TRACMAN
2013 Airway
70 ICUs
909 patients
Early (w/i 4d) vs late (> 10d) tracheostomy - resp pt only
Clinical Question
In mechanically ventilated adult patients with a high risk of prolonged ventilation, does early tracheostomy compared with late tracheostomy reduce mortality at 30 days?
Critical Appraisal
Key findings
No benefit early over delayed (mort, MV, LOS). >50% no longer indicated after D10
Weaknesses
Exclusion criteria broad
Critique
Did not include patients requiring tracheostomy for non-respiratory reasons, such as neurological disease
- Population
- Adult ICU Patients
- Population Details
- Risk of prolonged ventilation
- Intervention Arms
-
Early
Tracheostomy within 4 days - Control Arms
-
Late
Tracheostomy day 10 or later - Primary Outcome
- 30 day mortality
- Secondary Outcomes
- More tracheostomies
- P Value
- 0.89
Outcome Results
Not recorded
Primary location: UK
Landmark trial