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

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

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

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

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Abstract

Objective 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.

Original language	English (US)
Journal	American Journal of Perinatology
State	Published - Jul 2019

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https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0039-1693698

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Umoren, R., Sawyer, T., Ades, A., DeMeo, S. D., Foglia, E. E., Glass, K., Gray, M., Barry, J., Johnston, L., Jung, P., Kim, J. H., Krick, J., Moussa, A., Mulvey, C., Nadkarni, V. M., Napolitano, N., Quek, B. H., Singh, N., Zenge, J., ... Nishisaki, A. (2019). Team Stress and Adverse Events during Neonatal Tracheal Intubations: A Report from NEAR4NEOS. American Journal of Perinatology. https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0039-1693698

@article{e42c016d870644abaf4dec9e8b36f7a9,

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

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

year = "2019",

month = jul,

language = "English (US)",

journal = "American Journal of Perinatology",

issn = "0735-1631",

publisher = "Thieme Medical Publishers, Inc.",

}

Umoren, R, Sawyer, T, Ades, A, DeMeo, SD, Foglia, EE, Glass, K, Gray, M, Barry, J, Johnston, L, Jung, P, Kim, JH, Krick, J, Moussa, A, Mulvey, C, Nadkarni, VM, Napolitano, N, Quek, BH, Singh, N, Zenge, J, Shults, J & Nishisaki, A 2019, 'Team Stress and Adverse Events during Neonatal Tracheal Intubations: A Report from NEAR4NEOS', American Journal of Perinatology. <https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0039-1693698>

TY - JOUR

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

AU - Umoren, Rachel

AU - Sawyer, Taylor

AU - Ades, Anne

AU - DeMeo, Stephen D.

AU - Foglia, Elizabeth E.

AU - Glass, Kristen

AU - Gray, Megan

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 M.

AU - Napolitano, Natalie

AU - Quek, Bin Huey

AU - Singh, Neetu

AU - Zenge, Jeanne

AU - Shults, Justine

AU - Nishisaki, Akira

PY - 2019/7

Y1 - 2019/7

N2 - Objective 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 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.

M3 - Article

SN - 0735-1631

JO - American Journal of Perinatology

JF - American Journal of Perinatology

ER -

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

Abstract

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