TITLE

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

AUTHOR(S)
Sinuff, Tasnim
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 comments on a clinical study according to which early tracheostomy is not better than late tracheostomy for reducing all-cause mortality in critically ill patients. Several methodologic limitations of the primary studies in this systematic review may explain the lack of a clear mortality benefit. First, the data came from small, low-quality, primarily single center, RCTs and quasi-RCTs of heterogeneous patient populations. Second, the small total number of patients results in trends for treatment benefit and wide confidence intervals that include harm. In view of the additional heterogeneity of the treatment effect for mortality, VAP, and duration of mechanical ventilation, one may question the rationale for pooling the results of these studies.
ACCESSION #
18925732

 

Related Articles

  • Review: Early tracheostomy is not better than late tracheostomy for reducing all-cause mortality in critically ill patients.  // ACP Journal Club;Nov/Dec2005, Vol. 143 Issue 3, p62 

    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 timing, enrollment and power in ICU clinical trials. Scales, Damon C.; Kahn, Jeremy M. // Intensive Care Medicine;Oct2008, Vol. 34 Issue 10, p1743 

    The article presents the authors' perspective on the study by Blot and colleagues which compared tracheotomy with prolonged intubation in severely ill patients requiring mechanical ventilation. Citing on the results of the study, they remark that the study did not resolve the debate concerning...

  • Asynchronies during mechanical ventilation are associated with mortality. Blanch, Lluís; Villagra, Ana; Sales, Bernat; Montanya, Jaume; Lucangelo, Umberto; Luján, Manel; García-Esquirol, Oscar; Chacón, Encarna; Estruga, Anna; Oliva, Joan; Hernández-Abadia, Alberto; Albaiceta, Guillermo; Fernández-Mondejar, Enrique; Fernández, Rafael; Lopez-Aguilar, Josefina; Villar, Jesús; Murias, Gastón; Kacmarek, Robert // Intensive Care Medicine;Apr2015, Vol. 41 Issue 4, p633 

    Purpose: This study aimed to assess the prevalence and time course of asynchronies during mechanical ventilation (MV). Methods: Prospective, noninterventional observational study of 50 patients admitted to intensive care unit (ICU) beds equipped with Better Careâ„¢ software throughout MV....

  • Commission calls for improved training.  // Nursing Children & Young People;Nov2016, Vol. 28 Issue 9, p6 

    The article presents a Care Quality Commission (CQC) report investigating the management of long-term respiratory care including tracheostomies for infants in the community in Great Britain which found that training of community teams including nurses needs improvement.

  • Systematic review and meta-analysis of studies of the timing of tracheostomy in adult patients undergoing artificial ventilation. Griffiths, John; Barber, Vicki S.; Morgan, Lesley; Young, J. Duncan // BMJ: British Medical Journal (International Edition);5/28/2005, Vol. 330 Issue 7502, p1243 

    Objective To compare outcomes in critically ill patients undergoing artificial ventilation who received a tracheostomy early or late in their treatment. Data sources The Cochrane Central Register of Clinical Trials, Medline, Embase, CINAHL, the National Research Register, the NHS Trusts Clinical...

  • Gastrointestinal symptoms during the first week of intensive care are associated with poor outcome: a prospective multicentre study. Reintam Blaser, Annika; Poeze, Martijn; Malbrain, Manu; Björck, Martin; Oudemans-van Straaten, Heleen; Starkopf, Joel // Intensive Care Medicine;May2013, Vol. 39 Issue 5, p899 

    Purpose: The study aimed to develop a gastrointestinal (GI) dysfunction score predicting 28-day mortality for adult patients needing mechanical ventilation (MV). Methods: 377 adult patients from 40 ICUs with expected duration of MV for at least 6 h were prospectively studied. Predefined GI...

  • ESICM 2013 - Abstracts of Oral Presentations and Poster Sessions.  // Intensive Care Medicine;Oct2013 Supplement, Vol. 39, p201 

    The article presents abstracts on intensive care medicine topics which include non-invasive ventilation, non-invasive mechanical ventilation in patients with acute respiratory failure, and whether immunosuppresion is a risk factor of mortality for acute respiratory failure patients receiving...

  • Factors effecting adoption of new neonatal and pediatric respiratory technologies. Bachman, Thomas E.; Marks, Norton E.; Rimensberger, Peter C. // Intensive Care Medicine;Jan2008, Vol. 34 Issue 1, p174 

    There remains significant variation in the level and rate of adoption of new pediatric respiratory technologies, in spite of two decades of focus on “evidence-based medicine”. Nearly 50 years ago Rogers introduced a rubric for understanding issues that effect the adoption of...

  • Automatic selection of breathing pattern using adaptive support ventilation. Arnal, Jean-Michel; Wysocki, Marc; Nafati, Cyril; Donati, Stéphane; Granier, Isabelle; Corno, Gaëlle; Durand-Gasselin, Jacques // Intensive Care Medicine;Jan2008, Vol. 34 Issue 1, p75 

    In a cohort of mechanically ventilated patients to compare the automatic tidal volume ( V T)–respiratory rate (RR) combination generated by adaptive support ventilation (ASV) for various lung conditions. Prospective observational cohort study in the 11-bed medicosurgical ICU of a general...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics