Evidence map›Paper›PMID 39787058›Full record

ArticlePloS one2025

Prevention of unplanned extubation in neonatal patients: Protocol for a systematic review and meta-analysis.

Ludmylla Cristina de Faria Pontes, Isac Davidson Santiago Fernandes Pimenta, Gidyenne Christine Bandeira Silva de Medeiros, Daniel Guillén-Martínez, Paloma Echevarria-Pérez, Grasiela Piuvezam, Helaine Carneiro Capucho

Abstract read
In one paragraph

Article in PloS one, 2025. 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
–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

0 citing papers in PubMed.

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

7 authors.

Ludmylla Cristina de Faria PontesFaculty of Health Sciences, Postgraduation Program in Health Sciences, University of Brasilia, Brasilia, Brazil.
Isac Davidson Santiago Fernandes PimentaPostgraduation Program in Public Health, Federal University of Rio Grande do Norte, Natal, Brazil.
Gidyenne Christine Bandeira Silva de MedeirosPostgraduation Program in Public Health, Federal University of Rio Grande do Norte, Natal, Brazil.
Daniel Guillén-MartínezSystematic Review and Meta-Analysis Laboratory (Lab-SYS), CNPq-UFRN, Natal, Brazil.
Paloma Echevarria-PérezFaculty of Nursing, San Antonio de Murcia Catholic University, Murcia, Spain.ORCID 0000-0002-2458-611X
Grasiela PiuvezamPostgraduation Program in Public Health, Federal University of Rio Grande do Norte, Natal, Brazil.ORCID 0000-0002-2343-7251
Helaine Carneiro CapuchoFaculty of Health Sciences, Postgraduation Program in Health Sciences, University of Brasilia, Brasilia, Brazil.ORCID 0000-0002-5438-7963

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Unplanned extubation (UPE), defined as accidental removal of the endotracheal tube during mechanical ventilation or its replacement due to suspected obstruction or inadequate diameter, is considered the fourth most common adverse event in neonatal intensive care units (NICU). This study aimed to describe a systematic review and meta-analysis protocol that will identify and assess the effect of primary intervention measures designed to prevent UPE in NICU. A search will be carried out in the following databases: PubMed/Medline, EMBASE, Scopus, CINAHL, Cochrane Library, SciELO, and LILACS. Reviewers, in pairs and independently, will select the studies, perform data extraction and assess the methodological quality of the included studies using preestablished tools according to the type of study. The systematic review will provide evidence to present the main intervention measures used in the prevention of UPE during the care of critical neonatal patients. The systematic review and meta-analysis resulting from this protocol may provide important information regarding UPE in the neonatal population, which will help with decision-making and the implementation of safer clinical practices that focus on the reduction of adverse events, contributing to the improvement of service management and the safety of neonatal patients.

Indexed as

Airway ExtubationIntensive Care Units, NeonatalMeta-Analysis as TopicSystematic Reviews as TopicHumansInfant, NewbornIntubation, IntratrachealRespiration, Artificial

Identifiers

PMID39787058
PMCPMC11717187

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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.