Conclusions
To the best of our knowledge, we present the largest published study of COVID-19 tracheostomy patients. Our findings of better adjusted in-hospital mortality rates for COVID-19 critical care patients that had tracheostomies compared to patients without, provides evidence that the procedure is safe and advantageous for this cohort of patients. Data on tracheostomy use and outcomes for patients with a tracheostomy will assist hospitals prepare for further waves of COVID-19 patients in the future.