesia and Intensive Care Medicine

University Hospital South Manchester, UK

 

Guri Sandhu

Consultant ENT Surgeon

Imperial College NHS Trust

 

Clare Schilling

BAOMS representative

Consultant Oral and maxillofacial Surgeon

University College London Hospital (UCLH)

 

Taran Tatler

Consultant ENT Surgeon

Northwick Park Hospital

 

Neil Tolley

Consultant ENT Surgeon

Imperial College NHS Trust 

 

 

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