Evidence map›Paper›PMID 41975210›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

Comparison of Unplanned Extubations Associated with Orotracheal versus Nasotracheal Intubation in Infants.

Pavani Chitamanni, Thomas Hays, Diana Vargas, Takeya Patterson, Gloria Lush, Alex Lyford, Rakesh Sahni, Faith Kim

Abstract readComparative Study
PubMed Publisher
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

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.

Pavani ChitamanniDivision of Neonatology, Department of Pediatrics, Columbia University Irving Medical Center, New York, NY, 10032, USA. pc3132@cumc.columbia.edu.ORCID http://orcid.org/0000-0001-8465-0358
Thomas HaysDivision of Neonatology, Department of Pediatrics, Columbia University Irving Medical Center, New York, NY, 10032, USA.ORCID http://orcid.org/0000-0002-3705-8973
Diana VargasDivision of Neonatology, Department of Pediatrics, Columbia University Irving Medical Center, New York, NY, 10032, USA.ORCID http://orcid.org/0000-0002-2845-2696
Takeya PattersonDepartment of Quality & Patient Safety, Pediatrics, New York Presbyterian Hospital, New York, NY, 10032, USA.
Gloria LushDepartment of Quality & Patient Safety, Pediatrics, New York Presbyterian Hospital, New York, NY, 10032, USA.
Alex LyfordDepartment of Mathematics and Statistics, Middlebury College, Middlebury, VT, 05753, USA.
Rakesh SahniDivision of Neonatology, Department of Pediatrics, Columbia University Irving Medical Center, New York, NY, 10032, USA.
Faith KimDivision of Neonatology, Department of Pediatrics, Columbia University Irving Medical Center, New York, NY, 10032, USA.ORCID http://orcid.org/0000-0002-0344-0613

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstarcts

objectiveTo evaluate the association between orotracheal versus nasotracheal intubation route and unplanned extubation (UE) risk among infants. STUDY

designThis retrospective cohort study included all tracheal intubation (TI) events among infants admitted to a level IV NICU from 2022 to 2024. Kaplan-Meier survival analysis was used to assess UE risk by TI route.

resultThere were 1160 TI events and 23 UEs during the study period. The UE rate was three times lower in the nasotracheal intubation group compared to orotracheal (0.01 vs. 0.03 per 100 ventilator days). UE risk was significantly higher in orotracheally intubated infants (p = 0.03) with no differences when stratified by sex, gestational age, or birth weight.

conclusionNasotracheal intubation was associated with lower UE risk in infants in a unit that predominantly performs nasotracheal intubation. Prospective randomized studies are needed to further investigate if TI route may contribute to fewer UEs in this population.

Indexed as

Airway ExtubationIntubation, IntratrachealFemaleGestational AgeHumansInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalKaplan-Meier EstimateMaleRetrospective Studies

Identifiers

PMID41975210

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.