Evidence map›Paper›PMID 32541213›Full record

Observational studyAnnals of surgery2020

Outcomes After Tracheostomy in COVID-19 Patients.

Tiffany N Chao, Sean P Harbison, Benjamin M Braslow, Christoph T Hutchinson, Karthik Rajasekaran, Beatrice C Go, Ellen A Paul, Leah D Lambe, James J Kearney, Ara A Chalian and 5 more

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Annals of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 4 pooled it
16.6field-weighted citation impact, top 1% 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

71 citing papers in PubMed, 4 syntheses or guidelines pooled it, 149 citations in OpenAlex.

  1. Pooled it
  2. Systematic review and meta-analysis of tracheostomy outcomes in COVID-19 patients.The British journal of oral & maxillofacial surgery · 2021
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Tracheostomy is associated with decreased in-hospital mortality during severe COVID-19 infection.World journal of otorhinolaryngology - head and neck surgery · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Elective Tracheostomy During Covid-19 Pandemic- A Tertiary Care Centre Experience.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  15. Review
  16. Open Surgical Tracheostomy in COVID 19 Patients and Their Outcomes During the Second Wave in India: Experience at a Tertiary Referral Centre.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  17. Review
  18. Article
  19. Article
  20. Article

11 more citing papers are in PubMed but not listed here.

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

15 authors at 1 institution in 1 country.

Tiffany N ChaoDepartment of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Sean P HarbisonDepartment of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Benjamin M BraslowDepartment of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Christoph T HutchinsonDivision of Pulmonary, Allergy, and Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania.
Karthik RajasekaranDepartment of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Beatrice C GoPerelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Ellen A PaulDepartment of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Leah D LambeDepartment of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
James J KearneyDepartment of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Ara A ChalianDepartment of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Maurizio F CeredaDepartment of Anesthesia and Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania.
Niels D MartinDepartment of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Andrew R HaasDivision of Pulmonary, Allergy, and Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania.
Joshua H AtkinsDepartment of Anesthesia and Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania.
Christopher H RassekhDepartment of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
University of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the outcomes of patients undergoing tracheostomy for COVID-19 and of healthcare workers performing these procedures.

backgroundTracheostomy is often performed for prolonged endotracheal intubation in critically ill patients. However, in the context of COVID-19, tracheostomy placement pathways have been altered due to the poor prognosis of intubated patients and the risk of transmission to providers through this highly aerosolizing procedure.

methodsA prospective single-system multi-center observational cohort study was performed on patients who underwent tracheostomy after acute respiratory failure secondary to COVID-19.

resultsOf the 53 patients who underwent tracheostomy, the average time from endotracheal intubation to tracheostomy was 19.7 days ± 6.9 days. The most common indication for tracheostomy was acute respiratory distress syndrome, followed by failure to wean ventilation and post-extracorporeal membrane oxygenation decannulation. Thirty patients (56.6%) were liberated from the ventilator, 16 (30.2%) have been discharged alive, 7 (13.2%) have been decannulated, and 6 (11.3%) died. The average time from tracheostomy to ventilator liberation was 11.8 days ± 6.9 days (range 2-32 days). Both open surgical and percutaneous dilational tracheostomy techniques were performed utilizing methods to mitigate aerosols. No healthcare worker transmissions resulted from performing the procedure.

conclusionsAlterations to tracheostomy practices and processes were successfully instituted. Following these steps, tracheostomy in COVID-19 intubated patients seems safe for both patients and healthcare workers performing the procedure.

Indexed as

Critical CareIntubation, IntratrachealRespiration, ArtificialTracheostomyAdultAgedAged, 80 and overCOVID-19Extracorporeal Membrane OxygenationFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeYoung Adult

Identifiers

PMID32541213
PMCPMC7467054
OpenAlexW3034544043

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.