Evidence map›Paper›PMID 34968814›Full record

ArticleAmerican journal of otolaryngology

Tracheostomy care and communication during COVID-19: Global interprofessional perspectives.

Chandler H Moser, Amy Freeman-Sanderson, Emily Keeven, Kylie A Higley, Erin Ward, Michael J Brenner, Vinciya Pandian

Open access · greenAbstract read
In one paragraph

Article in American journal of otolaryngology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Standardizing Tracheostomy Discharge Education Using an Interdisciplinary Hand-off Form: A Quality Improvement Study.ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses · 2026
    Article
  3. Review
  4. Redefining Nursing in Otorhinolaryngology-Head & Neck Care: Implications of the ICN's 2025 Definitions for an Evolving Specialty.ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses · 2026
    Article
  5. Article
  6. Article
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  8. Article
  9. Article
  10. Article
  11. Article
  12. Utility of telemedicine in tracheostomy-dependent children.Laryngoscope investigative otolaryngology · 2022
    Article
  13. 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

7 authors at 6 institutions in 2 countries.

Chandler H MoserSchool of Nursing, Johns Hopkins University, Baltimore, MD, United States. Electronic address: cmoser6@jh.edu.
Amy Freeman-SandersonGraduate School of Health, University of Technology, Sydney, NSW, Australia; Royal Prince Alfred Hospital, Sydney, NSW, Australia; Critical Care Division, The George Institute for Global Health, Sydney, NSW, Australia. Electronic address: amy.freeman-sanderson@uts.edu.au.
Emily KeevenPatient Care Services, Children's Mercy Hospitals and Clinics, University of Kansas Health System, Kansas City, MO, United States. Electronic address: ejkeeven@cmh.edu.
Kylie A HigleyChildren's Mercy Hospitals and Clinics, University of Kansas Health System, Kansas City, MO, United States; Global Tracheostomy Collaborative, Raleigh, NC, United States. Electronic address: kahigley@cmh.edu.
Erin WardGlobal Tracheostomy Collaborative, Raleigh, NC, United States; Family Liaison, Boston Children's Hospital Tracheostomy Team, Boston Children's Hospital, Boston, MA, United States; MTM-CNM Family Connection, Inc., Methuen, MA, United States.
Michael J BrennerGlobal Tracheostomy Collaborative, Raleigh, NC, United States; Department of Otolaryngology - Head & Neck Surgery, University of Michigan Medical School, Ann Arbor, MI, United States. Electronic address: mbren@med.umich.edu.
Vinciya PandianDepartment of Nursing Faculty, Johns Hopkins University School of Nursing; Outcomes After Critical Illness and Surgery (OACIS) Research Group, Johns Hopkins University, Baltimore, MD, United States. Electronic address: vpandia1@jhu.edu.
Johns Hopkins University · USChildren's Mercy Hospital · USMACOM (United States) · USRoyal Prince Alfred Hospital · AUUniversity of Kansas · USUniversity of Michigan–Ann Arbor · US

Funding

Symptoms Assessment and Screening for Laryngeal Injury Post-extubation in ICUR01NR017433 · NINR · JOHNS HOPKINS UNIVERSITY · PI BRODSKY, MARTIN BRUCE, NEEDHAM, DALE MURRAY · 2018 to 2022
$3.2M
NINR NIH HHS R01 NR017433
6 · The paper itself

Abstract

objectiveInvestigate healthcare providers, caregivers, and patient perspectives on tracheostomy care barriers during COVID-19. STUDY

designCross-sectional anonymous survey

settingGlobal Tracheostomy Collaborative Learning Community

methodsA 17-item questionnaire was electronically distributed, assessing demographic and occupational data; challenges in ten domains of tracheostomy care; and perceptions regarding knowledge and preparedness for navigating the COVID-19 pandemic.

resultsRespondents (n = 115) were from 20 countries, consisting of patients/caregivers (10.4%) and healthcare professionals (87.0%), including primarily otolaryngologists (20.9%), nurses (24.3%), speech-language pathologists (18.3%), respiratory therapists (11.3%), and other physicians (12.2%). The most common tracheostomy care problem was inability to communicate (33.9%), followed by mucus plugging and wound care. Need for information on how to manage cuffs and initiate speech trials was rated highly by most respondents, along with other technical and knowledge areas. Access to care and disposable supplies were also prominent concerns, reflecting competition between community needs for routine tracheostomy supplies and shortages in intensive care units. Integrated teamwork was reported in 40 to 67% of respondents, depending on geography. Forty percent of respondents reported concern regarding personal protective equipment (PPE), and 70% emphasized proper PPE use.

conclusionWhile safety concerns, centering on personal protective equipment and pandemic resources are prominent concerns in COVID-19 tracheostomy care, patient-centered concerns must also be prioritized. Communication and speech, adequate supplies, and care standards are critical considerations in tracheostomy. Stakeholders in tracheostomy care can partner to identify creative solutions for delays in restoring communication, supply disruptions, and reduced access to tracheostomy care in both inpatient and community settings.

Indexed as

COVID-19CommunicationCross-Sectional StudiesHumansPandemicsSARS-CoV-2TracheostomyCOVID-19Healthcare professionalSurveyTracheostomy

Identifiers

PMID34968814
PMCPMC8695522
OpenAlexW4200393071

What OpenQuestion holds

Textmetadata
LicenceTDM
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.