Evidence map›Paper›PMID 32656673›Full record

ArticleEuropean 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 Surgery2021

Elective tracheostomy during COVID-19 outbreak: to whom, when, how? Early experience from Venice, Italy.

T Volo, P Stritoni, I Battel, B Zennaro, F Lazzari, M Bellin, L Michieletto, G Spinato, C Busatto, D Politi and 1 more

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in 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. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 9 pooled it
6.7field-weighted citation impact, top 2% 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

39 citing papers in PubMed, 9 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Early versus late tracheostomy in critically ill COVID-19 patients.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Systematic review and meta-analysis of tracheostomy outcomes in COVID-19 patients.The British journal of oral & maxillofacial surgery · 2021
    Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Article
  11. Article
  12. 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
  13. Review
  14. Article
  15. Article
  16. Tracheostomy in COVID-19 Patients: Experience at a Tertiary Center in the First 11 Months of the Pandemic.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  17. Tracheostomy in Covid-19 Patients: Surgical Concerns and Considerations.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  18. Outcomes of Tracheostomy in COVID-19 Patients: A Single Centre Experience.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  19. Article
  20. Outcomes and survival of tracheostomised patients during the COVID-19 pandemic in a third level hospital.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 · 2022
    Observational
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

11 authors at 3 institutions in 1 country.

T VoloDepartment of Otorhinolaryngology-Head and Neck Surgery, Mestre Hospital, via Paccagnella 11, 30174, Venice, Italy. tizianavolo@icloud.com.ORCID http://orcid.org/0000-0002-5379-2350
P StritoniDepartment of Otorhinolaryngology-Head and Neck Surgery, Mestre Hospital, via Paccagnella 11, 30174, Venice, Italy.
I BattelDepartment of Physical Medicine & Rehabilitation, Venice Hospital, 30122, Venice, Italy.
B ZennaroDepartment of Otorhinolaryngology-Head and Neck Surgery, Mestre Hospital, via Paccagnella 11, 30174, Venice, Italy.
F LazzariDepartment of Critical Care, Mestre Hospital, 30174, Venice, Italy.
M BellinDepartment of Critical Care, Mestre Hospital, 30174, Venice, Italy.
L MichielettoDepartment of Pneumology, Mestre Hospital, 30174, Venice, Italy.
G SpinatoDepartment of Otorhinolaryngology, University of Padova, 31100, Treviso, Italy.
C BusattoDISIA, Statistics, Computer Science, Applications "G. Parenti", University of Florence, 50134, Florence, Italy.
D PolitiDepartment of Otorhinolaryngology-Head and Neck Surgery, Mestre Hospital, via Paccagnella 11, 30174, Venice, Italy.
R SpinatoDepartment of Otorhinolaryngology-Head and Neck Surgery, Mestre Hospital, via Paccagnella 11, 30174, Venice, Italy.
Regione Siciliana · ITUniversity of Florence · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe need for prolonged invasive mechanical ventilation in COVID-19 patients is placing the otorhinolaryngologist in front of an increasing request for tracheostomy. Nowadays, there is uncertainty regarding the timing of tracheostomy, the prognosis of these patients and the safety of healthcare workers. The aim of this study is to evaluate the efficacy and safety of tracheostomy placement in patients with COVID-19.

methodsA retrospective cohort study on 23 COVID 19 patients, to analyse the timing of tracheostomy, the risk factors associated with in-hospital death and the infection of the involved health care workers. Early tracheostomy was defined as ≤ 10 days and late ones > 10 days.

resultsThe mortality rate of COVID-19 patients admitted to ICU that underwent tracheostomy was 18%. The overall mortality of patients admitted to ICU was 53%. The univariate analysis revealed that early tracheostomy, SOFA score > 6, and D-dimer level > 4 were significantly associated with a greater risk of death. At the multivariate analysis SOFA score > 6 and D-dimer level > 4 resulted as significant factors for a higher risk of death. No health care workers associated with tracheostomy are confirmed to be infected by SARS-CoV2.

conclusionWe suggest to wait at least 14 days to perform tracheostomy. In patients with SOFA score > 6 and D dimer > 4, tracheostomy should not be performed or should be postponed. Optimized procedures and enhanced personal protective equipment can make the tracheostomy safe and beneficial in COVID-19 patients.

Indexed as

COVID-19TracheostomyAdultAgedAged, 80 and overDisease OutbreaksFemaleHumansItalyMaleMiddle AgedRespiration, ArtificialRetrospective StudiesRNA, ViralSARS-CoV-2RNA, ViralCOVID-19D-dimer levelSOFA scoreTracheostomy

Identifiers

PMID32656673
PMCPMC7354359
OpenAlexW3041965292

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.