SynthesisDysphagia2024
Predictive Factors for Successful Decannulation in Patients with Tracheostomies and Brain Injuries: A Systematic Review.
Synthesis in Dysphagia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07481435 (TRacheostomy in DElphi for iNTensive Care'), which is not on this map. Cited by 17 papers.
What it found
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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.
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.
TRacheostomy in DElphi for iNTensive Care' (TRiDENT)
Who cites it
17 citing papers in PubMed, 12 citations in OpenAlex.
- Clinical study on combining speaking valves with swallowing training to promote early decannulation in tracheostomy patients with dysphagia.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Trial
- Trial
- Best Available Evidence on Weaning and Extubation in Mechanically Ventilated Neurocritical Care Patients: An Evidence Summary.Nursing in critical care · 2026Review
- Beyond injury severity: monocyte-associated small extracellular vesicles distinguish respiratory-support trajectories following thoracic trauma.BMC pulmonary medicine · 2026Article
- Association of Care Engagement and Psychosocial Factors With Tracheostomy Decannulation.Laryngoscope investigative otolaryngology · 2026Article
- Improved Respiratory Outcomes Following Multidisciplinary Aerodigestive Care in Medically Complex Children: A Longitudinal Single-Center Study.Pediatric pulmonology · 2026Article
- Risk Factor Analysis and Prognosis of Dysphagia in Craniocerebral Injury Patients: Implications for Targeted Nursing Strategies.Brain and behavior · 2026Article
- Rethinking tracheostomy care: cuffless tubes for patients with aspiration.Frontiers in rehabilitation sciences · 2026Article
- Pulmonary Function Tests as Predictors of Successful Tracheostomy Decannulation: A 60-Day Prospective Study.International journal of medical sciences · 2026Observational
- Expert consensus-based clinical practice guidelines for Care and weaning procedures in tracheostomized ICU patients after invasive mechanical ventilation: a joint statement by the Intensive Care Physiotherapy Society (SKR) and the French Intensive Care Society (SRLF).Annals of intensive care · 2026Article
- Evan's blue dye test for detection of aspiration in tracheostomized patients.The Cochrane database of systematic reviews · 2025Article
- Using ML techniques to predict extubation outcomes for patients with central nervous system injuries in the Yun-Gui Plateau.Scientific reports · 2025Article
- The effect of tapered flow resistive loading inspiratory muscle training on respiratory function in post-stroke tracheostomy patients: study protocol for a parallel-group, assessor-blinded randomized controlled trial.Frontiers in neurology · 2025Article
- Development and Effect Evaluation of an Action-Oriented Interdisciplinary Weaning Protocol for Cuffed Tracheostomy Tubes in Patients with Acquired Brain Injury.Healthcare (Basel, Switzerland) · 2024Article
- Clinical management and nursing care for patients with tracheostomy following traumatic brain injury.Frontiers in neurology · 2024Review
- A stepwise decannulation pathway for patients with prolonged disorders of consciousness after brain injury: a retrospective feasibility study.Frontiers in neurologyArticle
- Decannulation criteria in patients with acquired brain injury based on interval forced vital capacity monitoring: a prospective observational study.Frontiers in neurologyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Neurological patients frequently have disorders of consciousness, swallowing disorders, or neurological states that are incompatible with extubation. Therefore, they frequently require tracheostomies during their stay in an intensive care unit. After the acute phase, tracheostomy weaning and decannulation are generally expected to promote rehabilitation. However, few reliable predictive factors (PFs) for decannulation have been identified in this patient population. We sought to identify PFs that may be used during tracheostomy weaning and decannulation in patients with brain injuries. We conducted a systematic review of the literature regarding potential PFs for decannulation; searches were performed on 16 March 2021 and 1 June 2022. The following databases were searched: MEDLINE, EMBASE, CINAHL, Scopus, Web of Science, PEDro, OPENGREY, OPENSIGLE, Science Direct, CLINICAL TRIALS and CENTRAL. We searched for all article types, except systematic reviews, meta-analyses, abstracts, and position articles. Retrieved articles were published in English or French, with no date restriction. In total, 1433 articles were identified; 26 of these were eligible for inclusion in the review. PFs for successful decannulation in patients with acquired brain injuries (ABIs) included high neurological status, traumatic brain injuries rather than stroke or anoxic brain lesions, younger age, effective swallowing, an effective cough, and the absence of pulmonary infections. Secondary PFs included early tracheostomy, supratentorial lesions, the absence of critical illness polyneuropathy/myopathy, and the absence of tracheal lesions. To our knowledge, this is the first systematic review to identify PFs for decannulation in patients with ABIs. These PFs may be used by clinicians during tracheostomy weaning.
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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.