Rachel A Umoren1, Taylor L Sawyer1, Anne Ades2, Stephen DeMeo3, Elizabeth E Foglia2, Kristen Glass4, Megan M Gray1, James Barry5, Lindsay Johnston6, Philipp Jung7, Jae H Kim8, Jeanne Krick1, Ahmed Moussa9, Christine Mulvey6, Vinay Nadkarni10, Natalie Napolitano11, Bin Huey Quek12, Neetu Singh13, Jeanne P Zenge5, Justine Shults14, Akira Nishisaki10. 1. Division of Neonatology, Department of Pediatrics, Seattle Children's Hospital, University of Washington, Seattle, Washington. 2. Division of Neonatology, Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania. 3. Department of Pediatrics, WakeMed Health and Hospitals, Raleigh, North Carolina. 4. Department of Pediatrics, Penn State Hershey Medical Center, Penn State College of Medicine, Hershey, Pennsylvania. 5. Section of Neonatology, Department of Pediatrics, University of Colorado Hospital, University of Colorado School of Medicine, Aurora, Colorado. 6. Division of Neonatal-Perinatal Medicine, Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut. 7. Department of Pediatrics, University Hospital Schleswig Holstein, Campus Luebeck, Luebeck, Germany. 8. Department of Pediatrics, Rady Children's Hospital-San Diego, University of California, San Diego, San Diego, California. 9. Department of Pediatrics, CHU Sainte-Justine, University of Montreal, Montreal, Quebec, Canada. 10. Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. 11. Department of Respiratory Therapy, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. 12. Department of Neonatology, KK Women's and Children's Hospital, Singapore. 13. Department of Pediatrics, Dartmouth Hitchcock Medical Center, West Lebanon, New Hampshire. 14. Department of Biostatistics and Epidemiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Abstract
OBJECTIVE: This study aimed to examine the association between team stress level and adverse tracheal intubation (TI)-associated events during neonatal intubations. STUDY DESIGN: TIs from 10 academic neonatal intensive care units were analyzed. Team stress level was rated immediately after TI using a 7-point Likert scale (1 = high stress). Associations among team stress, adverse TI-associated events, and TI characteristics were evaluated. RESULT: In this study, 208 of 2,009 TIs (10%) had high stress levels (score < 4). Oxygenation failure, hemodynamic instability, and family presence were associated with high stress level. Video laryngoscopy and premedication were associated with lower stress levels. High stress level TIs were associated with adverse TI-associated event rates (31 vs. 16%, p < 0.001), which remained significant after adjusting for potential confounders including patient, provider, and practice factors associated with high stress (odds ratio: 1.90, 96% confidence interval: 1.36-2.67, p < 0.001). CONCLUSION: High team stress levels during TI were more frequently reported among TIs with adverse events. Thieme. All rights reserved.
OBJECTIVE: This study aimed to examine the association between team stress level and adverse tracheal intubation (TI)-associated events during neonatal intubations. STUDY DESIGN: TIs from 10 academic neonatal intensive care units were analyzed. Team stress level was rated immediately after TI using a 7-point Likert scale (1 = high stress). Associations among team stress, adverse TI-associated events, and TI characteristics were evaluated. RESULT: In this study, 208 of 2,009 TIs (10%) had high stress levels (score < 4). Oxygenation failure, hemodynamic instability, and family presence were associated with high stress level. Video laryngoscopy and premedication were associated with lower stress levels. High stress level TIs were associated with adverse TI-associated event rates (31 vs. 16%, p < 0.001), which remained significant after adjusting for potential confounders including patient, provider, and practice factors associated with high stress (odds ratio: 1.90, 96% confidence interval: 1.36-2.67, p < 0.001). CONCLUSION: High team stress levels during TI were more frequently reported among TIs with adverse events. Thieme. All rights reserved.
Authors: Katarzyna Mocny-Pachońska; Rafał J Doniec; Sylwia Wójcik; Szymon Sieciński; Natalia J Piaseczna; Konrad M Duraj; Ewaryst J Tkacz Journal: Int J Environ Res Public Health Date: 2021-04-22 Impact factor: 3.390
Authors: Lindsay Johnston; Taylor Sawyer; Anne Ades; Ahmed Moussa; Jeanne Zenge; Philipp Jung; Stephen DeMeo; Kristen Glass; Neetu Singh; Alexandra Howlett; Justine Shults; James Barry; Brianna Brei; Elizabeth Foglia; Akira Nishisaki Journal: Neonatology Date: 2021-06-10 Impact factor: 5.106