Evidence map›Paper›PMID 38914748›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2024

The NICU tracheostomy team: multidisciplinary collaboration for improvement in survival of complex patients.

Joana Silva Machry, Julia Krzyzewski, Courtney Ward, Gretchen Thompson, Deanna Green, Aaron Germain, Caren Smith, Beatriz Teppa, Amy Ashburn, Allison Fernandez and 10 more

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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

20 authors.

Joana Silva MachryDivision of Neonatology, Maternal Fetal & Neonatal Institute at Johns Hopkins All Children's Hospital St. Petersburg, St. Petersburg, FL, USA. jmachry1@jhmi.edu.ORCID 0009-0001-0903-6822
Julia KrzyzewskiDivision of Neonatology, Maternal Fetal & Neonatal Institute at Johns Hopkins All Children's Hospital St. Petersburg, St. Petersburg, FL, USA.
Courtney WardDivision of Neonatology, Maternal Fetal & Neonatal Institute at Johns Hopkins All Children's Hospital St. Petersburg, St. Petersburg, FL, USA.
Gretchen ThompsonJohns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Deanna GreenJohns Hopkins All Children's Hospital, St. Petersburg, FL, USA.ORCID 0009-0005-1728-8359
Aaron GermainDivision of Neonatology, Maternal Fetal & Neonatal Institute at Johns Hopkins All Children's Hospital St. Petersburg, St. Petersburg, FL, USA.ORCID 0009-0006-4228-092X
Caren SmithDivision of Neonatology, Maternal Fetal & Neonatal Institute at Johns Hopkins All Children's Hospital St. Petersburg, St. Petersburg, FL, USA.
Beatriz TeppaJohns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Amy AshburnPhoenix Children's Hospital, Division of Otolaryngology Head - Neck Surgery, Phoenix, AZ, USA.
Allison FernandezJohns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
John MorrisonJohns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Nicholas JabreJohns Hopkins All Children's Hospital, St. Petersburg, FL, USA.ORCID 0000-0003-0001-2485
Kathy RennJohns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Fauzia ShakeelDivision of Neonatology, Maternal Fetal & Neonatal Institute at Johns Hopkins All Children's Hospital St. Petersburg, St. Petersburg, FL, USA.
Danilo EscotoDivision of Neonatology, Maternal Fetal & Neonatal Institute at Johns Hopkins All Children's Hospital St. Petersburg, St. Petersburg, FL, USA.
Dina AshourJohns Hopkins All Children's Hospital, St. Petersburg, FL, USA.ORCID 0000-0001-5224-3184
Jamie L FiersteinJohns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Misti MooreJohns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Grace FreireJohns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Angela GreenVP of Safety and Quality, Johns Hopkins Health System Baltimore, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEvaluate feasibility and impact of "Tracheostomy Team" on survival and length of stay (LOS) at a level IV NICU.

methodsPlan-do-study-act cycles targeted five Global Tracheostomy Collaborative "key drivers". From January 2017 to December 2022 multidisciplinary, bimonthly bedside rounds were conducted.

resultsAfter 3 cycles, in-hospital survival among 39 patients with tracheostomy improved and sustained from 67% to 100% (baseline 18/27; 66.7%; QI 35/39, 89.7%; p = 0.03). Median LOS (days [IQR]) did not significantly differ between baseline and QI (237 [57-308] vs. 217 [130-311]; p = 0.9). Among patients with BPD, median LOS was higher after QI interventions (baseline 248 [222-308] vs. QI 332.5 [283.5-392]; p = .02). Special cause variation resulted from peak increase in LOS during the COVID19 pandemic (2021). Tracheitis/pneumonia was treated significantly more frequently in QI BPD patients.

conclusionMultidisciplinary approach is feasible, resulting in improved survival without a sustained increase in LOS. Future QI efforts should address post-operative infectious complications.

Indexed as

Intensive Care Units, NeonatalLength of StayPatient Care TeamTracheostomyCOVID-19Feasibility StudiesFemaleHospital MortalityHumansInfant, NewbornMaleQuality Improvement

Identifiers

PMID38914748

What OpenQuestion holds

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Registered trials

None linked

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.