Evidence map›Paper›PMID 41282162›Full record

ArticleResearch square2025

Impact of attending neonatologist presence on neonatal intubation success and adverse events: a cohort study.

Kate Hodgson, Clement Trinh, Kate Hodgson, Marnie Downes, Brett Manley, Marta Thio, Michael-Andrew Assad, Katharina Bibl, Shilpi Chabra, Cassandra DeMartino and 22 more

Abstract readPreprint
In one paragraph

Article in Research square, 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

5 · Who and what money

Authors and funding

32 authors.

Kate HodgsonUniversity of Melbourne.
Clement Trinh
Kate HodgsonUniversity of Melbourne.
Marnie Downes
Brett ManleyProf of Neonatal Medicine, Royal Women's Hospital, Melbourne.
Marta Thio
Michael-Andrew Assad
Katharina Bibl
Shilpi Chabra
Cassandra DeMartinoYale University School of Medicine.
Stephen DeMeo
Heidi HerrickChildren's Hospital of Philadelphia.
Sabine Iben
Philipp Jung
Jae KimUniversity of Cincinnati.ORCID 0000-0001-6321-2594
Ayman Abou MehremUniversity of Calgary.ORCID 0000-0003-3805-949X
Michael NarveyUniversity of Manitoba.ORCID 0000-0002-5863-4212
Joyce O'Shea
Nicole PouppirtLurie Childrens.
Mihai Puia-DumitrescuUniversity of Washington and Seattle Children's Hospital.ORCID 0000-0002-7847-5204
Jennifer RumpelArkansas Children's Hospital.ORCID 0000-0002-5883-218X
Rebecca ShayUniversity of Colorado School of Medicine.ORCID 0000-0002-7181-2757
David TingayMurdoch Children's Research Institute.ORCID 0000-0003-1522-4691
Michelle TylerChildren's Hospital at Dartmouth.
Jennifer Unrau
Michael Wagner
Paul Wildenhain
Ahmed MoussaSainte-Justine University Hospital.ORCID 0000-0002-2556-6970
Akira Nishisaki
Elizabeth FogliaChildren's Hospital of Philadelphia.

Funding

Optimizing Tracheal Intubation Outcomes and Neonatal Safety (OPTION SAFE)R01HD106996 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI Elizabeth Foglia · 2022 to 2026
$3.6M
Institutional Career DevelopmentKL2TR003108 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI ARTHUR, JOHN M., BORSHEIM, ELISABET · 2019 to 2023
$2.3M
NCATS NIH HHS KL2 TR003108NICHD NIH HHS R01 HD106996
6 · The paper itself

Abstract

Objective: To evaluate the effect of attending neonatologist presence on first attempt neonatal intubation success and adverse events. Study design: Retrospective review of National Emergency Airway Registry for Neonates (NEAR4NEOS) intubations October 2014 - December 2022. Univariate and multivariate analyses were performed to estimate associations between attending presence and outcomes. Results: Among 12,652 intubation encounters, attendings were present for 8,391 (66%) intubations by more junior operators. On univariate analysis, attending presence was associated with first attempt intubation success (OR 1.11, 95% CI 1.04-1.2). However, on multivariate analysis, attending presence was associated with lower first attempt success (aOR 0.78, 95% CI 0.70-0.86) and intubation requiring ≥ 3 intubation attempts (aOR 1.39, 95% CI 1.21-1.60). Conclusion: After adjustment, attending presence was associated with lower odds of first attempt intubation success. Reasons for this may include appropriate anticipation of high-risk intubations, altered team dynamics or unmeasured confounding biases.

Indexed as

educationintensive careneonatology

Identifiers

PMID41282162
PMCPMC12633186

What OpenQuestion holds

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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.