Comparison of Baseline Characteristics and Outcomes in <scp>ICU</scp> Patients With Endotracheal Tubes Versus Tracheostomies: A Prospective Observational Study

This study challenges the perception that tracheostomy universally improves outcomes in mechanically ventilated ICU patients. Clinicians should carefully weigh the timing and indication for tracheostomy, recognising that it may not reduce-and could potentially increase-infection risk and mortality, particularly in high-severity patients. Rigorous infection control measures and daily assessment for tracheostomy weaning or decannulation are essential.