Evidence map›Paper›PMID 39604564›Full record

ArticleScientific reports2024

Early tracheostomy in ventilated COVID-19 patients reduces incidence of ventilator-associated pneumonia.

Małgorzata Grotowska, Tomasz Skalec, Iga Wójtowicz, Jarosław Kędziora, Waldemar Goździk, Wiesława Duszyńska

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. 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

6 authors.

Małgorzata GrotowskaFaculty of Medicine, Clinical Department of Anesthesiology and Intensive Therapy, Wroclaw Medical University, Wroclaw, 50-556, Poland. malgorzata.grotowska@umw.edu.pl.ORCID 0000-0002-0691-8440
Tomasz SkalecFaculty of Medicine, Clinical Department of Anesthesiology and Intensive Therapy, Wroclaw Medical University, Wroclaw, 50-556, Poland.
Iga WójtowiczClinic of Anesthesiology and Intensive Therapy, University Hospital in Wroclaw, Wroclaw, 50-556, Poland.
Jarosław KędzioraFaculty of Medicine, Clinical Department of Anesthesiology and Intensive Therapy, Wroclaw Medical University, Wroclaw, 50-556, Poland.
Waldemar GoździkFaculty of Medicine, Clinical Department of Anesthesiology and Intensive Therapy, Wroclaw Medical University, Wroclaw, 50-556, Poland.
Wiesława DuszyńskaFaculty of Medicine, Clinical Department of Anesthesiology and Intensive Therapy, Wroclaw Medical University, Wroclaw, 50-556, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tracheostomy can reduce mechanical ventilation (MV) duration, ICU and hospital length of stay (LOS), and ventilator-associated pneumonia (VAP) risk in critically ill patients. The timing of tracheostomy in COVID-19 patients has been studied, but its impact on VAP incidence has rarely been analyzed. This study investigated tracheostomy timing's impact on VAP incidence, ventilation time, ICU and hospital LOS, and mortality in critically ill COVID-19 patients. It was conducted at the University Hospital in Wroclaw, Poland, from October 1, 2020, to June 30, 2021. Of 60 tracheostomized patients, 21 (35%) developed VAP. Early tracheostomy (≤ 13 days) resulted in 8/42 (19%) VAP cases, while late tracheostomy (> 13 days) had 13/18 (72%) VAP cases, showing a significantly lower VAP risk in the early group (p < 0.05). VAP incidence rates were 7.9 and 22.8 per 1000 patient-days for early and late groups, respectively. Early tracheostomy patients had shorter median MV duration (18 vs. 33 days, p < 0.05), ICU LOS (20 vs. 31 days, p < 0.05) and hospital LOS (25 vs. 47 days, p < 0.05). Early tracheostomy in critically ill COVID-19 patients significantly reduced VAP risk, MV duration, ICU, and hospital LOS.

Indexed as

COVID-19Length of StayPneumonia, Ventilator-AssociatedRespiration, ArtificialTracheostomyAdultAgedCritical IllnessFemaleHumansIncidenceIntensive Care UnitsMaleMiddle AgedPolandSARS-CoV-2COVID-19Mechanical ventilationTracheostomyVentilator-associated pneumonia

Identifiers

PMID39604564
PMCPMC11603353

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.