Effects of Abdominal Electrical Stimulation Combined With Airway Clearance Techniques in Tracheotomized Patients With Neurological Disorders: A Randomized, Controlled Trial
Primary resultResult — go to the resultOdds ratio 5.070 95% CI 1.41–18.24Authors' conclusion
Adding abdominal electrical stimulation to airway clearance techniques significantly improves cough efficacy, increases abdominal muscle thickness, and enhances decannulation success in tracheostomized patients with neurologic disorders.
Study context
- Population
- Adults with neurologic disorders weaned off mechanical ventilation but still tracheostomized
- Participants
- 68 adults
- Comparison
- Experimental vs Control
- Experimentaln = 34
- Controln = 34reference
- Primary endpoint
- Decannulation success rate
Methodological detailsassessor-blinded
- Assessor-blinded
Primary result
As reported in the abstract
Odds ratio
5.070
95% CI 1.41–18.24
P = 0.013
By group
Experimental vs Control
OR 5.070 (95% CI 1.41–18.24); P = 0.013
Secondary outcomes
| Outcome | Mean difference (L/min) (95% CI) | P value | |
|---|---|---|---|
| Peak involuntary cough flow rate · 6 weeks | 39.433 (28.83–50.04) | P < 0.001 | |
| −50050100Difference, L/min (linear scale) |
| Outcome | Difference (cm) (95% CI) | P value | |
|---|---|---|---|
| Abdominal muscle thickness · 6 weeks | 0.106 (0.08–0.13) | P < 0.001 | |
| −0.100.10.2Difference, cm (linear scale) |
| Outcome | P value |
|---|---|
| Clinical pulmonary infection score | P > 0.05 |
| Resting diaphragm mobility | P > 0.05 |
Clinical pulmonary infection score
- No significant difference between the two groups
Resting diaphragm mobility
- No significant difference between the two groups
Original publication
Effects of Abdominal Electrical Stimulation Combined With Airway Clearance Techniques in Tracheotomized Patients With Neurological Disorders: A Randomized, Controlled Trial. Crit Care Med. Published 17 July 2026. doi:10.
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