Table 2. References regarding tracheotomy-related deaths associated with open surgical tracheostomy (OST) vs. percutaneous dilatational tracheostomy (PDT).
First author/comment | OST | PDT |
Dulguerov 1999 (18) Meta-analysis OST versus PDT 1986–1996 |
17/10 000 | 55/10 000 |
Kearny 2000 (e72) Single center retrospective review PDT 1990–1998 |
n.s. | 0.6% |
Oliver 2007 (17) Meta-analysis OST versus PDT (1999–2006) |
0.16%(1/628) | 0.58%(3/522) |
Kost 2005, 2008 (5, 6) Evaluation PDT versus OST 1988–2003 |
0–2% | 0–0.5% |
Mallick 2010 (20) Review tracheostomy in critically ill patients 1981–2008 (studies have demonstrated a procedural mortality rate approaching zero) |
n.s. | n.a. |
Dennis 2013 (e38) Single center retrospective review PDT 2001–2011 |
n.s. | 0.16% |
Simon 2013 (e101) Review PDT 1985–2013 |
n.s. | 0.17% |
Brass 2016 (8) Review PDT versus OST 1990–2011 (no evidence of a reduction in mortality with the use of a percutaneous technique) |
n.s. | n.s. |
Results of our review 1990–2015 | ||
Total | 0.62% CI: [0.47; 0,82] |
0.67% CI: [0,56; 0,81] |
Deaths due to false passage | 0.11% CI: [0.06; 0.22] |
0.20% CI: [0.15; 0.29] |
Deaths due to loss of airway | 0.21% CI: [0.13; 0.34] |
0.20% CI: [0.14; 0.28] |
Deaths due to hemorrhage | 0.26% CI: [0.17; 0.40] |
0.26% CI: [0.19; 0.35] |
CI, confidence interval; n.s., not specified