TITLE

Review: Early tracheostomy is not better than late tracheostomy for reducing all-cause mortality in critically ill patients

PUB. DATE
November 2005
SOURCE
ACP Journal Club;Nov/Dec2005, Vol. 143 Issue 3, p62
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
This article presents information on a clinical study according to which early tracheostomy is not better than late tracheostomy for reducing all-cause mortality in critically ill patients. The study explored whether in critically ill patients who require prolonged mechanical ventilation, early tracheostomy is better than late tracheostomy or prolonged endotracheal intubation for reducing all-cause mortality. Randomized controlled trials (RCTs) or quasi-RCTs that compared early tracheostomy with continued translaryngeal intubation or continued translaryngeal intubation followed by late tracheostomy in critically ill adults requiring artificial ventilation. In critically ill patients who require prolonged mechanical ventilation, early tracheostomy is not better than late tracheostomy or prolonged endotracheal intubation for reducing all-cause mortality. Early tracheostomy may be associated with a shorter duration of artificial ventilation and length of stay in the intensive care unit.
ACCESSION #
18925731

 

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