Objective Describe the current practice of family presence during neonatal tracheal intubations (TIs) across neonatal intensive care units (NICUs) and examine the association with outcomes. Design Retrospective analysis of TIs performed in NICUs participating in the National Emergency Airway Registry for Neonates (NEAR4NEOS). Setting Thirteen academic NICUs. Patients Infants undergoing TI between October 2014 and December 2017. Main outcome measures Association of family presence with TI processes and outcomes including first attempt success (primary outcome), success within two attempts, adverse TI-associated events (TIAEs) and severe oxygen desaturation ≥20% from baseline. Results Of the 2570 TIs, 242 (9.4%) had family presence, which varied by site (median 3.6%, range 0%–33%; p<0.01). Family member was more often present for older infants and those with chronic respiratory failure. Fewer TIs were performed by residents when family was present (FP 10% vs no FP 18%, p=0.041). Among TIs with family presence versus without family presence, the first attempt success rate was 55% vs 49% (p=0.062), success within two attempts was 74% vs 66% (p=0.014), adverse TIAEs were 18% vs 20% (p=0.62) and severe oxygen desaturation was 49% vs 52%, (p=0.40). In multivariate analyses, there was no independent association between family presence and intubation success, adverse TIAEs or severe oxygen desaturation. Conclusion Family are present in less than 10% of TIs, with variation across NICUs. Even after controlling for important patient, provider and site factors, there were no significant associations between family presence and intubation success, adverse TIAEs or severe oxygen desaturation. All data relevant to the study are included in the article or uploaded as supplementary information.

中文翻译：

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家庭存在与新生儿插管结果之间的关联：来自国家新生儿紧急气道登记处的报告：NEAR4NEOS

目的 描述新生儿重症监护病房 (NICU) 新生儿气管插管 (TI) 期间家庭在场的当前做法，并检查其与结局的关联。设计 在参与国家新生儿紧急气道登记 (NEAR4NEOS) 的 NICU 中进行的 TI 回顾性分析。设置 13 个学术 NICU。患者 2014 年 10 月至 2017 年 12 月期间接受 TI 的婴儿。 主要结局指标 家庭存在与 TI 过程和结局的关联，包括首次尝试成功（主要结局）、两次尝试中的成功、TI 不良相关事件 (TIAE) 和严重氧饱和度下降 ≥比基线高 20%。结果 在 2570 名 TI 中，242 名 (9.4%) 有家庭成员，因地点而异（中位数 3.6%，范围 0%–33%；p<0.01）。对于年龄较大的婴儿和患有慢性呼吸衰竭的婴儿，家庭成员更常在场。当家人在场时，居民进行的 TI 更少（FP 10% vs 没有 FP 18%，p=0.041）。在有家庭存在与没有家庭存在的 TI 中，首次尝试成功率为 55% 与 49% (p=0.062)，两次尝试内的成功率为 74% 与 66% (p=0.014)，不良 TIAE 为 18% 与 20 % (p=0.62) 和严重氧饱和度下降分别为 49% 和 52% (p=0.40)。在多变量分析中，家庭存在与插管成功、不良 TIAE 或严重氧饱和度降低之间没有独立关联。结论 家庭出现在不到 10% 的 TI 中，并且在 NICU 之间存在差异。即使在控制了重要的患者、提供者和现场因素之后，家庭存在与插管成功、不良 TIAE 或严重氧饱和度降低之间没有显着关联。与研究相关的所有数据都包含在文章中或作为补充信息上传。