Evidence map›Paper›PMID 39042629›Full record

SynthesisPloS one2024

Effect of tracheotomy timing on patients receiving mechanical ventilation: A meta-analysis of randomized controlled trials.

Rongrong Han, Xiang Gao, Yongtao Gao, Jihong Zhang, Xiaoyan Ma, Haibo Wang, Zhixin Ji

Abstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
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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

7 authors.

Rongrong HanDepartment of Otolaryngology, Weifang People's Hospital, Weifang, Shan dong Province, China.
Xiang GaoDepartment of Critical Care Medicine, Weifang People's Hospital, Weifang, Shan dong Province, China.ORCID 0000-0002-0743-2477
Yongtao GaoUrology Department I, Weifang Hospital of traditional Chinese Medicine, Weifang, Shan dong Province, China.
Jihong ZhangDepartment of Critical Care Medicine, Weifang People's Hospital, Weifang, Shan dong Province, China.
Xiaoyan MaDepartment of Critical Care Medicine, Weifang People's Hospital, Weifang, Shan dong Province, China.
Haibo WangDepartment of Critical Care Medicine, Weifang People's Hospital, Weifang, Shan dong Province, China.
Zhixin JiDepartment of Critical Care Medicine, Weifang People's Hospital, Weifang, Shan dong Province, China.ORCID 0009-0003-8914-7243

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe assessed the effects of tracheostomy timing (early vs. late) on outcomes among adult patients receiving mechanical ventilation.

methodsPubMed, Embase, Web of Science and Cochrane Library were searched to identify relevant RCTs of tracheotomy timing on patients receiving mechanical ventilation. Two reviewers independently screened the literature, extracted data. Outcomes in patients with early tracheostomy and late tracheostomy groups were compared and analyzed. Meta-analysis was performed using Stata14.0 and RevMan 5.4 software. This study is registered with PROSPERO (CRD42022360319).

resultsTwenty-one RCTs were included in this Meta-analysis. The Meta-analysis indicated that early tracheotomy could significantly shorten the duration of mechanical ventilation (MD: -2.77; 95% CI -5.10~ -0.44; P = 0.02) and the length of ICU stay (MD: -6.36; 95% CI -9.84~ -2.88; P = 0.0003), but it did not significantly alter the all-cause mortality (RR 0.86; 95% CI 0.73~1.00; P = 0.06), the incidence of pneumonia (RR 0.86; 95% CI 0.74~1.01; P = 0.06), and length of hospital stay (MD: -3.24; 95% CI -7.99~ 1.52; P = 0.18).

conclusionIn patients requiring mechanical ventilation, the tracheostomy performed at an earlier stage may shorten the duration of mechanical ventilation and the length of ICU stay but cannot significantly decrease the all-cause mortality and incidence of pneumonia.

Indexed as

Length of StayRandomized Controlled Trials as TopicRespiration, ArtificialTracheotomyHumansIntensive Care UnitsTime FactorsTracheostomy

Identifiers

PMID39042629
PMCPMC11265711

What OpenQuestion holds

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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.