Observational studyBMC anesthesiology2018
Decannulation of tracheotomized patients after long-term mechanical ventilation - results of a prospective multicentric study in German neurological early rehabilitation hospitals.
Observational study in BMC anesthesiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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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
23 citing papers in PubMed.
- The Course of Rehabilitation of Ventilated and Tracheally Cannulated Patients in Neurological-Neurosurgical Early Rehabilitation.Deutsches Arzteblatt international · 2026Article
- Factors and Outcomes Attributable to Weaning and Decannulation from Ventilation after Tracheostomy.JMA journal · 2025Article
- Predictive Factors of Successful Decannulation in Tracheostomy Patients: A Scoping Review.Journal of clinical medicine · 2025Review
- Decannulation ahead: a comprehensive diagnostic and therapeutic framework for tracheotomized neurological patients.Neurological research and practice · 2025Review
- Survival analysis of time to decannulation and failure drivers among tracheostomy patients in Rwanda.BMC surgery · 2025Article
- The influencing factors for tracheostomy decannulation after traumatic cervical spinal cord injury: a retrospective study.Spinal cord · 2025Article
- RETROSPECTIVE ANALYSIS OF PATIENTS WITH IMMEDIATE DECANNULATION IN SEVERE ACQUIRED BRAIN INJURY (RAPID-SABI).Journal of rehabilitation medicine. Clinical communications · 2025Article
- Weaning in early neurological-neurosurgical rehabilitation in Germany - results from a nationwide online survey.Frontiers in neurology · 2025Article
- Research report: Management of dysphagia using pharyngeal electrical stimulation in the general intensive care population - A service development.Journal of the Intensive Care Society · 2024Article
- Article
- Epidemiology of Tracheostomized Adult Patients Admitted to Specialized Weaning Centers After Acute COVID-19.Respiratory care · 2024Observational
- Decannulation Potential After Acquired Brain Injury in Rehabilitation-Oriented Outpatient Intensive Care.Deutsches Arzteblatt international · 2023Article
- A Study of Difficulty in Decannulation of Tracheostomized Head Injury Patients.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023Article
- Multidisciplinary management of laryngeal pathology identified in patients with COVID-19 following trans-laryngeal intubation and tracheostomy.Journal of the Intensive Care Society · 2022Article
- Development and validation of a nomogram for decannulation in patients with neurological injury: A prognostic accuracy study.Frontiers in neurology · 2022Article
- Incidence, causes, and predictors of unsuccessful decannulation following prolonged weaning.Therapeutic advances in chronic disease · 2022Article
- External Validation and Calibration of the DecaPreT Prediction Model for Decannulation in Patients with Acquired Brain Injury.Brain sciences · 2021Article
- Prediction of successful de-cannulation of tracheostomised patients in medical intensive care units.Respiratory research · 2021Observational
- Effects of early rehabilitation nursing intervention on nerve function and daily living in patients with stroke hemiplegia.American journal of translational research · 2021Article
- Current Status of Indications, Timing, Management, Complications, and Outcomes of Tracheostomy in Traumatic Brain Injury Patients.Journal of neurosciences in rural practice · 2020Review
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the course of neurological early rehabilitation, decannulation is attempted in tracheotomized patients after weaning due to its considerable prognostic significance. We aimed to identify predictors of a successful tracheostomy decannulation.
methodsFrom 09/2014 to 03/2016, 831 tracheotomized and weaned patients (65.4 ± 12.9 years, 68% male) were included consecutively in a prospective multicentric observation study. At admission, sociodemographic and clinical data (e.g. relevant neurological and internistic diseases, duration of mechanical ventilation, tracheotomy technique, and nutrition) as well as functional assessments (Coma Recovery Scale-Revised (CRS-R), Early Rehabilitation Barthel Index, Bogenhausener Dysphagia Score) were collected. Complications and the success of the decannulation procedure were documented at discharge.
resultsFour hundred seventy patients (57%) were decannulated. The probability of decannulation was significantly negatively associated with increasing age (OR 0.68 per SD = 12.9 years, p < 0.001), prolonged duration of mechanical ventilation (OR 0.57 per 33.2 days, p < 0.001) and complications. An oral diet (OR 3.80; p < 0.001) and a higher alertness at admission (OR 3.07 per 7.18 CRS-R points; p < 0.001) were positively associated.
conclusionsThis study identified practically measurable predictors of decannulation, which in the future can be used for a decannulation prognosis and supply optimization at admission in the neurological early rehabilitation clinic.
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