Evidence map›Paper›PMID 32389538›Full record

ArticleOral oncology2020

Surgical tracheostomies in COVID-19 patients: A multidisciplinary approach and lessons learned.

Damian Broderick, Panayiotis Kyzas, Andrew J Baldwin, Richard M Graham, Tracy Duncan, Christos Chaintoutis, Evangelos Boultoukas, Leandros Vassiliou

Open access · greenAbstract readLetterComment
In one paragraph

Article in Oral oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 7% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Systematic review and meta-analysis of tracheostomy outcomes in COVID-19 patients.The British journal of oral & maxillofacial surgery · 2021
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Tracheostomy, ventilatory wean, and decannulation in COVID-19 patients.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 · 2021
    Observational
  7. Article
  8. Article
  9. Review
  10. Article
  11. Observational
  12. Proper Management of People with Obesity during the COVID-19 Pandemic.Journal of obesity & metabolic syndrome · 2020
    Article
  13. Review
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Damian BroderickDepartment of Oral and Maxillofacial Surgery, North Manchester General Hospital, United Kingdom.
Panayiotis KyzasDepartment of Oral and Maxillofacial Surgery, North Manchester General Hospital, United Kingdom. Electronic address: kyzasp@icloud.com.
Andrew J BaldwinDepartment of Oral and Maxillofacial Surgery, North Manchester General Hospital, United Kingdom.
Richard M GrahamDepartment of Oral and Maxillofacial Surgery, North Manchester General Hospital, United Kingdom.
Tracy DuncanIntensive Care Unit, North Manchester General Hospital, United Kingdom.
Christos ChaintoutisIntensive Care Unit, North Manchester General Hospital, United Kingdom.
Evangelos BoultoukasIntensive Care Unit, North Manchester General Hospital, United Kingdom.
Leandros VassiliouDepartment of Oral and Maxillofacial Surgery, North Manchester General Hospital, United Kingdom.
North Manchester General Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgical tracheostomies have a role in the weaning process of COVID-19 patients treated in intensive care units. A multidisciplinary team approach (MDT) is required for decision making. This process is augmented by specific standard operating practices implemented by senior clinicians. Here, we report on our early experience and outcomes with open tracheostomies in a cohort of COVID-19 patients. We outline the criteria that guide decision making and explore the challenges faced by our intensive care colleagues in the management of these patients. The cohort was 100% male with 90% of them having a raised Body Mass Index (BMI) and other comorbidities (hypertension and diabetes). 60% have been decannulated and have been stepped down the intensive care unit. We recorded no surgical complications or adverse events. The service to date has been shown to be effective, safe, largely reproducible and reflective.

Indexed as

BetacoronavirusPatient Care TeamAdultAgedBody Mass IndexClinical Decision-MakingCohort StudiesCoronavirus InfectionsCOVID-19Critical CareHumansIntensive Care UnitsMaleMiddle AgedPandemicsPneumonia, Viral5TsCORONACOVID-19Intensive careMaxillofacialMDTSARSTracheostomy

Identifiers

PMID32389538
PMCPMC7196417
OpenAlexW3023496450

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.