Comparative Analysis of Percutaneous Dilatational Tracheotomy and Surgical Tracheotomy in Critically Ill Patients: Outcomes and Complications
Authors' conclusion
PDT and ST yield comparable outcomes in critically ill ICU patients, with no significant difference in overall complication rates or mortality.
Study context
- Population
- Critically ill patients receiving invasive mechanical ventilation (MV) in a medical intensive care unit (ICU)
- Participants
- 119 patients
- Exposure
- Percutaneous dilatational tracheostomy (PDT) vs surgical tracheostomy (ST)
- PDTn = 55
- STn = 64reference
Methodological detailssingle tertiary centre
- Single tertiary centre
Main finding
As reported in the abstract
- Comparable outcomes in MV duration, ICU stay and all-cause mortality
Observational data: associations, not effects.
Further findings
MV duration
P = 0.72
ICU stay
P = 0.17
All-cause mortality
P = 0.42
ICU mortality and overall complications (multivariate analysis)
- No statistically significant association with tracheostomy technique after adjustment for confounders
Safety
Subcutaneous emphysema
P = 0.01
Original publication
Comparative Analysis of Percutaneous Dilatational Tracheotomy and Surgical Tracheotomy in Critically Ill Patients: Outcomes and Complications. J Cardiothorac Vasc Anesth. Published 6 February 2025. doi:10. 1053/ j. jvca. 2025. 02. 008
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