Evidence map›Paper›PMID 31577804›Full record

Observational studyPloS one2019

Tracheostomy and long-term mortality in ICU patients undergoing prolonged mechanical ventilation.

Raphaël Cinotti, Sebastian Voicu, Samir Jaber, Benjamin Chousterman, Catherine Paugam-Burtz, Haikel Oueslati, Charles Damoisel, Anaïs Caillard, Antoine Roquilly, Fanny Feuillet and 3 more

2 registry-linked trialsAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT01367093 completednot on this map

French and EuRopean Outcome Registry in Intensive Care Unit

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2011 to 2015Enrolled2,137ConditionsIntensive Care Unit Syndrome, Tracheal Intubation Morbidity
NCT07769021 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Observational iNternational Study of TRACHeostomy Practice in Adult Intensive Care Units - ON TRACH

TypeobservationalSponsorRoyal College of Surgeons, IrelandRan2026 to 2029Enrolled2,500ConditionsTracheostomy Patients, Tracheostomy Decannulation, Intensive Care (ICU)
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Tracheostomy in Adult Intensive Care Unit: An ISCCM Expert Panel Practice Recommendations.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Raphaël CinottiDepartment of Anaesthesia and Critical Care, Hôpital Laennec, University Hospital of Nantes, Saint-Herblain, France.ORCID 0000-0001-9217-8532
Sebastian VoicuDepartment of Medical and Toxicological Intensive Care, Hôpital Lariboisière, Assistance Publique Hôpitaux de Paris, Paris, France.
Samir JaberDepartment of Anesthesia and Critical Care Department B, Saint Eloi Teaching Hospital, University Hospital of Montpellier, France.
Benjamin ChoustermanINSERM UMR 942 "Biocanvass", Hôpital Lariboisière, Assistance Publique Hôpitaux de Paris, France.
Catherine Paugam-BurtzDepartment of Anesthesia and Critical care department, Hôpital Beaujon, Assistance Publique des Hôpitaux de Paris, Clichy, France.
Haikel OueslatiDepartment of Anesthesia and Critical care department, Hôpital Saint-Louis, Assistance Publique des Hôpitaux de Paris, Paris, France.
Charles DamoiselDepartment of Anaesthesia and Critical Care, Hôpital Lariboisière, Assistance Publique Hôpitaux de Paris, Paris, France.ORCID 0000-0003-2301-9700
Anaïs CaillardINSERM UMR 942 "Biocanvass", Hôpital Lariboisière, Assistance Publique Hôpitaux de Paris, France.
Antoine RoquillyDepartment of Anaesthesia and Critical Care, Hôpital Laennec, University Hospital of Nantes, Saint-Herblain, France.
Fanny FeuilletINSERM UMR 1246 -SPHERE « Methods in Patient-Centered Outcomes and Health Research », Institut de la Recherche, Nantes, France.
Alexandre MebazaaINSERM UMR 942 "Biocanvass", Hôpital Lariboisière, Assistance Publique Hôpitaux de Paris, France.
Etienne GayatINSERM UMR 942 "Biocanvass", Hôpital Lariboisière, Assistance Publique Hôpitaux de Paris, France.
FROG-ICU investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn critically ill patients undergoing prolonged mechanical ventilation (MV), the difference in long-term outcomes between patients with or without tracheostomy remains unexplored.

methodsAncillary study of a prospective international multicentre observational cohort in 21 centres in France and Belgium, including 2087 patients, with a one-year follow-up after admission. We included patients with a MV duration ≥10 days, with or without tracheostomy. We explored the one-year mortality with a classical Cox regression model (adjustment on age, SAPS II, baseline diagnosis and withdrawal of life-sustaining therapies) and a Cox regression model using tracheostomy as a time-dependant variable.

results29.5% patients underwent prolonged MV, out of which 25.6% received tracheostomy and 74.4% did not. At one-year, 45.2% patients had died in the tracheostomy group and 51.5% patients had died in the group without tracheostomy (p = 0.001). In the Cox-adjusted regression model, tracheostomy was not associated with improved one-year outcome (HR CI95 0.7 [0.5-1.001], p = 0.051), as well as in the model using tracheostomy as a time-dependent variable (OR CI 95 1 [0.7-1.4], p = 0.9).

conclusionsIn our study, there was no statistically significant difference in the one-year mortality of patients undergoing prolonged MV when receiving tracheostomy or not.

trial registrationNCT01367093.

Indexed as

Hospital MortalityIntensive Care UnitsLength of StayRespiration, ArtificialTracheostomyAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective Studies

Identifiers

PMID31577804
PMCPMC6774500

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.