Evidence map›Paper›PMID 41477480›Full record

ArticleTracheostomy (Warrenville, Ill.)2025

Effect of AvTrach

Vinciya Pandian, Maria Colandrea, Nancy Sullivan, Carol S Maragos, Stanola Stanley, Michael J Brenner

Abstract read
In one paragraph

Article in Tracheostomy (Warrenville, Ill.), 2025. 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. 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.

Vinciya PandianRoss and Carol Nese College of Nursing, Pennsylvania State University.ORCID 0000-0002-2260-1080
Maria ColandreaDepartment of Otolaryngology Head-Neck Surgery, Department of Veterans Affairs.
Nancy SullivanSchool of Nursing, Johns Hopkins University.
Carol S MaragosDepartment of Otolaryngology Head-Neck Surgery, Johns Hopkins Hospital.
Stanola StanleyCenter for Immersive Learning and Digital Innovation, Pennsylvania State University.
Michael J BrennerDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Medical School.ORCID 0000-0003-4926-0957

Funding

AHRQ HHS R18 HS029124
6 · The paper itself

Abstract

Aim: To evaluate the effectiveness of AvTrach Design: A multi-institutional, randomized controlled trial (RCT) was conducted to compare AWAS with HFM training modalities for tracheostomy suctioning among healthcare professionals and students. Methods: Participants (n = 69) from two institutions were randomized into experimental (AWAS) and control (HFM) groups. Competency was assessed using an Objective Structured Clinical Examination tool, and stress responses were measured through salivary cortisol levels. The study encompassed four sessions: recruitment, baseline competency levels and training, simulation, and clinical demonstrations. Quantitative data were analyzed using descriptive statistics, Wilcoxon rank-sum tests, and mixed-effects regression models. Results: Both groups demonstrated improved competency post-training (p < 0.001). However, the AWAS group achieved higher clinical competency scores (p < 0.001) and exhibited stable cortisol levels during clinical demonstrations, indicating better stress adaptation. Participants in the AWAS group also reported higher engagement, attributed to dynamic feedback and enhanced emotional immersion. Conclusion: AWAS training, integrating physical, conceptual, and psychological fidelity, significantly enhances tracheostomy care competency and stress management compared to HFM. This approach supports technical skill development, emotional preparedness, and interprofessional collaboration, essential for high-stakes clinical environments.

Indexed as

Airway ManagementClinical CompetenceEducational ModelsHigh-Fidelity Simulation TrainingInterprofessional EducationPatient SafetyPhysiologicalSalivary CortisolSimulationStressSuctionTracheostomy

Identifiers

PMID41477480
PMCPMC12752779

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.