Escolar Documentos
Profissional Documentos
Cultura Documentos
oleh :
Ajillia Sehana Paramudita (30101206581)
Hana Rahmi Fuadah (30101306959)
Lailatus Surur (30101206660)
Pembimbing :
dr. Agus Sudarwi, Sp. THT-KL
dr. Afif Zjauhari, Sp. THT-KL
• Systematic search according PRISMA guidluene hospital mortality, length of ICU stay, length of
mechanical ventilation, incidence of pneumonia, laryngotracheal injury, sedation use
Review • Analysis RevMan 5 Software ( Cochrane collaboration, Oxford, England)
Methods
Result
Early tracheostomy
incidence of
Early tracheostomy in
pneumonia, length of
the 7 days intubation No difference in
mechanical ventilation,
decrease ICU length hospital mortality
laryngotracheal injury,
of stay
sedation use
Insufficient data
BACKGROUND
Conference 1989
a. Mechanical ventilation up to 10 days ET
b. Mechanical ventilation > 21 days Tracheostomy
The evidence of this limited and pathway management of the airway does
not exist
Our goal is perform a systematic review and metaanalysis of existing
literature
• Our meta-analysis also included 4 additional trials that have been reported since the Wang et
al study. Finally, we employed a more conservative and rigorous approach in the statistical
analysis and interpretation of our data. Specifically, we chose to forego pooled analyses for 2
of our outcomes due to significant heterogeneity.
DISCUSSION
In both the Griffith et al and Wang et al studies, data were combined for every outcome even
when significant heterogeneity was found (with the I2 statistic ranging from 58% to 87% in the
Griffith et al study and 0% to 98% in the Wang et al study). The following paragraph discusses
the issue of combining data in the presence of high statistical heterogeneity.
DISCUSSION
Subgroup analysis did not suggest a difference in outcomes based on the etiology of
2 critical illness or whether the early tracheostomy was performed at 2 to 3 days, 4 to 5
days, or 7 to 8 days of endotracheal intubation.
CRITICAL
APPRAISAL
Analisa PICO…
• Patient with critical illness that need prolonged
P mechanical ventilation and using tracheostomy
I • Early Tracheostomy
• Late Tracheostomy
C
2. Deskripsi Judul +
4. Korespondensi penulis +
1. Abstrak 1 paragraf +
2. Mencakup IMRC +