Evidence map›Paper›PMID 36182551›Full record

SynthesisBritish journal of anaesthesia2022

Tracheostomy outcomes in critically ill patients with COVID-19: a systematic review, meta-analysis, and meta-regression.

Denise Battaglini, Lavienraj Premraj, Nicole White, Anna-Liisa Sutt, Chiara Robba, Sung-Min Cho, Ida Di Giacinto, Filippo Bressan, Massimiliano Sorbello, Brian H Cuthbertson and 4 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in British journal of anaesthesia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Observational
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  8. Tracheostomy is associated with decreased in-hospital mortality during severe COVID-19 infection.World journal of otorhinolaryngology - head and neck surgery · 2024
    Article
  9. Article
  10. Article
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  12. Article
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  14. Observational
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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

14 authors.

Denise BattagliniAnesthesia and Intensive Care, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, Genoa, Italy; Department of Medicine, University of Barcelona, Barcelona, Spain. Electronic address: battaglini.denise@gmail.com.
Lavienraj PremrajGriffith University School of Medicine, Gold Coast, QLD, Australia; Critical Care Research Group, The Prince Charles Hospital, Brisbane, QLD, Australia.
Nicole WhiteAustralian Centre for Health Services Innovation (AusHSI) and Centre for Healthcare Transformation, School of Public Health and Social Work, Queensland University of Technology (QUT), Brisbane, QLD, Australia.
Anna-Liisa SuttCritical Care Research Group, The Prince Charles Hospital, Brisbane, QLD, Australia; Faculty of Medical and Biomedical Sciences, The University of Queensland, Brisbane, QLD, Australia.
Chiara RobbaAnesthesia and Intensive Care, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, Genoa, Italy; Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy.
Sung-Min ChoDivision of Neurosciences Critical Care, Department of Neurology, Neurosurgery, Anaesthesiology and Critical Care Medicine and Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ida Di GiacintoUnit of Anesthesia and Intensive Care, Mazzoni Hospital, Ascoli Piceno, Italy.
Filippo BressanAnesthesia and Intensive Care, Anestesia e Rianimazione Ospedale Santo Stefano di Prato, Prato, Italy.
Massimiliano SorbelloAnesthesia and Intensive Care, Policlinico San Marco University Hospital, Catania, Italy.
Brian H CuthbertsonDepartment of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada; University Department of Anaesthesiology in Pain Medicine, University of Toronto, Toronto, ON, Canada.
Gianluigi Li BassiCritical Care Research Group, The Prince Charles Hospital, Brisbane, QLD, Australia; Australian Centre for Health Services Innovation (AusHSI) and Centre for Healthcare Transformation, School of Public Health and Social Work, Queensland University of Technology (QUT), Brisbane, QLD, Australia; Queensland University of Technology, Brisbane, QLD, Australia; Critical Care Medicine, UnitingCare Health, Brisbane, QLD, Australia.
Jacky SuenCritical Care Research Group, The Prince Charles Hospital, Brisbane, QLD, Australia; Australian Centre for Health Services Innovation (AusHSI) and Centre for Healthcare Transformation, School of Public Health and Social Work, Queensland University of Technology (QUT), Brisbane, QLD, Australia; Queensland University of Technology, Brisbane, QLD, Australia; Critical Care Medicine, UnitingCare Health, Brisbane, QLD, Australia.
John F FraserCritical Care Research Group, The Prince Charles Hospital, Brisbane, QLD, Australia; Australian Centre for Health Services Innovation (AusHSI) and Centre for Healthcare Transformation, School of Public Health and Social Work, Queensland University of Technology (QUT), Brisbane, QLD, Australia; Division of Neurosciences Critical Care, Department of Neurology, Neurosurgery, Anaesthesiology and Critical Care Medicine and Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Queensland University of Technology, Brisbane, QLD, Australia; Critical Care Medicine, UnitingCare Health, Brisbane, QLD, Australia.
Paolo PelosiAnesthesia and Intensive Care, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, Genoa, Italy; Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy.

Funding

CLots and Oxygen in Va-ExtracorpoReal membrane oxygenation (CLOVER) studyK23HL157610 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Sung-Min Cho · 2022 to 2026
$797k
NHLBI NIH HHS K23 HL157610
6 · The paper itself

Abstract

backgroundWe performed a systematic review of mechanically ventilated patients with COVID-19, which analysed the effect of tracheostomy timing and technique (surgical vs percutaneous) on mortality. Secondary outcomes included intensive care unit (ICU) and hospital length of stay (LOS), decannulation from tracheostomy, duration of mechanical ventilation, and complications.

methodsFour databases were screened between January 1, 2020 and January 10, 2022 (PubMed, Embase, Scopus, and Cochrane). Papers were selected according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and the Population or Problem, Intervention or exposure, Comparison, and Outcome (PICO) guidelines. Meta-analysis and meta-regression for main outcomes were performed.

resultsThe search yielded 9024 potentially relevant studies, of which 47 (n=5268 patients) were included. High levels of between-study heterogeneity were observed across study outcomes. The pooled mean tracheostomy timing was 16.5 days (95% confidence interval [CI]: 14.7-18.4; I

conclusionsIn patients with COVID-19 requiring tracheostomy, the timing and technique of tracheostomy did not clearly impact on patient outcomes. SYSTEMATIC REVIEW PROTOCOL: PROSPERO CRD42021272220.

Indexed as

COVID-19Critical IllnessHumansLength of StayRespiration, ArtificialTime FactorsTracheostomyARDSCOVID-19mortalityoutcomesSARS-CoV-2tracheostomy

Identifiers

PMID36182551
PMCPMC9345907

What OpenQuestion holds

Textmetadata
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.