Guidance

4 Efficacy

4 Efficacy

This section describes efficacy outcomes from the published literature that the committee considered as part of the evidence about this procedure. For more detailed information on the evidence, see the overview.

4.1

A case series of 245 patients undergoing translaryngeal tracheostomy reported successful insertion in 99.2% (243 of 245) of patients.

4.2

A randomised controlled trial of 139 patients comparing translaryngeal tracheostomy (n=67) against surgical tracheostomy (n=72) reported no significant differences in quality of life between the groups (assessed in 31 patients using the SF‑12 Health Survey questionnaire) at 1‑year follow‑up.

4.3

The specialist advisers listed key efficacy outcomes as reduced trauma, bleeding and infection, good cosmetic outcome, and technical suitability in patients with coagulopathy or those with neck masses or altered tracheal anatomy, compared with surgical or other methods of percutaneous tracheostomy.