Cochrane · systematic review · CD008045
Percutaneous techniques versus surgical techniques for tracheostomy
Brass, P, Hellmich, M, Ladra, A, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
Emergency and Critical CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 5 · 71.4%Moderate 1 · 14.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Percutaneous techniques compared to surgical techniques for tracheostomy
Population: patients with tracheostomy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality directly related to the procedure (Total mortality) Percutaneous techniques vs surgical techniques | 0.52 [0.1, 2.6] | 4 studies · 257 participants | Low Downgraded: risk of bias, imprecision |
Intraoperative serious, life‐threatening adverse events Percutaneous techniques vs surgical techniques | RR 0.93 [0.57, 1.53] | 12 studies · 1211 participants | Low Downgraded: risk of bias, imprecision |
Direct postoperative serious, life‐threatening adverse events Percutaneous techniques vs surgical techniques | RR 0.72 [0.41, 1.25] | 10 studies · 984 participants | Low Downgraded: risk of bias, imprecision |
Wound infection/stomatitis Percutaneous techniques vs surgical techniques | RR 0.24 [0.15, 0.37] | 12 studies · 936 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Unfavourable scarring Percutaneous techniques vs surgical techniques | RR 0.25 [0.07, 0.91] | 6 studies · 789 participants | Low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Major bleeding Percutaneous techniques vs surgical techniques | RR 0.7 [0.45, 1.09] | 10 studies · 984 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Tracheostomy tube occlusion/obstruction, accidental decannulation, difficult tube change Percutaneous techniques vs surgical techniques | RR 1.36 [0.65, 2.82] | 6 studies · 538 participants | Low Downgraded: risk of bias, imprecision |