Evidence map›Paper›PMID 34208672›Full record

ArticleJournal of clinical medicine2021

Tracheostomy Timing and Outcome in Severe COVID-19: The WeanTrach Multicenter Study.

Denise Battaglini, Francesco Missale, Irene Schiavetti, Marta Filauro, Francesca Iannuzzi, Alessandro Ascoli, Alberto Bertazzoli, Federico Pascucci, Salvatore Grasso, Francesco Murgolo and 27 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Early versus late tracheostomy in critically ill COVID-19 patients.The Cochrane database of systematic reviews · 2023
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  11. Observational
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  14. Review
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  17. Weaning Outcomes and 28-day Mortality after Tracheostomy in COVID-19 Patients in Central India: A Retrospective Observational Cohort Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    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

37 authors at 13 institutions in 3 countries.

Denise BattagliniAnesthesia and Intensive Care, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, 16132 Genoa, Italy.ORCID 0000-0002-6895-6442
Francesco MissaleDepartment of Otorhinolaryngology-Head and Neck Surgery, University of Genoa, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, 16132 Genoa, Italy.ORCID 0000-0002-5357-5348
Irene SchiavettiDepartment of Health Sciences, Section of Biostatistics, University of Genoa, 16132 Genoa, Italy.ORCID 0000-0002-5460-2977
Marta FilauroDepartment of Otorhinolaryngology-Head and Neck Surgery, University of Genoa, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, 16132 Genoa, Italy.ORCID 0000-0002-6000-3006
Francesca IannuzziAnesthesia and Intensive Care, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, 16132 Genoa, Italy.
Alessandro AscoliDepartment of Otorhinolaryngology-Head and Neck Surgery, University of Genoa, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, 16132 Genoa, Italy.ORCID 0000-0002-7375-5581
Alberto BertazzoliFirst Division of Anesthesiology and Intensive Care Unit, ASST Spedali Civili di Brescia, 25123 Brescia, Italy.
Federico PascucciFirst Division of Anesthesiology and Intensive Care Unit, ASST Spedali Civili di Brescia, 25123 Brescia, Italy.
Salvatore GrassoDipartimento dell'Emergenza e Trapianti d'Organo (DETO), Sezione di Anestesiologia e Rianimazione, Università degli Studi di Bari "Aldo Moro", Ospedale Policlinico, 70124 Bari, Italy.
Francesco MurgoloDipartimento dell'Emergenza e Trapianti d'Organo (DETO), Sezione di Anestesiologia e Rianimazione, Università degli Studi di Bari "Aldo Moro", Ospedale Policlinico, 70124 Bari, Italy.
Simone BindaAnaesthesia and Intensive Care Department, University Hospital, Ospedale di Circolo, 21100 Varese, Italy.
Davide MaraggiaAnaesthesia and Intensive Care Department, University Hospital, Ospedale di Circolo, 21100 Varese, Italy.
Giorgia MontrucchioAnestesia e Rianimazione 1U, Department of Anesthesia, Intensive Care and Emergency, Città della Salute e della Scienza Hospital, 10121 Turin, Italy.ORCID 0000-0001-9341-965X
Gabriele SalesAnestesia e Rianimazione 1U, Department of Anesthesia, Intensive Care and Emergency, Città della Salute e della Scienza Hospital, 10121 Turin, Italy.ORCID 0000-0003-0891-2525
Giuseppe PascarellaDepartment of Anaesthesia, Intensive Care and Pain Management, Universita Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Rome, Italy.ORCID 0000-0002-5076-3693
Felice Eugenio AgròDepartment of Anaesthesia, Intensive Care and Pain Management, Universita Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Rome, Italy.
Gaia FaccioU.O. di Anestesia e Rianimazione, Ospedale di Treviglio-Caravaggio, 24047 Treviglio, Italy.
Sandra FerrarisU.O. di Anestesia e Rianimazione, Ospedale di Treviglio-Caravaggio, 24047 Treviglio, Italy.
Savino SpadaroDepartment of Morphology, Surgery and Experimental Medicine, Faculty of Medicine, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0001-5027-5318
Giulia FalòDepartment of Morphology, Surgery and Experimental Medicine, Faculty of Medicine, University of Ferrara, 44121 Ferrara, Italy.
Nadia MeretoAnestesia e Rianimazione, Ospedale Villa Scassi, 16132 Genoa, Italy.
Alessandro UvaAnestesia e Rianimazione, Ospedale Villa Scassi, 16132 Genoa, Italy.
Jessica Giuseppina MaugeriAnesthesia and Intensive Care, "Garibaldi Centro" Hospital, ARNAS Garibaldi, 95100 Catania, Italy.
Bellissima AgrippinoAnesthesia and Intensive Care, "Garibaldi Centro" Hospital, ARNAS Garibaldi, 95100 Catania, Italy.ORCID 0000-0002-5021-5750
Maria VargasDipartimento di Neuroscienze, Scienze Riproduttive e Odontostomatologiche, Università degli Studi di Napoli Federico II, 80126 Napoli, Italy.
Giuseppe ServilloDipartimento di Neuroscienze, Scienze Riproduttive e Odontostomatologiche, Università degli Studi di Napoli Federico II, 80126 Napoli, Italy.
Chiara RobbaAnesthesia and Intensive Care, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, 16132 Genoa, Italy.
Lorenzo BallAnesthesia and Intensive Care, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, 16132 Genoa, Italy.
Francesco MoraDepartment of Otorhinolaryngology-Head and Neck Surgery, University of Genoa, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, 16132 Genoa, Italy.
Alessio SignoriDepartment of Health Sciences, Section of Biostatistics, University of Genoa, 16132 Genoa, Italy.ORCID 0000-0001-6289-9144
Antoni TorresDepartment of Pulmonology, Hospital Clinic of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, SGR 911-Ciber de Enfermedades Respiratorias (CIBERES), 08007 Barcelona, Spain.ORCID 0000-0002-8643-2167
Daniele Roberto GiacobbeDipartimento di Scienze della Salute (DISSAL), Università degli Studi di Genova, 16132 Genova, Italy.ORCID 0000-0003-2385-1759
Antonio VenaClinica Malattie Infettive, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) per l'Oncologia e le Neuroscienze, 16132 Genova, Italy.ORCID 0000-0002-0697-3992
Matteo BassettiDipartimento di Scienze della Salute (DISSAL), Università degli Studi di Genova, 16132 Genova, Italy.
Giorgio PerettiDepartment of Otorhinolaryngology-Head and Neck Surgery, University of Genoa, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, 16132 Genoa, Italy.
Patricia R M RoccoLaboratory of Pulmonary Investigation, Carlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Rio de Janeiro 21941, Brazil.ORCID 0000-0003-1412-7136
Paolo PelosiAnesthesia and Intensive Care, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, 16132 Genoa, Italy.
Ospedale Policlinico San Martino · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITAzienda Ospedaliera Treviglio · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITOspedale di Circolo e Fondazione Macchi · ITOspedale Garibaldi · ITUniversità Campus Bio-Medico · ITUniversity of Bari Aldo Moro · ITUniversity of Ferrara · ITUniversity of Genoa · ITUniversity of Naples Federico II · ITCentro de Investigación Biomédica en Red de Enfermedades Respiratorias · ESUniversidade Federal do Rio de Janeiro · BR

Funding

Brazilian Council for Scientific and Technological Development (COVID-19-CNPq) 401700/2020-8 and 403485/2020-7, the Rio de Janeiro State Research Foundation (COVID-19-FAPERJ) E-26/210.181/2020, the Funding Authority for Studies and Projects (FINEP) 012000 401700/2020-8 and 403485/2020-7
6 · The paper itself

Abstract

backgroundTracheostomy can be performed safely in patients with coronavirus disease 2019 (COVID-19). However, little is known about the optimal timing, effects on outcome, and complications.

methodsA multicenter, retrospective, observational study. This study included 153 tracheostomized COVID-19 patients from 11 intensive care units (ICUs). The primary endpoint was the median time to tracheostomy in critically ill COVID-19 patients. Secondary endpoints were survival rate, length of ICU stay, and post-tracheostomy complications, stratified by tracheostomy timing (early versus late) and technique (surgical versus percutaneous).

resultsThe median time to tracheostomy was 15 (1-64) days. There was no significant difference in survival between critically ill COVID-19 patients who received tracheostomy before versus after day 15, nor between surgical and percutaneous techniques. ICU length of stay was shorter with early compared to late tracheostomy (

conclusionsAmong critically ill patients with COVID-19, neither early nor percutaneous tracheostomy improved outcomes, but did shorten ICU stay. Infectious complications were less frequent with percutaneous than surgical tracheostomy.

Indexed as

coronavirusCOVID-19intensive carepercutaneousSARS-CoV-2surgical techniquetracheostomy

Identifiers

PMID34208672
PMCPMC8235219
OpenAlexW3169381208

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.