Evidence map›Paper›PMID 42146971›Full record

ArticleTracheostomy (Warrenville, Ill.)2026

Intrahospital Transport of Adults with Tracheostomy, Laryngectomy, and other Surgical Airways: A Scoping Review of Risks, Processes, and Outcomes.

Naomi B Gizaw, Isabel A Snee, Naomi Ns Walter, DeMarcus M Burke, Jai'el R Toussaint, Raivat Shah, Youssef A Nagaty, Sarah E Hughes, Ferdie Z Galicia, Angela M Fetsko and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Tracheostomy (Warrenville, Ill.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Naomi B GizawDepartment of Otolaryngology-Head and Neck Surgery, College of Medicine, The Pennsylvania State University, Hershey, PA.
Isabel A SneeGeorgetown University School of Medicine, Washington, DC.
Naomi Ns WalterRoss and Carol Nese College of Nursing, The Pennsylvania State University, University Park, PA.
DeMarcus M BurkeUniversity of Michigan Medical School, Ann Arbor, MI.
Jai'el R ToussaintUniversity of Michigan Medical School, Ann Arbor, MI.
Raivat ShahUniversity of Michigan Medical School, Ann Arbor, MI.
Youssef A NagatyUniversity of Michigan Medical School, Ann Arbor, MI.
Sarah E HughesUniversity of Michigan Medical School, Ann Arbor, MI.
Ferdie Z GaliciaUniversity of Michigan Medical School, Ann Arbor, MI.
Angela M FetskoDepartment of Trauma Surgery, Penn State Milton S Hershey Medical Center, Hershey, PA.
Laura C NairnsDepartment of Otolaryngology - Head and Neck Surgery, Penn State Milton S Hershey Medical Center, Hershey, PA.
Linda M WilliamsDepartment of Respiratory Therapy, Penn State Milton S Hershey Medical Center, Hershey, PA.
David GoldenbergDepartment of Otolaryngology - Head and Neck Surgery, Penn State Milton S Hershey Medical Center, Hershey, PA.
Michael J BrennerDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, MI.ORCID 0000-0003-4926-0957
Vinciya PandianRoss and Carol Nese College of Nursing, The Pennsylvania State University, University Park, PA.ORCID 0000-0002-2260-1080

Funding

AHRQ HHS R18 HS029124
6 · The paper itself

Abstract

Background: Transport of adults with tracheostomies, laryngectomies, or other surgical airways can cause airway compromise, physiologic instability, and preventable harm, yet transport practices remain inconsistent. This scoping review mapped evidence on intrahospital transport of adults with surgical airways, described transport processes and outcomes, and identified priorities for safer care. Methods: Following PRISMA guidance, we searched six databases through March 2024 for primary studies of adults undergoing intrahospital transport with surgical airways that reported adverse events, clinical outcomes, or resource use. Reviewers independently screened studies, extracted data, and assessed risk of bias for nonrandomized studies using ROBINS-I. Findings were synthesized narratively. Results: Of 1,118 records, six studies met inclusion criteria, including prospective cohorts, retrospective reviews, and one pre-post handoff intervention, with sample sizes from 48 to 521 patients. Cardiorespiratory alterations occurred in up to 67 percent of transports, and complications affected 28 percent of critically ill cancer transports. Compared with mechanically ventilated non-transported patients, transported patients had longer durations of ventilation, ICU stay, and hospital stay, and experienced higher ventilator-associated pneumonia and mortality rates. A structured operating room-to-ICU handoff reduced omitted information but did not change mortality or length of stay. Most studies had moderate risk of bias. Conclusions: Intrahospital transport of adults with surgical airways is associated with instability, complications, and increased resource use, yet evidence is limited and transport processes vary widely. Multicenter studies enrolling tracheostomy patients and testing standardized, airway-focused transport bundles and structured handoffs are needed to inform best practices and improve safety.

Indexed as

Adverse eventsAirway managementCritical illnessIntrahospital transportMechanical ventilationPatient safetyScoping reviewSurgical airwayTracheostomyVentilator-associated pneumonia

Identifiers

PMID42146971
PMCPMC13175315

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.