Evidence map›Paper›PMID 35110850›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2022

Weaning Outcomes and 28-day Mortality after Tracheostomy in COVID-19 Patients in Central India: A Retrospective Observational Cohort Study.

Sunaina Tejpal Karna, Saurabh Trivedi, Pooja Singh, Alkesh Khurana, Revadi Gouroumourty, Brahmam Dodda, Saurabh Saigal, Jai Prakash Sharma, Amit Karna, Pranav Shrivastava and 4 more

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Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Early versus late tracheostomy in critically ill COVID-19 patients.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Article
  3. A 30-day Survival and Safety of Percutaneous Tracheostomy in Moderate-to-severe COVID-19 Pneumonia Patients: A Single-center Experience.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    Article
  4. 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

14 authors at 1 institution in 1 country.

Sunaina Tejpal KarnaDepartment of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0000-0002-4200-5948
Saurabh TrivediDepartment of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0000-0003-1997-6591
Pooja SinghDepartment of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0000-0003-0556-7359
Alkesh KhuranaDepartment of Pulmonary Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0000-0002-9646-4971
Revadi GouroumourtyDepartment of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0000-0002-9646-4971
Brahmam DoddaDepartment of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0000-0003-1127-2629
Saurabh SaigalDepartment of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0000-0002-2364-2271
Jai Prakash SharmaDepartment of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0000-0003-4147-1637
Amit KarnaDepartment of Anesthesiology and Critical Care, Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0000-0001-8434-0982
Pranav ShrivastavaDepartment of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0000-0003-1637-1271
Aqeel HussainDepartment of Pulmonary Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0000-0003-2596-2524
Vikas GuptaDepartment of Otorhinolaryngology, Head and Neck Surgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0000-0002-7610-7141
Gankalyan BeheraDepartment of Otorhinolaryngology, Head and Neck Surgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0000-0002-9155-285X
Vaishali WaindeskarDepartment of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.ORCID https://orcid.org/0000-0002-0556-7159
All India Institute of Medical Sciences Bhopal · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTracheostomy is integral in long-term intensive care of coronavirus disease-2019 (COVID-19) patients. There is a paucity of studies on weaning outcomes and mortality after tracheostomy in COVID-19 in Indian scenario. MATERIALS AND

methodsWe conducted a retrospective, single-center, observational study of severe COVID-19 patients who underwent elective tracheostomy (

resultsElective tracheostomy was done in 69 of 436 (15.8%) patients on invasive mechanical ventilation, of which 65 were included. Tracheostomy was percutaneous in 45/65 (69%) and surgical in 20/65 (31%) with timing from intubation as early in 41/65 and late in 24/65 with most common indication as weaning failure followed by anticipated prolonged ventilation. Tracheostomy complications were present in 29/65 (45%) patients with no difference in complication rates between timing and type of tracheostomy. Downsizing, decannulation, and weaning were successful in 22%, 32 (49%), and 35/65 (54%) patients after tracheostomy. The 28-day mortality was 30/65 (46%). The fractional inspired oxygen concentration (FiO

conclusionsWe suggest that tracheostomy should be delayed to after 7 days of intubation, especially till FiO STUDY HIGHLIGHTS: Tracheostomy is integral in care of COVID-19 patients needing prolonged ventilation. There is no difference in complications in early/late or percutaneous dilatational/surgical technique. We observed successful weaning post-tracheostomy in 54% patients. Mortality at 28 days was 46%. Early tracheostomy within 7 days of intubation did not improve weaning or survival. HOW TO CITE THIS ARTICLE: Karna ST, Trivedi S, Singh P, Khurana A, Gouroumourty R, Dodda B,

Indexed as

COVID-19 patientsIntensive careMortalityTracheostomyWeaning success

Identifiers

PMID35110850
PMCPMC8783235
OpenAlexW4205800989

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LicenceCC BY-NC
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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.