Evidence map›Paper›PMID 34192161›Full record

ArticleTrauma surgery & acute care open2020

Modified percutaneous tracheostomy in patients with COVID-19.

Beatrice J Sun, Christopher J Wolff, Hannah M Bechtold, Dwayne Free, Javier Lorenzo, Patrick R Minot, Paul G Maggio, David A Spain, Thomas G Weiser, Joseph D Forrester

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

Article in Trauma surgery & acute care open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 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. Article
  4. Article
  5. Review
  6. The effect of COVID-19 on adult traumatic orthopedic injuries: a database study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
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

10 authors at 2 institutions in 1 country.

Beatrice J SunDepartment of Surgery, Stanford University, Stanford, California, USA.
Christopher J WolffDepartment of Surgery, Stanford University, Stanford, California, USA.
Hannah M BechtoldAnesthesiology, Stanford University, Stanford, California, USA.
Dwayne FreeBronchoscopy and Respiratory Care Services, Stanford University, Stanford, California, USA.
Javier LorenzoAnesthesiology, Stanford University, Stanford, California, USA.
Patrick R MinotAnesthesiology, Stanford University, Stanford, California, USA.
Paul G MaggioDepartment of Surgery, Stanford University, Stanford, California, USA.
David A SpainDepartment of Surgery, Stanford University, Stanford, California, USA.
Thomas G WeiserDepartment of Surgery, Stanford University, Stanford, California, USA.
Joseph D ForresterDepartment of Surgery, Stanford University, Stanford, California, USA.
Stanford University · USStanford Health Care · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients hospitalized with COVID-19 are at risk of developing hypoxic respiratory failure and often require prolonged mechanical ventilation. Indication and timing to perform tracheostomy is controversial in patients with COVID-19.

methodsThis was a single-institution retrospective review of tracheostomies performed on patients admitted for COVID-19 between April 8, 2020 and August 1, 2020 using a modified percutaneous tracheostomy technique to minimize hypoxia and aerosolization.

resultsTwelve tracheostomies were performed for COVID-related respiratory failure. Median patient age was 54 years (range: 36-76) and 9 (75%) were male. Median time to tracheostomy was 17 days (range: 10-27), and 5 (42%) patients had failed attempts at extubation prior to tracheostomy. There were no intraprocedural complications, including hypoxia. Post-tracheostomy bleeding was noted in two patients. Eight (67%) patients have been discharged at the time of this study, and there were four patient deaths unrelated to tracheostomy placement. No healthcare worker transmissions resulted from participating in the tracheostomy procedure.

conclusionsA modified percutaneous tracheostomy is feasible and can be safely performed in patients infected with COVID-19. LEVEL OF EVIDENCE: Level V, case series.

Indexed as

critical careinfectionsrespiratory insufficiencytracheostomy

Identifiers

PMID34192161
PMCPMC7736959
OpenAlexW3112387681

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.