Timing dilemma: a systematic review and meta-analysis of short-term mortality in patients with COVID-19 undergoing tracheostomy with varied timing, including 7, 10 and 14 days
Beong Ki Kim, Hangseok Choi, Chi Young Kim · 2024
Read Timing dilemma: a systematic review and meta-analysis of short-term mortality in patients with COVID-19 undergoing tracheostomy with varied timing, including 7, 10 and 14 days by Beong Ki Kim, Hangseok Choi, Chi Young Kim (2024) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-11647386.txt.
Description
Beong Ki Kim, Hangseok Choi, and Chi Young Kim pooled twelve studies to ask when a tracheostomy should be done in COVID-19 patients on ventilators. Cutting the windpipe helps long ventilation, but timing may trade survival against time in intensive care. Across 3,465 patients they compared cutting at seven, ten, and fourteen days. At the ten-day split, patients cut later had lower short-term mortality. At seven and fourteen days, the timing showed no mortality difference.
Earlier cutting bought shorter ventilation and shorter intensive care stays. Later cutting trended toward longer hospital stays. The authors read the pattern as a dilemma rather than a rule: a few days' difference at the ten-day mark seems to matter, yet waiting costs ICU days. They call for research that finds the timing balancing survival and resources. The analysis cannot set one date, but it narrows the argument.
Catalog record
| CREATOR | Beong Ki Kim, Hangseok Choi, Chi Young Kim |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 27 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |