Evidence map›Paper›PMID 37009293›Full record

ArticleFrontiers in pediatrics2023

Associations between unit workloads and outcomes of first extubation attempts in extremely premature infants below a gestational age of 26 weeks.

Mari Oma Ohnstad, Hans Jørgen Stensvold, Are Hugo Pripp, Christine Raaen Tvedt, Lars-Petter Jelsness-Jørgensen, Henriette Astrup, Beate Horsberg Eriksen, Mai Linn Lunnay, Khalaf Mreihil, Tanja Pedersen and 5 more

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PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 40% of its field
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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

15 authors at 13 institutions in 1 country.

Mari Oma OhnstadDepartment of Master and Postgraduate Education, Lovisenberg Diaconal University College, Oslo, Norway.
Hans Jørgen StensvoldDepartment of Neonatal Intensive Care, Division of Pediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway.
Are Hugo PrippOslo Centre of Biostatistics and Epidemiology, Research Support Services, Oslo, Norway.
Christine Raaen TvedtDepartment of Master and Postgraduate Education, Lovisenberg Diaconal University College, Oslo, Norway.
Lars-Petter Jelsness-JørgensenDepartment of Master and Postgraduate Education, Lovisenberg Diaconal University College, Oslo, Norway.
Henriette AstrupDepartment of Pediatric and Adolescent Medicine, Sorlandet Hospital Trust, Kristiansand, Norway.
Beate Horsberg EriksenDepartment of Pediatrics, Møre and Romsdal Hospital Trust, Ålesund, Norway.
Mai Linn LunnayDepartment of Pediatrics and Adolescence Medicine, University Hospital of North Norway, Tromsø, Norway.
Khalaf MreihilDepartment of Pediatrics and Adolescence Medicine, Akershus University Hospital, Lørenskog, Norway.
Tanja PedersenNeonatal Intensive Care Unit, Department of Pediatrics, Haukeland University Hospital, Bergen, Norway.
Siren Irene RettedalDepartment of Pediatrics, Stavanger University Hospital, Stavanger, Norway.
Terje Reidar SelbergDepartment of Pediatrics and Adolescence Medicine, Østfold Hospital Trust, Kalnes, Norway.
Rønnaug SolbergDepartment of Pediatrics, Vestfold Hospital Trust, Tønsberg, Norway.
Ragnhild StøenDepartment of Neonatology, St Olavs - Trondheim University Hospital, Trondheim, Norway.
Arild Erland RønnestadFaculty of Medicine, University of Oslo, Oslo, Norway.
Oslo University Hospital · NOAkershus University Hospital · NOHaukeland University Hospital · NOLovisenberg Diakonale Høgskole · NONorwegian University of Science and Technology · NOOsloMet – Oslo Metropolitan University · NOØstfold Hospital Trust · NOØstfold University College · NOSørlandet Sykehus · NOStavanger University Hospital · NOSt Olav's University Hospital · NOUniversity Hospital of North Norway · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The objective was to explore whether high workloads in neonatal intensive care units were associated with short-term respiratory outcomes of extremely premature (EP) infants born <26 weeks of gestational age. Methods: This was a population-based study using data from the Norwegian Neonatal Network supplemented by data extracted from the medical records of EP infants <26 weeks GA born from 2013 to 2018. To describe the unit workloads, measurements of daily patient volume and unit acuity at each NICU were used. The effect of weekend and summer holiday was also explored. Results: We analyzed 316 first planned extubation attempts. There were no associations between unit workloads and the duration of mechanical ventilation until each infant's first extubation or the outcomes of these attempts. Additionally, there were no weekend or summer holiday effects on the outcomes explored. Workloads did not affect the causes of reintubation for infants who failed their first extubation attempt. Conclusion: Our finding that there was no association between the organizational factors explored and short-term respiratory outcomes can be interpreted as indicating resilience in Norwegian neonatal intensive care units.

Indexed as

extremely premature infants (EP infants)extubationmechanical ventilatioinresillienceweekend effectworkload

Identifiers

PMID37009293
PMCPMC10064049
OpenAlexW4327736350

What OpenQuestion holds

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LicenceCC BY
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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.