ArticleJournal of burn care & research : official publication of the American Burn Association2025
Early Versus Late Tracheostomy in Critically Injured Burn Survivors: A National, Multi-Database Analysis.
Article in Journal of burn care & research : official publication of the American Burn Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Surgical Management of Tracheostomy in Patients with Severe Burns and Cervical Involvement: Impact on Cervical Wound-Healing Disturbance.European burn journal · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Tracheostomy is indicated in critically ill patients when prolonged mechanical ventilation is anticipated. We leveraged national data to evaluate tracheostomy timing in burn patients, hypothesizing that early tracheostomy would be associated with reduced length of stay (LOS) and ventilator-associated pneumonia (VAP). Surviving burn encounters undergoing tracheostomy in 3 national databases-Nationwide Inpatient Sample (NIS), 2016-2021, National Trauma Data Bank (NTDB), 2007-2014, and Burn Care Quality Platform (BCQP), 2015-2022-were stratified by tracheostomy timing relative to admission: early: ≤10 days versus late: >10 days. Early tracheostomy encounters were propensity-score-matched with late tracheostomy encounters on age, sex, and total body surface area (TBSA) of burns to evaluate the impact of tracheostomy timing on LOS, ICU LOS, ventilator days, VAP, discharge to inpatient rehabilitation, and discharge to long-term acute care (LTAC). In total, 9173 burn encounters underwent tracheostomy (6255 in NIS, 1332 in NTDB, and 1586 in BCQP), of which 51.1% were early. Within matched cohorts, early tracheostomy was associated with shorter LOS, reported as average treatment effect, in days (95% confidence interval): NIS: -22.9 (-32.8 to -13.1), P < .01; NTDB: -12.7 (-18.7 to -6.8), P < .01; BCQP: -7.0 (-12.5 to -1.5), P < .01. Early tracheostomy was associated with shorter ICU LOS and fewer ventilator days in NTDB and BCQP (P < .04). Early tracheostomy was not associated with discharge to inpatient rehabilitation or VAP. Early tracheostomy decreased discharge to LTAC in NTDB and BCQP (P ≤ .02). Our multi-database analysis supports early tracheostomy in critically injured burn patients requiring prolonged mechanical ventilation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.