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Objective <p>To evaluate the effect of attending neonatologist presence on first attempt neonatal intubation success and adverse events.</p> Study design <p>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.</p> Results <p>Among 12,652 intubation encounters, attendings were present for 8391 (66%) intubations by more junior operators. On univariate analysis, attending presence was associated with higher&#xa0;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).</p> Conclusion <p>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.</p>

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

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年1月27日

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  • Clement Trinh,
  • Kate A. Hodgson,
  • Marnie Downes,
  • Brett J. Manley,
  • Marta Thio,
  • Michael-Andrew Assad,
  • Katharina Bibl,
  • Shilpi Chabra,
  • Cassandra DeMartino,
  • Stephen DeMeo,
  • Kristen Glass,
  • Heidi Herrick,
  • Bin Huey Quek,
  • Sabine Iben,
  • Philipp Jung,
  • Jae Kim,
  • Ayman Abou Mehrem,
  • Ahmed Moussa,
  • Michael Narvey,
  • Joyce O’Shea,
  • Nicole Pouppirt,
  • Mihai Puia-Dumitrescu,
  • Jennifer Rumpel,
  • Rebecca Shay,
  • David Tingay,
  • Michelle Tyler,
  • Jennifer Unrau,
  • Michael Wagner,
  • Paul Wildenhain,
  • Akira Nishisaki,
  • Elizabeth E. Foglia,
  • Jennifer Cohen,
  • Beth Ann Johnson,
  • Tyler Hartman,
  • Ivana Brajovic,
  • Patrick Peebles,
  • Lindsay Johnston

摘要

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 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).

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.