Evidence map›Paper›PMID 34710141›Full record

SynthesisPloS one2021

Comparative effectiveness of ultrasound-guided and anatomic landmark percutaneous dilatational tracheostomy: A systematic review and meta-analysis.

Kun-Te Lin, Yung-Shuo Kao, Chun-Wen Chiu, Chi-Hsien Lin, Chu-Chung Chou, Pei-You Hsieh, Yan-Ren Lin

Open access · goldAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
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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

7 authors at 4 institutions in 1 country.

Kun-Te LinDepartment of Emergency and Critical Care Medicine, Changhua Christian Hospital, Changhua, Taiwan.ORCID 0000-0003-0197-7377
Yung-Shuo KaoDepartment of Radiation Oncology, China Medical University Hospital, Taichung, Taiwan.ORCID 0000-0002-8886-8239
Chun-Wen ChiuDepartment of Emergency and Critical Care Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Chi-Hsien LinDepartment of Emergency and Critical Care Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Chu-Chung ChouDepartment of Emergency and Critical Care Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Pei-You HsiehDepartment of Emergency and Critical Care Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Yan-Ren LinDepartment of Emergency and Critical Care Medicine, Changhua Christian Hospital, Changhua, Taiwan.ORCID 0000-0002-9015-2678
Changhua Christian Hospital · TWKaohsiung Medical University · TWChina Medical University · TWDayeh University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUltrasound-guided tracheostomy (UGT) and bronchoscope-guided tracheostomy (BGT) have been well compared. However, the differences in benefits between UGT and landmark tracheostomy (LT) have not been addressed and, in particular, lack a detailed meta-analysis. We aimed to compare the first-pass success, complication rate, major bleeding rate, and tracheostomy procedure time between UGT and LT.

methodsIn a systematic review, relevant databases were searched for studies comparing UGT with LT in intubated patients. The primary outcome was the odds ratio (OR) of first-pass success. The secondary outcomes were the OR of complications, OR of major bleeding, and standardized mean difference (SMD) of the total tracheostomy procedure time.

resultsThe meta-analysis included three randomized controlled studies (RCTs) and one nonrandomized controlled study (NRS), comprising 474 patients in total. Compared with LT, UGT increased first-pass success (OR: 4.287; 95% confidence interval [CI]: 2.308 to 7.964) and decreased complications (OR: 0.422; 95% CI: 0.249 to 0.718). However, compared with LT, UGT did not significantly reduce major bleeding (OR: 0.374; 95% CI: 0.112 to 1.251) or the total tracheostomy placement time (SMD: -0.335; 95% CI: -0.842 to 0.172).

conclusionsCompared with LT, real-time UGT increases first-pass success and decreases complications. However, UGT was not associated with a significant reduction in the major bleeding rate. The total tracheostomy placement time comparison between UGI and LT was inconclusive.

Indexed as

Anatomic LandmarksBronchoscopyHumansInternational CooperationPostoperative ComplicationsTracheostomyUltrasonography, Interventional

Identifiers

PMID34710141
PMCPMC8553067
OpenAlexW3210073806

What OpenQuestion holds

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Registered trials

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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.