Outcomes After Tracheal Cannula Removal
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Tracheostomy. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Switzerland
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Tracheostomy Decannulation Outcomes: A Longitudinal Observational Study
Overview
This longitudinal observational study involves an integrated knowledge translation (IKT) approach involving key stakeholders in the project team to evaluate the tracheostomy management in patients hospitalized in the Swiss Paraplegic Centre Nottwil (SPC).
Detailed description
Primary objective
\- to evaluate the rate of physical complications (that require treatment, intubation, recannulation or lead to death) in patients hospitalized in the SPC over three months following the removal of the tracheal cannula (decannulation).
Secondary objectives
* to describe types of complications short-term (up to 4 days) and long-term (up to three months) post-decannulation * to assess predictors for short- and long-term complications post-decannulation * to explore patients' perspectives on decannulation outcomes * to evaluate individual trajectories of the clinical decannulation protocol
Primary outcome measures
- rate of physical complications post-decannulation [Time frame: for 3 months post-decannulation (assessment time points: 4 days, 1 month, and 3 months post-decannulation)]
- rate of reintubation post-decannulation [Time frame: for 3 months post-decannulation (assessment time points: 4 days, 1 month, and 3 months post-decannulation)]
- rate of recannulation post-decannulation [Time frame: for 3 months post-decannulation (assessment time points: 4 days, 1 month, and 3 months post-decannulation)]
- rate of death post-decannulation [Time frame: for 3 months post-decannulation (assessment time points: 4 days, 1 month, and 3 months post-decannulation)]
Secondary outcome measures (3)
- types of decannulation-related physical complications short- and long-term [Time frame: for 3 months post-decannulation (assessment time points: 4 days, 1 month, and 3 months post-decannulation)]
- candidate prognostic factors for physical complications post-decannulation [Time frame: 1 week pre-decannulation, (4 days for one select parameter), 1 month, and 3 months post-decannulation]
- patients' perspectives on decannulation outcomes [Time frame: Questionnaire: 4 days, 1 month, and 3 months post-decannulation; Human Flourishing Measure: 1 week pre-decannulation and 3 months post-decannulation]
Eligibility criteria
Inclusion criteria
- at the time of recruitment, tracheotomized adult in-patients (≥ 18 years) of the SPC with any medical diagnosis
- decannulated in the Swiss Paraplegic Center Nottwil within the project's data collection period
- German, French, Italian or English as communication language
- study consent
Exclusion criteria
- patients for whom no decannulation is sought (e.g., due to degenerative illness)
- patients for whom decannulation is planned in a clinic other than the SPC (e.g., patients hospitalized in the SPC for weaning only)
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Switzerland · 1 center
- Swiss Paraplegic Center Nottwil — Nottwil
Publications
- Winiker K, Stierli S, Brinkhof MWG, Hamzic S, Schwegler H, Mueller G. Outcomes of Tracheostomy Decannulation: Study Protocol for a Longitudinal Observational Study. Int J Lang Commun Disord. 2026 Jan-Feb;61(1):e70165. doi: 10.1111/1460-6984.70165. PMID 41355759
Identifiers
NCT: NCT06047665 · 2022-08