Evidence map›Paper›PMID 36028871›Full record

ArticleBMC medical education2022

Comparison of a dichotomous versus trichotomous checklist for neonatal intubation.

Lindsay Johnston, Taylor Sawyer, Akira Nishisaki, Travis Whitfill, Anne Ades, Heather French, Kristen Glass, Rita Dadiz, Christie Bruno, Orly Levit and 1 more

Abstract read
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In one paragraph

Article in BMC medical education, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Lindsay JohnstonDepartment of Pediatrics, Yale University School of Medicine, 333 Cedar Street, New Haven, CT, 06510, USA. lindsay.johnston@yale.edu.
Taylor SawyerDepartment of Pediatrics, University of Washington School of Medicine, Seattle, USA.
Akira NishisakiDepartment of Anesthesiology and Critical Care Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA.
Travis WhitfillDepartment of Pediatrics, Yale University School of Medicine, 333 Cedar Street, New Haven, CT, 06510, USA.
Anne AdesDepartment of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA.
Heather FrenchDepartment of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA.
Kristen GlassDepartment of Pediatrics, Penn State College of Medicine, Hershey, USA.
Rita DadizSchool of Medicine and Dentistry, Department of Pediatrics, University of Rochester, Rochester, USA.
Christie BrunoDepartment of Pediatrics, Yale University School of Medicine, 333 Cedar Street, New Haven, CT, 06510, USA.
Orly LevitDepartment of Pediatrics, Yale University School of Medicine, 333 Cedar Street, New Haven, CT, 06510, USA.
Marc AuerbachDepartment of Pediatrics, Yale University School of Medicine, 333 Cedar Street, New Haven, CT, 06510, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Improving safety and quality of tracheal intubations in neonatal ICUsR21HD089151 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI NISHISAKI, AKIRA · 2017 to 2018
$470k
AHRQ HHS R18 HS024511NCATS NIH HHS UL1 TR001863NICHD NIH HHS R21 HD089151
6 · The paper itself

Abstract

backgroundTo compare validity evidence for dichotomous and trichotomous versions of a neonatal intubation (NI) procedural skills checklist.

methodsNI skills checklists were developed utilizing an existing framework. Experts were trained on scoring using dichotomous and trichotomous checklists, and rated recordings of 23 providers performing simulated NI. Videolaryngoscope recordings of glottic exposure were evaluated using Cormack-Lehane (CL) and Percent of Glottic Opening scales. Internal consistency and reliability of both checklists were analyzed, and correlations between checklist scores, airway visualization, entrustable professional activities (EPA), and global skills assessment (GSA) were calculated.

resultsDuring rater training, raters gave significantly higher scores on better provider performance in standardized videos (both p < 0.001). When utilized to evaluate study participants' simulated NI attempts, both dichotomous and trichotomous checklist scores demonstrated very good internal consistency (Cronbach's alpha 0.868 and 0.840, respectively). Inter-rater reliability was higher for dichotomous than trichotomous checklists [Fleiss kappa of 0.642 and 0.576, respectively (p < 0.001)]. Sum checklist scores were significantly different among providers in different disciplines (p < 0.001, dichotomous and trichotomous). Sum dichotomous checklist scores correlated more strongly than trichotomous scores with GSA and CL grades. Sum dichotomous and trichotomous checklist scores correlated similarly well with EPA.

conclusionsNeither dichotomous or trichotomous checklist was superior in discriminating provider NI skill when compared to GSA, EPA, or airway visualization assessment. Sum scores from dichotomous checklists may provide sufficient information to assess procedural competence, but trichotomous checklists may permit more granular feedback to learners and educators. The checklist selected may vary with assessment needs.

Indexed as

ChecklistClinical CompetenceFeedbackHumansInfant, NewbornIntubation, IntratrachealReproducibility of ResultsDichotomous checklistEntrustable professional activities assessmentGlobal skills assessmentNeonatal intubationTrichotomous checklist

Identifiers

PMID36028871
PMCPMC9419414

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.