ReviewDeutsches Arzteblatt international2017
Tracheotomy-Related Deaths.
Review in Deutsches Arzteblatt international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
32 citing papers in PubMed, 86 citations in OpenAlex.
- Parental Income and Long-Term Survival in Pediatric Tracheostomy: A Population-Based Study in Taiwan.The Laryngoscope · 2026Article
- Postsurgical Otolaryngology Emergencies: A Simulation to Improve Multidisciplinary Patient Care During Rare, Critical Situations.MedEdPORTAL : the journal of teaching and learning resources · 2026Article
- Radiologic and surgical evidence of pre-tracheal anatomies for safe procedures in older adult oncologic patients: educational implications for elective or emergent tracheotomies among novice practitioners.Quantitative imaging in medicine and surgery · 2025Article
- Efficacy of ultrasound localization and fiberoptic bronchoscopy-guided percutaneous dilatational tracheostomy in the intensive care unit.BMC anesthesiology · 2025Article
- Unperceived bronchial bleeding complications during percutaneous dilatational tracheotomy: a case report and 3D simulation.3D printing in medicine · 2025Article
- Reconstructive Surgery of the Laryngotracheal Junction.Laryngo- rhino- otologie · 2024Review
- A deployable curriculum with 3D printed skills trainers for altered airway management.BMC medical education · 2024Article
- Is There an Over-Indication for Elective Tracheostomy in Patients With Oral Cavity Cancer?Cureus · 2024Article
- Risk of death at home or on hospital readmission after discharge with pediatric tracheostomy.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- Mortality Risk Factors in Patients Admitted with the Primary Diagnosis of Tracheostomy Complications: An Analysis of 8026 Patients.International journal of environmental research and public health · 2022Article
- A safer and more practical tracheotomy in invasive mechanical ventilated patients with COVID-19: A quality improvement study.Frontiers in surgery · 2022Article
- A cartilage conserving concept of a surgical tracheostomy-introduction and analysis of safety and complications of the Visor-tracheostomy-a retrospective monocentric comparative study over 8 years.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022Article
- Clinical Proof of Concept for Stabilization of Tracheostomy Tubes Using Novel DYNAtraq Device.Medical devices (Auckland, N.Z.) · 2022Article
- The Feasibility of Percutaneous Dilatational Tracheostomy in Immunosuppressed ICU Patients with or without Thrombocytopenia.Critical care research and practice · 2022Article
- Tracheostomy complications in otorhinolaryngology are rare despite the critical airway.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021Article
- Qualitative indications for tracheostomy and chronic mechanical ventilation in patients with severe bronchopulmonary dysplasia.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Managing complications of percutaneous tracheostomy and gastrostomy.Journal of thoracic disease · 2021Review
- Liposomal Inhalation after Tracheostomy-A Randomized Controlled Trial.Journal of clinical medicine · 2021Article
- An Overview of Outcomes Associated With Early Versus Late Tracheostomy From a National Standpoint.Cureus · 2021Article
- Safety of percutaneous dilatational tracheotomy (PDT) with the rigid tracheotomy endoscope (TED): a 6-month follow-up multicenter investigation.BMC anesthesiology · 2021Observational
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Authors and funding
2 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTracheotomies are frequently performed on ventilated patients in intensive care and sometimes lead to fatal complications. In this article, we discuss the causes and frequency of death associated with open surgical tracheotomy (OST) and percutaneous dilatational tracheotomy (PDT) on the basis of a review of the pertinent literature.
methodsWe systematically searched the PubMed, EMBASE, and Cochrane Library databases and the Karlsruhe Virtual Catalog for publications (1990-2015) on tracheotomy-related deaths in adults, using the search terms "tracheotomy" and "tracheostomy." 39 relevant dissertations were included in the analysis as well.
results109 publications were included. Of the 25 056 tracheotomies described, there were 16 827 PDTs and 7934 OSTs; for 295 tracheotomies, the technique used was not stated. 352 deaths were reported, including 113 in patients treated with PDT, 49 in those treated with OST, and 190 deaths related to a tracheotomy without specification of the method used. The frequency of death among patients with OST and those treated with PDT was similar: 0.62% for OST (95% confidence interval [0.47; 0.82]) and 0.67% for PDT ([0.56; 0.81]). The most common causes of death and their frequencies, as a percentage of all tracheotomies, were hemorrhage (OST: 0.26% [0.17; 0.40], PDT: 0.26% [0.19; 0.35]), loss of airway (OST: 0.21% [0.13; 0.34], PDT: 0.20% [0.14; 0.28]), and false passage (OST: 0.11% [0.06; 0.22], PDT: 0.20% [KI 0.15; 0.29]).
conclusionBias in the data cannot be excluded, as these were not epidemiologic data and the documentation was found to be incomplete. The likelihood of a fatal complication seems to be the same with both tracheotomy techniques as far as can be determined from the available evidence. Tracheotomy-related deaths can be avoided in several ways: by thorough training under the leadership of experienced physicians, by the use of the World Health Organization's Surgical Safety Checklist regardless of where the tracheotomy is performed, and by the continuous vigilance of nursing staff.
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