Evidence map›Paper›PMID 41593319›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

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

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

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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. 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.

Clement Trinh *Newborn Research Centre, The Royal Women's Hospital, Melbourne, VIC, Australia.
Kate A Hodgson *Newborn Research Centre, The Royal Women's Hospital, Melbourne, VIC, Australia. Kate.Hodgson@thewomens.org.au.ORCID http://orcid.org/0000-0002-2908-1049
Marnie DownesMurdoch Children's Research Institute, Parkville, VIC, Australia.
Brett J ManleyNewborn Research Centre, The Royal Women's Hospital, Melbourne, VIC, Australia.
Marta ThioNewborn Research Centre, The Royal Women's Hospital, Melbourne, VIC, Australia.
Michael-Andrew AssadDivision of Neonatology, CHU Sainte-Justine, Montreal, QC, Canada.
Katharina BiblMedical University of Vienna, Division of Neonatology, Pediatric Intensive Care and Neuropediatrics, Comprehensive Center of Paediatrics, Vienna, Austria.
Shilpi ChabraDivision of Neonatology, Department of Pediatrics, University of Washington, and Division of Neonatology, University of Washington and Seattle Children's Hospital, Seattle, WA, USA.
Cassandra DeMartinoDepartment of Pediatrics, Yale University, New Haven, CT, USA.
Stephen DeMeoDivision of Neonatology, WakeMed Health and Hospitals, Raleigh, NC, USA.
Kristen GlassDivision of Neonatal-Perinatal Medicine Department of Pediatrics Penn State Milton S. Hershey Medical Center Penn State College of Medicine, Seattle, WA, USA.ORCID http://orcid.org/0000-0003-2682-4019
Heidi HerrickDepartment of Pediatrics/Division of Neonatology at the Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-0723-6898
Bin Huey QuekDepartment of Neonatology, KK Women's and Children's Hospital, Singapore, Singapore.ORCID http://orcid.org/0000-0001-8891-5464
Sabine IbenDepartment of Neonatology Cleveland Clinic Children's, Cleveland, OH, USA.
Philipp JungUniversity Hospital Schleswig-Holstein, Campus Luebeck, Pediatric Department, Luebeck, Germany.
Jae KimPerinatal Institute, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0001-6321-2594
Ayman Abou MehremDepartment of Pediatrics, University of Calgary, Calgary, AB, Canada.ORCID http://orcid.org/0000-0003-3805-949X
Ahmed MoussaDivision of Neonatology, CHU Sainte-Justine, Montreal, QC, Canada.ORCID http://orcid.org/0000-0002-2556-6970
Michael NarveyNeonatal-Perinatal Medicine University of Manitoba, Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0002-5863-4212
Joyce O'SheaRoyal Hospital for Children, Glasgow, UK.
Nicole PouppirtDepartment of Pediatrics/Division of Neonatology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Mihai Puia-DumitrescuDepartment of Pediatrics/Division of Neonatology, University of Washington and Seattle Children's Hospital, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-7847-5204
Jennifer RumpelDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.ORCID http://orcid.org/0000-0002-5883-218X
Rebecca ShayDepartment of Pediatrics, Division of Neonatology, University of Colorado School of Medicine, Aurora, CO, USA.ORCID http://orcid.org/0000-0002-7181-2757
David TingayNeonatal Research Murdoch Children's Research Institute Melbourne, Australia, Department of Paediatrics, University of Melbourne, Neonatology Royal Children's Hospital, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0003-1522-4691
Michelle TylerDivision of Neonatology, Children's Hospital at Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Jennifer UnrauSection of Newborn Critical Care, University of Calgary, Calgary, AB, Canada.
Michael WagnerDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Paul WildenhainDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Akira NishisakiDepartment of Anesthesiology, Critical Care, and Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Elizabeth E FogliaDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-9925-5219
NEAR4NEOS investigators

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
AHRQ HHS K08 HS029029Department of Health | National Health and Medical Research Council (NHMRC) 1123859, 2008212Department of Health | National Health and Medical Research Council (NHMRC) 2016662NCATS NIH HHS KL2 TR003108NICHD NIH HHS R01 HD106996U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) R01HD106996U.S. Department of Health & Human Services | NIH | National Center for Advancing Translational Sciences (NCATS) KL2TR003108
6 · The paper itself

Abstract

objectiveTo evaluate the effect of attending neonatologist presence on first attempt neonatal intubation success and adverse events. STUDY

designRetrospective 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.

resultsAmong 12,652 intubation encounters, attendings were present for 8391 (66%) intubations by more junior operators. On univariate analysis, attending presence was associated with higher 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).

conclusionAfter 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

Intubation, IntratrachealNeonatologyClinical CompetenceFemaleHumansInfant, NewbornMaleMultivariate AnalysisRegistriesRetrospective Studies

Identifiers

PMID41593319
PMCPMC13472875

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.