ArticleCritical care medicine2019
One-Year Outcomes Following Tracheostomy for Acute Respiratory Failure.
Article in Critical care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04987398 (Analysis of Ventilation Weaning Strategies and Correlation to Outcomes in Tracheostomized Patients in the Intensive Care Unit of the Lausanne University Hospital), which is not on this map. Cited by 22 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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Analysis of Ventilation Weaning Strategies and Correlation to Outcomes in Tracheostomized Patients in the Intensive Care Unit of the Lausanne University Hospital
Who cites it
22 citing papers in PubMed, 53 citations in OpenAlex.
- Rates of 30-Day Emergency Department Visits and Readmissions in Adults After Tracheostomy.Laryngoscope investigative otolaryngology · 2026Article
- Surgical Stabilization of Rib Fractures in Geriatric Trauma Patients: A National Trauma Data Bank Review.Journal of the American Geriatrics Society · 2026Article
- Gradual step-up weaning improves liberation in chronically ventilated tracheostomized patients.Critical care science · 2026Article
- Postoperative mortality in patients requiring home oxygen therapy: a nationwide hospital-based database study.Journal of anesthesia · 2025Article
- Mortality and patient disposition after ICU tracheostomy for secretion management vs. prolonged ventilation: a retrospective cohort study.BMC anesthesiology · 2025Article
- Out-of-Pocket Costs and Potential Surprise Bills for Tracheostomy in Commercially Insured Patients.Tracheostomy (Warrenville, Ill.) · 2025Article
- The Impact of Follow-Up Care on Tracheostomy Management Post-Hospital Discharge: A Longitudinal Cohort Study of Clinical Outcomes, Quality of Life, and Long-Term Recovery.Tracheostomy (Warrenville, Ill.) · 2025Article
- Trends in use of intensive care during hospitalizations at the end-of-life among older adults with advanced cancer.Journal of the American Geriatrics Society · 2024Article
- Identifying Decisional Needs for Adult Tracheostomy and Prolonged Mechanical Ventilation Decision Making to Inform Shared Decision-Making Interventions.Medical decision making : an international journal of the Society for Medical Decision Making · 2024Article
- Advanced Respiratory Failure Requiring Tracheostomy-A Marker of Unfavourable Prognosis after Heart Transplantation.Diagnostics (Basel, Switzerland) · 2024Article
- Tracheostomies for respiratory failure are associated with a high inpatient mortality: a potential trigger to reconsider goals of care.Trauma surgery & acute care open · 2024Article
- Healthcare Trajectories and Outcomes in the First Year After Tracheostomy Based on Patient Characteristics.Critical care medicine · 2023Article
- One-Year Outcomes of Patients Requiring Tracheostomy Placement Due to Severe Acute Respiratory Syndrome Coronavirus 2 Infection.Critical care explorations · 2023Article
- Association Between Tracheostomy and Functional, Neuropsychological, and Healthcare Utilization Outcomes in the RECOVER Cohort.Critical care explorations · 2022Article
- Outcomes of prolonged mechanical ventilation and tracheostomy in critically ill elderly patients: a historical cohort study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022Article
- Days out of Institution after Tracheostomy and Gastrostomy Placement in Critically Ill Older Adults.Annals of the American Thoracic Society · 2022Article
- Tracheostomy in critically ill patients with SARS 2 COVID-19 infection: a prospective observational multi-center study of short- and long-term outcomes.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2022Article
- Percutaneous and Open Tracheostomy in Patients With COVID-19: The Weill Cornell Experience in New York City.The Laryngoscope · 2021Article
- Article
- Short-term Outcomes for Patients and Providers After Elective Tracheostomy in COVID-19-Positive Patients.The Journal of surgical research · 2021Observational
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesTracheostomy utilization has dramatically increased recently. Large gaps exist between expected and actual outcomes resulting in significant decisional conflict and regret. We determined 1-year patient outcomes and healthcare utilization following tracheostomy to aid in decision-making and resource allocation.
designRetrospective cohort study.
settingAll California hospital discharges from 2012 to 2013 with follow-up through 2014. PATIENTS: Nonsurgical patients who received a tracheostomy for acute respiratory failure.
interventionsNone. MEASUREMENTS AND MAIN
resultsOur primary outcome was 30-day, 90-day, and 1-year mortality. We also determined hospitals readmissions rates and healthcare utilization in the first year following tracheostomy. We identified 8,343 tracheostomies during the study period. One-year mortality following tracheostomy was high, 46.5%. Older adults (≥ 65 yr) had significantly higher mortality compared with younger patients (< 65 yr) (54.7% vs 36.5%; p < 0.0001). Median survival for older adults was 175 days (95% CI, 150-202 d) compared with greater than 1 year for younger adults (adjusted hazard ratio, 1.25; 95% CI, 1.14-1.36). Within 1 year of tracheostomy, 60.3% of patients required hospital readmission. Older adults were more likely to be readmitted in the first year after tracheostomy compared with younger adults (66.1% vs 55.2%; adjusted hazard ratio, 1.19; 95% CI, 1.09-1.29). Total short-term acute care hospital costs (index and readmissions) in the first year after tracheostomy were high (mean, $215,369; SD, $160,874).
conclusionsLong-term outcomes following tracheostomy are extremely poor with high mortality, morbidity, and healthcare resource utilization especially among older patients. Some subsets of younger patients may have better outcomes compared with the general tracheostomy population. Short-term acute care costs were extremely high in the first year following tracheostomy. If extended to the entire U.S. population, total short-term acute care hospital costs approach $11 billion dollars per year for tracheostomy-related to acute respiratory failure. These findings may aid families and surrogates in the decision-making process.
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