Evidence map›Paper›PMID 36248317›Full record

ArticleCritical care explorations2022

Association Between Tracheostomy and Functional, Neuropsychological, and Healthcare Utilization Outcomes in the RECOVER Cohort.

Sangeeta Mehta, Anita Brondani, George Tomlinson, Leslie Chu, Stacey Burns, Andrea Matte, Jill I Cameron, Jan O Friedrich, Jill Rudkowski, Priscila Robles and 3 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Critical care explorations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
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  5. 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

13 authors at 5 institutions in 1 country.

Sangeeta MehtaDepartment of Medicine, Sinai Health System, Toronto, ON, Canada.
Anita BrondaniDepartment of Anesthesia and Critical Care, Azienda Sanitaria Universitaria Integrata di Udine, Udine, Italy.
George TomlinsonDepartment of Medicine, University Health Network, Toronto, ON, Canada.
Leslie ChuMackenzie Health Richmond Hill, Toronto, ON, Canada.
Stacey BurnsToronto General Research Institute, Institute of Medical Science, University Health Network, Toronto, ON, Canada.
Andrea MatteToronto General Research Institute, Institute of Medical Science, University Health Network, Toronto, ON, Canada.
Jill I CameronDepartment of Occupational Science and Occupational Therapy, Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Jan O FriedrichDepartments of Medicine and Critical Care Medicine, Unity Health-St. Michael's Hospital, Toronto, ON, Canada.
Jill RudkowskiSt. Joseph's Healthcare Hamilton, Hamilton, ON, Canada.
Priscila RoblesToronto General Research Institute, Institute of Medical Science, University Health Network, Toronto, ON, Canada.
Yoanna SkrobikDepartment of Medicine, McGill University, Montreal, QC, Canada.
Margaret HerridgeToronto General Research Institute, Institute of Medical Science, University Health Network, Toronto, ON, Canada.
Neill K J AdhikariDepartment of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
University of Toronto · CASinai Health System · CAMcGill University · CAMcMaster University · CAToronto Rehabilitation Institute · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tracheostomy is commonly performed in critically ill patients requiring prolonged mechanical ventilation (MV). We evaluated the outcomes of tracheostomy in patients who received greater than or equal to 1 week MV and were followed for 1 year.

designIn this secondary analysis of a prospective observational study, we compared outcomes in tracheostomy versus nontracheostomy patients. Outcomes post ICU included Functional Independence Measure (FIM) subscales, 6-Minute Walk Test (6MWT), Short Form 36 (SF36), Medical Research Council (MRC) Scale, pulmonary function tests (PFTs), Impact of Event Scale (IES), Beck Depression Inventory-II (BDI-II), and vital status and disposition.

settingNine University affiliated ICUs in Canada. PATIENTS: Medical/surgical patients requiring MV for 7 or more days who were enrolled in the Towards RECOVER Study. MEASUREMENTS AND MAIN

resultsOf 398 ICU survivors, 193 (48.5%) received tracheostomy, on median ICU day 14 (interquartile range [IQR], 8-0 d). Patients with tracheostomy were older, had similar severity of illness, had longer MV duration and ICU and hospital stays, and had higher risk of ICU readmission (odds ratio [OR], 1.9; 95% CI, 1.0-3.2) and hospital mortality (OR, 2.6; 95% CI, 1.1-6.1), but not 1-year mortality (hazard ratio, 1.41; 95% CI, 0.88-1.2). Over 1 year, tracheostomy patients had lower FIM-Total (7.7 points; 95% CI, 2.2-13.2); SF36, IES, and BDI-II were similar. From 3 months, tracheostomy patients had 12% lower 6MWT (

conclusionsPatients who received tracheostomy had more ICU and hospital care and higher hospital mortality compared with patients who did not receive a tracheostomy. In 1 year follow-up, tracheostomy patients required a higher daily burden of care, expressed by FIM.

Indexed as

critical illnessdispositionmechanical ventilationoutcomestracheostomy

Identifiers

PMID36248317
PMCPMC9553381
OpenAlexW4304141640

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.