Evidence map›Paper›PMID 36883211›Full record

ArticleJournal of intensive care medicine2023

Patient-Centred Outcomes Following Tracheostomy in Critical Care.

A Mc Mahon, S Griffin, Emma Gorman, Aoife Lennon, Stephen Kielthy, Andrea Flannery, Bindu Sam Cherian, Minu Josy, B Marsh

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Journal of intensive care medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
5.7field-weighted citation impact, top 4% 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.

NCT07481435 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

TRacheostomy in DElphi for iNTensive Care' (TRiDENT)

TypeobservationalSponsorUniversita degli Studi di GenovaRan2026 to 2026Enrolled40ConditionsDelphi Process, Delphi StudyArmsDelphi Consensus Process
NCT07769021 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Observational iNternational Study of TRACHeostomy Practice in Adult Intensive Care Units - ON TRACH

TypeobservationalSponsorRoyal College of Surgeons, IrelandRan2026 to 2029Enrolled2,500ConditionsTracheostomy Patients, Tracheostomy Decannulation, Intensive Care (ICU)
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
  3. Tracheostomy Decannulation Practices in Indian Intensive Care Units: A National Cross-sectional Survey of Intensive Care Unit Consultants.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  4. Article
  5. 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
  6. Validation and reliability of the Tracheostoma Well-Being Score (TWBS) in critically ill patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. 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

9 authors at 1 institution in 1 country.

A Mc MahonDepartment of Critical Care Medicine, Mater Misericordiae University Hospital, Dublin, Ireland.ORCID 0000-0003-3914-2850
S GriffinDepartment of Critical Care Medicine, Mater Misericordiae University Hospital, Dublin, Ireland.
Emma GormanDepartment of Critical Care Medicine, Mater Misericordiae University Hospital, Dublin, Ireland.
Aoife LennonDepartment of Critical Care Medicine, Mater Misericordiae University Hospital, Dublin, Ireland.
Stephen KielthyDepartment of Critical Care Medicine, Mater Misericordiae University Hospital, Dublin, Ireland.
Andrea FlanneryDepartment of Critical Care Medicine, Mater Misericordiae University Hospital, Dublin, Ireland.
Bindu Sam CherianDepartment of Critical Care Medicine, Mater Misericordiae University Hospital, Dublin, Ireland.
Minu JosyDepartment of Critical Care Medicine, Mater Misericordiae University Hospital, Dublin, Ireland.
B MarshDepartment of Critical Care Medicine, Mater Misericordiae University Hospital, Dublin, Ireland.
Mater Misericordiae University Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAround 20% of intensive care unit (ICU) patients undergo tracheostomy insertion and expect high-quality care concentrating on patient-centered outcomes including communication, oral intake, and mobilization. The majority of data has focused on timing, mortality, and resource utilization, with a paucity of information on quality of life following tracheostomy.

methodsSingle center retrospective study including all patients requiring tracheostomy from 2017 to 2019. Information collected on demographics, severity of illness, ICU and hospital length of stay (LOS), ICU and hospital mortality, discharge disposition, sedation, time to vocalization, swallow and mobilization. Outcomes were compared for early versus late tracheostomy (early = <day 10) and age category (≤ 65 vs ≥ 66 years).

resultsIn total, 304 patients were included and 71% male, median age 59, APACHE II score 17. Median ICU and hospital LOS 16 and 56 days, respectively. ICU and hospital mortality 9.9% and 22.4%. Median time to tracheostomy 8 days, 8.55% open. Following tracheostomy, median days of sedation was 0, time to noninvasive ventilation (NIV) 1 day (94% of patients achieving this), ventilator-free breathing (VFB) 5 days (72%), speaking valve 7 days (60%), dynamic sitting 5 days (64%), and swallow assessment 16 days (73%). Early tracheostomy was associated with shorter ICU LOS (13 vs 26 days,

conclusionPatient-centered outcomes are a worthy goal to consider when selecting patients for tracheostomy in addition to mortality or timing alone, including in older patients.

Indexed as

Intensive Care UnitsTracheostomyAgedCritical CareFemaleHumansLength of StayMaleMiddle AgedQuality of LifeRespiration, ArtificialRetrospective Studiescommunicationcritical caremobilizationoral intakeoutcomespatient centeredtracheostomy

Identifiers

PMID36883211
PMCPMC10374991
OpenAlexW4323534464

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.