Eff ect of early versus late or no tracheostomy on mortality of critically ill patients receiving mechanical ventilation: a systematic review and meta-analysis
نویسندگان
چکیده
Background Delay of tracheostomy for roughly 2 weeks after translaryngeal intubation of critically ill patients is the presently recommended practice and is supported by fi ndings from large trials. However, these trials were suboptimally powered to detect small but clinically important eff ects on mortality. We aimed to assess the mortality benefi t of early versus late or no tracheostomy in critically ill patients who need mechanical ventilation.
منابع مشابه
Early versus late tracheostomy for critically ill patients.
BACKGROUND Long-term mechanical ventilation is the most common situation where tracheostomy is indicated for patients in intensive care units (ICU). 'Early' and 'late' tracheostomies are two categories of the timing of tracheostomy. The evidence on the advantages attributed to early over late tracheostomy is somewhat conflicting but includes shorter hospital stays and lower mortality rates. O...
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The author questioned whether an early tracheostomy (within 10 days of intubation) was associated with lower mortality compared with a late tracheostomy for long-term mechanically ventilated patients. The present brief review of eight studies revealed that individuals receiving early tracheostomies had slightly lower mortality rates compared with those who received late tracheostomies. More sta...
متن کاملEffect of early tracheostomy on resource utilization and clinical outcomes in critically ill patients: meta-analysis of randomized controlled trials.
BACKGROUND Early tracheostomy may decrease the duration of mechanical ventilation, sedation exposure, and intensive care stay, possibly resulting in improved clinical outcomes, but the evidence is conflicting. METHODS Systematic review and meta-analysis of randomized trials in patients allocated to tracheostomy within 10 days of start of mechanical ventilation was compared with placement of t...
متن کاملSystematic review and meta-analysis of studies of the timing of tracheostomy in adult patients undergoing artificial ventilation.
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 Trials Register, the Medical Research Council UK database, the NHS Research and Development Health...
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Background and purpose: In the last months of 2019, the new coronavirus infection (COVID-19) spread worldwide. This study investigated the need for mechanical ventilation in children who were admitted for COVID-19. Materials and methods: This article provides a systematic review of studies about children with COVID-19 requiring invasive or non-invasive mechanical ventilation. Electronic databa...
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