Shi-Qi Cai1, Jun-Wu Hu1, Dong Liu1, Xiang-Jun Bai2, Jie Xie2, Jia-Jun Chen2, Fan Yang2, Tao Liu3. 1. Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, China. 2. Department of Traumatic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, China. 3. Department of Traumatic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, China. Electronic address: tao-liu87@hotmail.com.
Abstract
OBJECTIVE: This study aims to assess the influence of tracheostomy timing on outcomes among trauma patients, including mortality, medical resource utility and incidence of pneumonia. METHOD: A systematic review of the literature was conducted by internet search. Data were extracted from selected studies and analyzed using Stata to compare outcomes in trauma patients with early tracheostomy (ET) or late tracheostomy (LT)/prolonged intubation (PI). RESULT: 20 studies met our inclusion criteria with 3305 patients in ET group and 4446 patients in LT/PI group. Pooled data revealed that mortality was not lower in trauma patients with ET compared to those with LT/IP. However, ET was found to be associated with a significantly reduced length of ICU and hospital stay, shorter MV duration and lower risk of pneumonia. CONCLUSION: Evidence of this meta-analysis supports the dimorphism in some clinical outcomes of trauma patients with different tracheostomy timing. Additional well-designed randomized controlled trials (RCTs) are needed to confirm it in future.
OBJECTIVE: This study aims to assess the influence of tracheostomy timing on outcomes among traumapatients, including mortality, medical resource utility and incidence of pneumonia. METHOD: A systematic review of the literature was conducted by internet search. Data were extracted from selected studies and analyzed using Stata to compare outcomes in traumapatients with early tracheostomy (ET) or late tracheostomy (LT)/prolonged intubation (PI). RESULT: 20 studies met our inclusion criteria with 3305 patients in ET group and 4446 patients in LT/PI group. Pooled data revealed that mortality was not lower in traumapatients with ET compared to those with LT/IP. However, ET was found to be associated with a significantly reduced length of ICU and hospital stay, shorter MV duration and lower risk of pneumonia. CONCLUSION: Evidence of this meta-analysis supports the dimorphism in some clinical outcomes of traumapatients with different tracheostomy timing. Additional well-designed randomized controlled trials (RCTs) are needed to confirm it in future.
Authors: Yusrina Zahari; Wan Mohd Nazaruddin Wan Hassan; Mohd Hasyizan Hassan; Rhendra Hardy Mohamad Zaini; Baharuddin Abdullah Journal: Malays J Med Sci Date: 2022-06-28
Authors: Elissa K Butler; Elizabeth Y Killien; Jonathan I Groner; Saman Arbabi; Monica S Vavilala; Frederick P Rivara Journal: Pediatr Crit Care Med Date: 2021-07-01 Impact factor: 3.971