Evidence map›Paper›PMID 37454428›Full record

ArticleThe Journal of surgical research2023

Preliminary Exploration of Long-Term Patient Outcomes After Tracheostomy in Burns: A Burn Model System Study.

Kevin E Galicia, Anupama Mehta, Karen J Kowalske, Nicole S Gibran, Barclay T Stewart, Kara McMullen, Steven E Wolf, Colleen M Ryan, John Kubasiak, Jeffrey C Schneider

Open access · greenAbstract read
In one paragraph

Article in The Journal of surgical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Long-term Physical and Mental Health Outcomes of Older Adults Following a Major Burn Injury: A Burn Model System Investigation.Journal of burn care & research : official publication of the American Burn Association · 2025
    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

10 authors at 6 institutions in 1 country.

Kevin E GaliciaDepartment of Surgery, Loyola University Medical Center, Maywood, Illinois. Electronic address: kgalicia@luc.edu.
Anupama MehtaDivision of Trauma, Burn, and Surgical Care, Brigham and Women's Hospital, Boston, Massachusetts.
Karen J KowalskeDepartment of Surgery, The University of Texas Southwestern Medical Center, Dallas, Texas.
Nicole S GibranDepartment of Surgery, The University of Washington, Seattle, Washington.
Barclay T StewartDepartment of Surgery, The University of Washington, Seattle, Washington.
Kara McMullenDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington.
Steven E WolfDivision of Burn and Trauma Surgery, University of Texas Medical Branch, Galveston, Texas.
Colleen M RyanDepartment of Surgery, Massachusetts General Hospital, Boston, Massachusetts.
John KubasiakDepartment of Surgery, Loyola University Medical Center, Maywood, Illinois.
Jeffrey C SchneiderDepartment of Physical Medicine and Rehabilitation, Massachusetts General Hospital, Charlestown, Massachusetts.
University of Washington · USLoyola University Medical Center · USMassachusetts General Hospital · USBrigham and Women's Hospital · USThe University of Texas Medical Branch at Galveston · USThe University of Texas Southwestern Medical Center · US

Funding

TRAINING IN TRAUMA AND BURN RESEARCHT32GM008750 · NIGMS · LOYOLA UNIVERSITY CHICAGO · PI CHOUDHRY, MASHKOOR A, GONZALEZ, RICHARD PAUL · 2000 to 2023
$2.9M
ACL HHS 90DPBU0001ACL HHS 90DPBU0008NIGMS NIH HHS T32 GM008750
6 · The paper itself

Abstract

introductionUpper airway management is crucial to burn care. Endotracheal intubation is often performed in the setting of inhalation injury, burns of the face and neck, or large burns requiring significant resuscitation. Tracheostomy may be necessary in patients requiring prolonged ventilatory support. This study compares long-term, patient-reported outcomes in burn patients with and without tracheostomy. MATERIALS AND

methodsData from the Burn Model System Database, collected from 2013 to 2020, were analyzed. Demographic and clinical data were compared between those with and without tracheostomy. The following patient-reported outcomes, collected at 6-, 12-, and 24-mo follow-up, were analyzed: Veterans RAND 12-Item Health Survey (VR-12), Satisfaction with Life, Community Integration Questionnaire, Patient-Reported Outcomes Measurement Information System 29-Item Profile Measure, employment status, and days to return to work. Regression models and propensity-matched analyses were used to assess the associations between tracheostomy and each outcome.

resultsOf 714 patients included in this study, 5.5% received a tracheostomy. Mixed model regression analyses demonstrated that only VR-12 Physical Component Summary scores at 24-mo follow-up were significantly worse among those requiring tracheostomy. Tracheostomy was not associated with VR-12 Mental Component Summary, Satisfaction with Life, Community Integration Questionnaire, or Patient-Reported Outcomes Measurement Information System 29-Item Profile Measure scores. Likewise, tracheostomy was not found to be independently associated with employment status or days to return to work.

conclusionsThis preliminary exploration suggests that physical and psychosocial recovery, as well as the ability to regain employment, are no worse in burn patients requiring tracheostomy. Future investigations of larger scale are still needed to assess center- and provider-level influences, as well as the influences of various hallmarks of injury severity. Nonetheless, this work should better inform goals of care discussions with patients and families regarding the use of tracheostomy in burn injury.

Indexed as

BurnsQuality of LifeEmploymentHumansPersonal SatisfactionRegression AnalysisBurnBurn rehabilitationPatient-reported outcomesQuality of lifeTracheostomy

Identifiers

PMID37454428
PMCPMC10528102
OpenAlexW4384295885

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.