Table 2 Summary of findings for adverse events by team composition
Outcome (total no. of studies) | Intubator group (total no. of children) | Pooled prevalence (%, 95% CI) | Intra-group heterogeneity (I2, P value) | Inter-group heterogeneity (P value) |
|---|---|---|---|---|
Overall airway complications (16) | Non-physician without relaxants (536) | 39 (28–51) | 82.0%, P < 0.001 | P < 0.001 |
Non-physician with relaxants (667) | 30 (23–38) | 71.5%, P = 0.01 | ||
Physician with relaxants (772) | 10 (3–22) | 94.4%, P < 0.001 | ||
Oesophageal intubations (23) | Non-physician without relaxants (3136) | 4 (0–10) | 92.3%, P < 0.001 | P < 0.001 |
Non-physician with relaxants (1563) | 0 (0–1) | 58.1%, P = 0.02 | ||
Physician with relaxants (815) | 0 (0–0) | 0%, P = 0.98 | ||
Endobronchial intubations (13) | Non-physician without relaxants (311) | 11 (6–17) | 35.8%, P = 0.17 | P = 0.15 |
Non-physician with relaxants (610) | 10 (4–19) | 85.8%, P < 0.001 | ||
Physician with relaxants (260) | 3 (0–11) | 85.1%, P < 0.001 | ||
Pooled (1181) | 7 (3–12) | 86.2%, P < 0.001 | ||
Hypoxia (6) | Non-physician with relaxants (183) | 0 (0–1) | NR | P < 0.001 |
Physician with relaxants (468) | 7 (3–11) | 94.4%, P < 0.001 | ||
Aspiration (8) | Non-physician with relaxants (587) | 12 (4–23) | 90.6%, P < 0.001 | P < 0.001 |
Physician with relaxants (206) | 0 (0–2) | 0%, P = 0.47 | ||
≥ 3 intubation attempts (13) | Non-physician without relaxants (96) | 16 (6–28) | NR | P < 0.001 |
Non-physician with relaxants (816) | 6 (3–10) | 69.7%, P = 0.01 | ||
Physician with relaxants (544) | 1 (0–4) | 75.6%, P = 0.01 |