Effect of Timing of Tracheotomy on Clinical Outcomes: an Update Meta-analysis Including 11 Trials

Liang Shan; Rui Zhang; Lian-di Li

Your Location：

Home >

Browse articles >

Effect of Timing of Tracheotomy on Clinical Outcomes: an Update Meta-analysis Including 11 Trials

中国医学科学杂志（英文版） 2013年28卷第3期页码：159-166

• 论著 • | Updated：2024-04-10

- Effect of Timing of Tracheotomy on Clinical Outcomes: an Update Meta-analysis Including 11 Trials
- Affiliations：
  
  Neurological Intensive Care Unit, the Affiliated Hospital of Medical College, Qingdao University,Shandong,Qingdao,China,266003
- Author bio：
- Funds：
- DOI：
  中图分类号：
- 网络出版日期：2013-09-30，
  
  纸质出版日期：2013
- Accepted：
Scan QR Code
Liang Shan, Rui Zhang, Lian-di Li. Effect of Timing of Tracheotomy on Clinical Outcomes: an Update Meta-analysis Including 11 Trials[J]. 中国医学科学杂志（英文版）, 2013,28(3):159-166.

Liang Shan, Rui Zhang, Lian-di Li. Effect of Timing of Tracheotomy on Clinical Outcomes: an Update Meta-analysis Including 11 Trials[J]. Chinese medical sciences journal, 2013, 28(3): 159-166.
Liang Shan, Rui Zhang, Lian-di Li. Effect of Timing of Tracheotomy on Clinical Outcomes: an Update Meta-analysis Including 11 Trials[J]. 中国医学科学杂志（英文版）, 2013,28(3):159-166. DOI：

Liang Shan, Rui Zhang, Lian-di Li. Effect of Timing of Tracheotomy on Clinical Outcomes: an Update Meta-analysis Including 11 Trials[J]. Chinese medical sciences journal, 2013, 28(3): 159-166. DOI：

摘要

Methods We searched electronic databases (up to February 27

2013) for both randomized control trials and observational studies satisfying the predefined inclusion criteria.Results We retrieved 11 reports of studies including a total of 13 705 patients. Early tracheotomy was associated with significant reductions in mortality [33.3% vs. 36.3%; relative risk (RR); 0.92; 95% confidence interval (CI): 0.88

0.97; I

: 29%]

length of ICU stay (mean difference: -6.55 days; 95% CI: -8.19

-4.90; I

: 98%) and duration of mechanical ventilation (mean difference: -6.53 days; 95% CI: -11.43

-1.63; I

: 100%). However

as compared with late tracheotomy

early tracheotomy did not reduce the incidence of hospital pneumonia (21.9% vs. 21.0%

RR: 0.85; 95% CI: 0.68

1.06; I

: 67%).Conclusions Early tracheotomy can reduce length of ICU stay

duration of mechanical ventilation and mortality but has no influence on hospital pneumonia when compared with late tracheotomy. Once the decision has been made about tracheotomy

clinical physicians should not hesitate to perform the procedure.

Abstract

Methods We searched electronic databases (up to February 27

0.97; I

: 29%]

length of ICU stay (mean difference: -6.55 days; 95% CI: -8.19

-4.90; I

: 98%) and duration of mechanical ventilation (mean difference: -6.53 days; 95% CI: -11.43

-1.63; I

: 100%). However

as compared with late tracheotomy

early tracheotomy did not reduce the incidence of hospital pneumonia (21.9% vs. 21.0%

RR: 0.85; 95% CI: 0.68

1.06; I

: 67%).Conclusions Early tracheotomy can reduce length of ICU stay

duration of mechanical ventilation and mortality but has no influence on hospital pneumonia when compared with late tracheotomy. Once the decision has been made about tracheotomy

clinical physicians should not hesitate to perform the procedure.

关键词

Keywords

references

浏览量

2115

Downloads

CSCD

文章被引用时，请邮件提醒。

Submit

关联资源

Chinese Herbal Medicine in Treatment of Polyhydramnios:a Meta-analysis and Systematic Review^025B3;

Therapeutic Effect and Safety of Ustekinumab for Plaque Psoriasis: A Meta-analysis

Probiotics’ Preventive Effect on Pediatric Food Allergy: A Meta-analysis of Randomized Controlled Trials

BRAF V600E Mutation as a Predictive Factor of Anti-EGFR Monoclonal Antibodies Therapeutic Effects in Metastatic Colorectal Cancer: a Meta-analysis

Association between Two Polymorphisms of Follicle Stimulating Hormone Receptor Gene and Susceptibility to Polycystic Ovary Syndrome: a Meta-analysis