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 - http://www.scopus.com/inward/record.url?scp=85096332749&partnerID=8YFLogxK
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 -
