Neuroanesthesia & neurocritical care

Tracheostomy timing and outcome in critically ill patients with stroke: a meta-analysis and meta-regression

Crit CarePublished Systematic review and meta-analysis

Pooled resultResult — go to the resultβ - 0.3 95% CI - 2.3 to 1.74

Authors' conclusion

In this meta-analysis of over 17,000 critically ill stroke patients, the timing of tracheostomy was not associated with mortality, neurological outcomes, or ICU/hospital LOS.

Study context

Population
Intensive care unit (ICU)-admitted patients with stroke (AIS or ICH) who received a tracheostomy
Participants
17,346 patients · 13 studies
Comparison
Early vs late tracheostomy
Outcome
All-cause overall mortality
Methodological detailsmeta-regression
  • Meta-regression

Pooled result

As reported in the abstract

β

- 0.3

95% CI - 2.3 to 1.74

P = 0.8

By group

Further pooled results

Good neurological outcome (mRS 0-3), ICU length of stay (LOS), hospital LOS

Tracheostomy timing not associated with secondary outcomes

Original publication

Tracheostomy timing and outcome in critically ill patients with stroke: a meta-analysis and meta-regression. Crit Care. Published 1 April 2023. doi:10.1186/s13054-023-04417-6

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