Observational studyOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2025
Predictors of Decannulation Success in Tracheostomy: A 10-Year Analysis of the Global Tracheostomy Collaborative Database.
Observational study in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07769021 (Observational iNternational Study of TRACHeostomy Practice in Adult Intensive Care Units - ON TRACH), which is not on this map. Cited by 8 papers.
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Observational iNternational Study of TRACHeostomy Practice in Adult Intensive Care Units - ON TRACH
Who cites it
8 citing papers in PubMed.
- Association of Care Engagement and Psychosocial Factors With Tracheostomy Decannulation.Laryngoscope investigative otolaryngology · 2026Article
- [Treatment algorithm: decannulation management in the context of discontinuous weaning from mechanical ventilation in critically ill patients with tracheal cannula].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Article
- Application of bedside ultrasound assessment of diaphragmatic function in preparing tracheostomised patients for ventilator liberation and decannulation: a narrative review.Journal of thoracic disease · 2026Review
- Pulmonary Function Tests as Predictors of Successful Tracheostomy Decannulation: A 60-Day Prospective Study.International journal of medical sciences · 2026Observational
- Redefining Nursing in Otorhinolaryngology-Head & Neck Care: Implications of the ICN's 2025 Definitions for an Evolving Specialty.ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses · 2026Article
- Interprofessional Quality Improvement Project to Reduce the Length of Stay of Tracheostomized Patients in a Multi-Etiological Intensive Care Unit-The Contribution of Speech and Language Therapy to the Overall Result (IQ-ICU-SLT).Journal of clinical medicine · 2025Article
- A Shared Vision for Tracheostomy Care: How the ICN's Updated Framework Strengthens Collaboration.Tracheostomy (Warrenville, Ill.) · 2025Article
- High-flow tracheal therapy vs. tracheostomy mask in weaning: insights from a propensity-matched cohort.BMC pulmonary medicine · 2025Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveDecannulation is a critical milestone in functional recovery after tracheostomy, but standardized guidelines are lacking. This study examined factors associated with tracheostomy decannulation success, comparing hospital utilization, adverse events, and survival outcomes between decannulated and non-decannulated patients. STUDY
designRetrospective, observational study.
settingData were collected from 25 hospitals participating in the Global Tracheostomy Collaborative (GTC) in the United States, Australia, and the United Kingdom.
methodsProspectively collected data from adult patients who underwent tracheostomy from 2013 to 2022 were analyzed. Outcomes included decannulation success, hospital utilization metrics (intensive care unit [ICU] admissions, mechanical ventilation use, tracheostomy duration, and hospital length of stay), survival to discharge, discharge destinations, and adverse events. Associations were tested using t tests, chi-square, and Fine-Gray models, adjusting for clustering by site.
resultsAmong 5318 patients, 52.9% were decannulated before discharge. Predictors of decannulation included younger age, fewer comorbidities, elective and surgical admissions, and upper airway obstruction as an indication for tracheostomy versus facilitation of ventilation (all P < .001). Geographic variations were significant, with higher decannulation rates in Australia (82.1%) and the United Kingdom (70%) compared to the United States (13.5%) (P < .001). Decannulated patients had not only higher survival rates but also higher adverse events (11.4%, P = .002), particularly unplanned decannulation. Discharge destination varied by country, with the United Kingdom having the highest home discharge rate (P < .001).
conclusionDecannulation success is associated with patient and institutional factors, suggesting the need for standardized protocols to promote equitable tracheostomy management. Geographic variations in decannulation rates, adverse events, and hospital utilization suggest opportunities for harmonized guidelines to enhance outcomes and resource allocation.
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