Evidence map›Paper›PMID 38681475›Full record

ArticleCureus2024

Tracheal Stenosis in Open Versus Percutaneous Tracheostomy.

Darby L Keirns, Ajay K Rajan, Shirline H Wee, Isheeta S Govardhan, Dana N Eitan, Danielle B Dilsaver, Ian Ng, Marcus W Balters

Abstract read
In one paragraph

Article in Cureus, 2024. 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
–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

1 citing paper in PubMed.

  1. Observational
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

8 authors.

Darby L KeirnsDepartment of Surgery, Creighton University School of Medicine, Phoenix, USA.
Ajay K RajanDepartment of Surgery, Creighton University School of Medicine, Phoenix, USA.
Shirline H WeeDepartment of Surgery, Creighton University School of Medicine, Phoenix, USA.
Isheeta S GovardhanDepartment of Surgery, Creighton University School of Medicine, Phoenix, USA.
Dana N EitanDepartment of Surgery, Creighton University School of Medicine, Phoenix, USA.
Danielle B DilsaverDepartment of Clinical Research and Public Health, Creighton University School of Medicine, Omaha, USA.
Ian NgDepartment of Clinical Research and Public Health, Creighton University School of Medicine, Omaha, USA.
Marcus W BaltersDepartment of Surgery, Creighton University School of Medicine, Omaha, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to investigate if there is an increased risk of developing tracheal stenosis after tracheostomy with an open versus percutaneous tracheostomy.

methodsThe patient cohort included patients receiving open or percutaneous tracheostomies at Catholic Health Initiatives Midwest facilities from January 2017 to June 2023. The primary aim was to compare the differences in the risk of developing tracheal stenosis between open and percutaneous tracheostomy techniques. Between-technique differences in the risk of developing tracheal stenosis were assessed via a Cox proportional hazard model. To account for death precluding patients from developing tracheal stenosis, death was considered a competing risk.

resultsA total of 828 patients met inclusion criteria (61.7% open, 38.3% percutaneous); 2.5% (N = 21) developed tracheal stenosis. The median number of days to develop tracheal stenosis was 84 (interquartile range: 60 to 243, range: 6 to 739). Tracheal stenosis was more frequent in patients who received a percutaneous tracheostomy (percutaneous: 3.5% vs. open: 2.0%); however, the risk of developing tracheal stenosis was statistically similar between open and percutaneous techniques (HR: 2.05, 95% CI: 0.86-4.94, p = 0.108).

conclusionsThis study demonstrates no significant difference in the development of tracheal stenosis when performing an open versus a percutaneous tracheostomy. Tracheal stenosis is a long-term complication of tracheostomy and should not influence the decision about the surgical technique used.

Indexed as

open tracheostomypercutaneous tracheostomysurgical tracheostomytracheal stenosistracheostomy complications

Identifiers

PMID38681475
PMCPMC11052640

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Registered trials

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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.