Weaning With Tracheostomy - an Observational Study on Patient-centered Outcomes

NCT ID: NCT05906888

Last Updated: 2025-12-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

156 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-05-08

Study Completion Date

2024-12-31

Brief Summary

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Background: It is largely undocumented how long it takes to wean from invasive mechanical ventilation (IMV) with tracheostomy and to what extend these patients suffer from dyspnea or discomfort and how often sputum retention occurs requiring burdensome endotracheal suctioning. In patients undergoing invasive mechanical ventilation via endotracheal tube, dyspnea is prevalent and associated with poorer quality of life and more symptoms of post-traumatic stress disorder (PTSD)

Objectives: The present study aims to assess the duration of the weaning period, and the prevalence and severity of dyspnea and discomfort in patients with tracheostomy-facilitated weaning.

Study design: Prospective observational multicenter cohort study. Study population: Tracheostomized critically ill patients weaning from IMV.

Main study parameters/endpoints:

Prevalence and severity of dyspnea and discomfort during weaning, duration of weaning with tracheostomy, frequency of endotracheal suctioning, time with tracheostomy, clinical outcomes, and mortality rates. Long term outcomes are the prevalence quality of life, PTSD, anxiety and fear.

Detailed Description

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Conditions

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Weaning Failure Mechanical Ventilation Patient-centered Care

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Aged ≥18 years
* Scheduled to start weaning from iMV, as per clinical decision

Exclusion Criteria

* Deafness or Blindness
* Inability to speak or comprehend Dutch and English language
* Neuromuscular Disease
* Chronic positive pressure respiratory support at home (excluding night-time CPAP for sleep apnea)
* Support by Ventricular Assist Device or Extracorporeal life support (ECMO or ECCO2R) during tracheostomy-facilitated weaning phase.
* Tracheostomy primarily indicated for chronic upper airway obstruction or to secure airway patency due to persistent stupor/coma or swallowing disorder
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Franciscus &Vlietland

OTHER

Sponsor Role collaborator

Henrik Endeman

OTHER

Sponsor Role lead

Responsible Party

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Henrik Endeman

Sponsor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Evert-Jan Wils, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Franciscus Gasthuis & Vlietland

Henrik Endeman, MD PhD

Role: STUDY_DIRECTOR

Erasmus Medical Center

Locations

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Jeroen Bosch Ziekenhuis

's-Hertogenbosch, , Netherlands

Site Status

Rijnstate Ziekenhuis

Arnhem, , Netherlands

Site Status

Amphia Ziekenhuis

Breda, , Netherlands

Site Status

IJsselland Ziekenhuis

Capelle aan den IJssel, , Netherlands

Site Status

Catharina Ziekenhuis

Eindhoven, , Netherlands

Site Status

Maxima Medisch Centrum

Eindhoven, , Netherlands

Site Status

St Anna ziekenhuis

Geldrop, , Netherlands

Site Status

Spaarne Gasthuis

Haarlem, , Netherlands

Site Status

Erasmus MC

Rotterdam, , Netherlands

Site Status

Franciscus Gasthuis & Vlietland

Rotterdam, , Netherlands

Site Status

Ikazia Ziekenhuis

Rotterdam, , Netherlands

Site Status

Haags Medisch Centrum Westeinde

The Hague, , Netherlands

Site Status

Elizabeth-Tweesteden Ziekenhuis

Tilburg, , Netherlands

Site Status

Countries

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Netherlands

Other Identifiers

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W23.001

Identifier Type: -

Identifier Source: org_study_id