Professional Documents
Culture Documents
Jurnal Melly
Jurnal Melly
Disusun oleh :
Melly Aji Ningrum /30101306993
Pembimbing :
dr. Adi Nolodewo, Sp. THT-KL
IDENTITAS JURNAL
JUDUL : Early versus Late Tracheostomy: A Systematic
Review and Meta-Analysis
PENULIS : C. Carrie Liu, MD, et al.
PENERBIT : American Academy of Otolaryngology-Head
and Neck Surgery Foundation
TAHUN TERBIT : 6 November 2014
INTRODUCTION
1 Hospital mortality
5 Laryngotracheal injury
6 Sedation use
METHOD
INCLUSION CRITERIA
1 Randomized control trial
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. 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
• Hospital mortality, intensive care unit length of
stay, length of mechanical ventilation, incidence of O
pneumonia, laryngotracheal injury, and sedation use
• Late Tracheostomy C
• Early Tracheostomy I
• Patient with critical illness that need prolonged P
mechanical ventilation and using tracheostomy
Analisa PICO…
V I A analysis
VALIDITY
Apakah alokasi pasien pada penelitian ini dilakukan Ya
secara acak?
2. Deskripsi Judul +
4. Korespondensi penulis +
1. Abstrak 1 paragraf +
2. Mencakup IMRC +
1 Jumlah subjek +