Evidence map›Paper›PMID 40829974›Full record

ArticleBritish journal of anaesthesia2025

Paediatric difficult intubations and the impact of timing of weekend versus weekday cases: an analysis of the Pediatric Difficult Intubation registry.

Christy J Crockett, Judit Szolnoki, Sabina Khan, Angela C Lee, Alexander Kaizer, Patrick Olomu, Melissa Brooks Peterson, Pediatric Difficult Intubation Collaborative

Abstract read
In one paragraph

Article in British journal of anaesthesia, 2025. 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. 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

8 authors.

Christy J CrockettDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: Christy.crockett@vumc.org.
Judit SzolnokiDepartment of Anesthesiology, Nemours Children's Hospital, Orlando, FL, USA.
Sabina KhanMcGovern Medical School, UT Health Houston, TX, USA.
Angela C LeeDivision of Anesthesiology, Pain and Perioperative Medicine, Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Alexander KaizerDepartment of Biostatistics & Informatics and the Center for Innovative Design & Analysis, Colorado School of Public Health, Aurora, CO, USA.
Patrick OlomuDepartment of Anesthesia, University of Iowa, Iowa City, IA, USA.
Melissa Brooks Peterson
Pediatric Difficult Intubation Collaborative

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOff-hours presentation has been shown to be independently associated with tracheal intubation-related adverse events in patients with predicted difficult airway. The comparison of the complication rates of paediatric difficult intubations on weekends vs weekdays is unknown. The primary objective of this retrospective review is to determine the complication rates for paediatric difficult intubation cases that occur on a weekend vs a weekday.

methodsWe performed a retrospective review of data from the Pediatric Difficult Intubation registry, with service dates June 8, 2012 to May 9, 2023, to compare complication rates (total complications, hypoxaemia, non-hypoxaemia complications, and first-attempt success rate) during paediatric difficult intubations that occurred on the weekends vs weekdays. Research electronic data capture was used to standardise data collection across institutions.

resultsWe reviewed a total of 8031 cases of difficult paediatric intubations. Two hundred and eighty-five (3.5%) were performed on the weekend, and 7746 (96.5%) were performed on a weekday. Complication rates with paediatric difficult intubations (total complications, hypoxaemia, and non-hypoxaemia complications) were significantly higher on weekends compared with weekdays. The odds of any complication were more than two times higher on the weekends compared with weekdays (odds ratio 2.13, 95% confidence interval 1.49-3.07, P<0.0001).

conclusionsThis study supports paediatric anaesthetists' clinical decision-making to postpone nonurgent paediatric procedures in children with a history of a difficult airway from weekend to weekday to decrease risk of airway management complications and improve patient safety and quality of care.

Indexed as

After-Hours CareAirway ManagementIntubation, IntratrachealAdolescentChildChild, PreschoolFemaleHumansHypoxiaInfantInfant, NewbornMaleRegistriesRetrospective StudiesTime Factorsairway managementdifficult intubationpaediatric airway complicationspaediatric intubationtracheal intubation

Identifiers

PMID40829974
PMCPMC12597374

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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.