Team Stress and Adverse Events during Neonatal Tracheal Intubations: A Report from NEAR4NEOS

Rachel A. Umoren; Taylor L. Sawyer; Anne Ades; Stephen Demeo; Elizabeth E. Foglia; Kristen Glass; Megan M. Gray; James Barry; Lindsay Johnston; Philipp Jung; Jae H. Kim; Jeanne Krick; Ahmed Moussa; Christine Mulvey; Vinay Nadkarni; Natalie Napolitano; Bin Huey Quek; Neetu Singh; Jeanne P. Zenge; Justine Shults; Akira Nishisaki

doi:10.1055/s-0039-1693698

Team Stress and Adverse Events during Neonatal Tracheal Intubations: A Report from NEAR4NEOS

Rachel A. Umoren^*, Taylor L. Sawyer, Anne Ades, Stephen Demeo, Elizabeth E. Foglia, Kristen Glass, Megan M. Gray, James Barry, Lindsay Johnston, Philipp Jung, Jae H. Kim, Jeanne Krick, Ahmed Moussa, Christine Mulvey, Vinay Nadkarni, Natalie Napolitano, Bin Huey Quek, Neetu Singh, Jeanne P. Zenge, Justine ShultsAkira Nishisaki

^*Korrespondierende/r Autor/-in für diese Arbeit

Klinik für Kinder- und Jugendmedizin

23 Zitate (Scopus)

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.

Originalsprache	Englisch
Zeitschrift	American Journal of Perinatology
Jahrgang	37
Ausgabenummer	14
Seiten (von - bis)	1417-1424
Seitenumfang	8
ISSN	0735-1631
DOIs	https://doi.org/10.1055/s-0039-1693698
Publikationsstatus	Veröffentlicht - 01.12.2020

Fördermittel

The current study is supported by Eunice Kennedy Shriver NICHD 1R21HD089151. A.A., T.L.S., A.N., and N.N. are supported by NICHD 1R21HD089151. A.N. and N.N. are also supported by AHRQ 1R18HS024511.

UN SDGs

Dieser Output leistet einen Beitrag zu folgendem(n) Ziel(en) für nachhaltige Entwicklung

SDG 3 – Gesundheit und Wohlergehen

Strategische Forschungsbereiche und Zentren

Forschungsschwerpunkt: Gehirn, Hormone, Verhalten - Center for Brain, Behavior and Metabolism (CBBM)

Dokumente

10.1055/s-0039-1693698

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Umoren, R. A., Sawyer, T. L., Ades, A., Demeo, S., Foglia, E. E., Glass, K., Gray, M. M., Barry, J., Johnston, L., Jung, P., Kim, J. H., Krick, J., Moussa, A., Mulvey, C., Nadkarni, V., Napolitano, N., Quek, B. H., Singh, N., Zenge, J. P., ... Nishisaki, A. (2020). Team Stress and Adverse Events during Neonatal Tracheal Intubations: A Report from NEAR4NEOS. American Journal of Perinatology, 37(14), 1417-1424. https://doi.org/10.1055/s-0039-1693698

@article{3e8d1c85244b46c2b55006a603ed5086,

title = "Team Stress and Adverse Events during Neonatal Tracheal Intubations: A Report from NEAR4NEOS",

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.",

author = "Umoren, \{Rachel A.\} and Sawyer, \{Taylor L.\} and Anne Ades and Stephen Demeo and Foglia, \{Elizabeth E.\} and Kristen Glass and Gray, \{Megan M.\} and James Barry and Lindsay Johnston and Philipp Jung and Kim, \{Jae H.\} and Jeanne Krick and Ahmed Moussa and Christine Mulvey and Vinay Nadkarni and Natalie Napolitano and Quek, \{Bin Huey\} and Neetu Singh and Zenge, \{Jeanne P.\} and Justine Shults and Akira Nishisaki",

note = "Funding Information: The current study is supported by Eunice Kennedy Shriver NICHD 1R21HD089151. A.A., T.L.S., A.N., and N.N. are supported by NICHD 1R21HD089151. A.N. and N.N. are also supported by AHRQ 1R18HS024511. Publisher Copyright: {\textcopyright} 2020 Royal Society of Chemistry. All rights reserved. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.",

year = "2020",

month = dec,

day = "1",

doi = "10.1055/s-0039-1693698",

language = "English",

volume = "37",

pages = "1417--1424",

journal = "American Journal of Perinatology",

issn = "0735-1631",

publisher = "Thieme Medical Publishers, Inc.",

number = "14",

}

Umoren, RA, Sawyer, TL, Ades, A, Demeo, S, Foglia, EE, Glass, K, Gray, MM, Barry, J, Johnston, L, Jung, P, Kim, JH, Krick, J, Moussa, A, Mulvey, C, Nadkarni, V, Napolitano, N, Quek, BH, Singh, N, Zenge, JP, Shults, J & Nishisaki, A 2020, 'Team Stress and Adverse Events during Neonatal Tracheal Intubations: A Report from NEAR4NEOS', American Journal of Perinatology, Jg. 37, Nr. 14, S. 1417-1424. https://doi.org/10.1055/s-0039-1693698

TY - JOUR

T1 - Team Stress and Adverse Events during Neonatal Tracheal Intubations: A Report from NEAR4NEOS

AU - Umoren, Rachel A.

AU - Sawyer, Taylor L.

AU - Ades, Anne

AU - Demeo, Stephen

AU - Foglia, Elizabeth E.

AU - Glass, Kristen

AU - Gray, Megan M.

AU - Barry, James

AU - Johnston, Lindsay

AU - Jung, Philipp

AU - Kim, Jae H.

AU - Krick, Jeanne

AU - Moussa, Ahmed

AU - Mulvey, Christine

AU - Nadkarni, Vinay

AU - Napolitano, Natalie

AU - Quek, Bin Huey

AU - Singh, Neetu

AU - Zenge, Jeanne P.

AU - Shults, Justine

AU - Nishisaki, Akira

N1 - Funding Information: The current study is supported by Eunice Kennedy Shriver NICHD 1R21HD089151. A.A., T.L.S., A.N., and N.N. are supported by NICHD 1R21HD089151. A.N. and N.N. are also supported by AHRQ 1R18HS024511. Publisher Copyright: © 2020 Royal Society of Chemistry. All rights reserved. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.

PY - 2020/12/1

Y1 - 2020/12/1

N2 - 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.

AB - 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.

UR - https://www.scopus.com/pages/publications/85096332749

U2 - 10.1055/s-0039-1693698

DO - 10.1055/s-0039-1693698

M3 - Journal articles

C2 - 31365934

AN - SCOPUS:85096332749

SN - 0735-1631

VL - 37

SP - 1417

EP - 1424

JO - American Journal of Perinatology

JF - American Journal of Perinatology

IS - 14

ER -

Team Stress and Adverse Events during Neonatal Tracheal Intubations: A Report from NEAR4NEOS

Abstract

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