Improving Safety and Quality of Tracheal Intubation Practice in Pediatric ICUs
NEAR4KIDs
Observation of Multi-center Quality Improvement Project: Improving Safety and Quality of Tracheal Intubation Practice in Pediatric ICUs
2 other identifiers
observational
150,000
10 countries
86
Brief Summary
Advanced airway interventions are common high risk, high stakes events for children in intensive care units (ICU) and emergency departments (ED), with risk for life and health threatening consequences.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Mar 2010
Longer than P75 for all trials
86 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2010
CompletedFirst Submitted
Initial submission to the registry
July 6, 2015
CompletedFirst Posted
Study publicly available on registry
July 9, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2030
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 1, 2030
January 9, 2026
January 1, 2026
19.9 years
July 6, 2015
January 8, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in number of tracheal intubation associated events (TIAEs)
The number of TIAEs during primary tracheal intubation will be compared to any TIAEs documented during subsequent intubation attempts.
participants will be followed for the duration of their hospital stay, an expected average of 4 weeks
Eligibility Criteria
All advanced airway events (tracheal intubations, laryngeal mask placement, emergency tracheostomy and cricothyrotomy) in PICUs, CICUs, NICUs, DRs and EDs during study period. Information regarding airway management events as well as select information regarding circumstances up to the event will be collected.
You may qualify if:
- Primary advanced airway events (on patients of all ages) in the PICU, CICU, NICU, DR and ED including: Tracheal Intubation, Laryngeal mask placement, Emergency tracheostomy and/or cricothyrotomy
- Failed extubation attempts or unplanned extubations that require re-intubation will be considered a new primary intubation.
You may not qualify if:
- Primary advanced airway events (tracheal intubations, laryngeal mask placement, emergency tracheostomy and/or cricothyrotomy) in the Operating Suites.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (87)
Children's of Alabama at Birmingham
Birmingham, Alabama, 35233, United States
Phoenix Children's Hospital
Phoenix, Arizona, 85006, United States
Arkansas Children's Hospital
Little Rock, Arkansas, 72202, United States
Children's Hospital of Central California
Madera, California, 93636, United States
University of Colorado Hospital
Aurora, Colorado, 80045, United States
Yale New Haven Children's Hospital
New Haven, Connecticut, 06510, United States
Yale-New Haven Children's Hospital
New Haven, Connecticut, 06510, United States
Nemours Children's Health, Delaware
Wilmington, Delaware, 19803, United States
Miami Children's Hospital
Miami, Florida, 33155, United States
Emory University
Atlanta, Georgia, 30322, United States
Children's Hospital of Atlanta - Scottish Rite
Atlanta, Georgia, 30342, United States
Children's Hospital of Georgia
Augusta, Georgia, 30912, United States
Northwestern Medicine Prentice Women's Hospital
Chicago, Illinois, 60611, United States
Riley Hospital for Children
Indianapolis, Indiana, 46202, United States
Beacon Children's Hospital
South Bend, Indiana, 46601, United States
Kentucky Children's Hospital
Lexington, Kentucky, 40536, United States
Norton Children's Hospital - University of Louisville
Louisville, Kentucky, 40202, United States
Johns Hopkins Medicine
Baltimore, Maryland, 21205, United States
University of Maryland
Baltimore, Maryland, 21230, United States
Boston Children's Hospital
Boston, Massachusetts, 02115, United States
Baystate Medical Center
Springfield, Massachusetts, 01199, United States
Gillette Children's Specialty Health
Saint Paul, Minnesota, 55101, United States
Children's Hospitals and Clinics of Minnesota
Saint Paul, Minnesota, 55404, United States
Children's Hospital and Medical Center
Omaha, Nebraska, 68114, United States
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03766, United States
Morristown Medical Center
Morristown, New Jersey, 07960, United States
Albany Medical College
Albany, New York, 12208, United States
Oishei Children's Hospital
Buffalo, New York, 14222, United States
Cohen Children's Medical Center
New Hyde Park, New York, 11040, United States
New York Presbyterian Hospital Weill Cornell Medical College
New York, New York, 10065, United States
University of Rochester at Golisano Children's Hospital
Rochester, New York, 14642, United States
Stony Brook Children's Hospital
Stony Brook, New York, 11794, United States
The Children's Hospital at Montefiore
The Bronx, New York, 10467, United States
Maria Fareri Children's Hospital (West Chester Medical)
Valhalla, New York, 10595, United States
Duke Children's Hospital
Durham, North Carolina, 27705, United States
WakeMed Health & Hospitals
Raleigh, North Carolina, 27610, United States
WakeMed
Raleigh, North Carolina, 27610, United States
Akron Children's Hospital
Akron, Ohio, 44308, United States
Cincinnati Hospital Medical Center
Cincinnati, Ohio, 45229, United States
Cleveland Clinic Childrens Hospital
Cleveland, Ohio, 44106, United States
Nationwide Children's Hospital
Columbus, Ohio, 43205, United States
Oregon Health and Science University
Portland, Oregon, 97239, United States
Children's Hospital - Penn State Hershey
Hershey, Pennsylvania, 17033, United States
Penn State Health Milton S. Hershey Medical Center
Hershey, Pennsylvania, 17033, United States
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, 15224, United States
Hasbro Children's Hospital
Providence, Rhode Island, 02903, United States
Le Bonheur Children's Hospital
Memphis, Tennessee, 38103, United States
Dell Children's Medical Center - Ascension
Austin, Texas, 78723, United States
Medical City Children's Hospital
Dallas, Texas, 75230, United States
Baylor - Christus Children's - Main Hospital
Irving, Texas, 75039, United States
Baylor - Christus Children's - Westover Hills
San Antonio, Texas, 78251, United States
Baylor - Christus Children's - Stone Oak
San Antonio, Texas, 78258, United States
The University of Vermont Children's Hospital
Burlington, Vermont, 05401, United States
UVA Children's Hospital
Charlottesville, Virginia, 22903, United States
Children's Hospital of Richmond at VCU
Richmond, Virginia, 23298, United States
Seattle Children's Hospital
Seattle, Washington, 98105, United States
University of Washington Medical Center
Seattle, Washington, 98195, United States
University of Wisconsin - UnityPoint Meriter
Madison, Wisconsin, 53715, United States
American Family Children's Hospital - University of Wisconsin
Madison, Wisconsin, 53792, United States
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
University of Wisconsin - American Family Children's Hospital
Shorewood Hills, Wisconsin, 53792, United States
Royal Brisbane and Women's Hospital
Herston, 4006, Australia
The Royal Children's Hospital Melbourne
Parkville, 3052, Australia
Medical University of Vienna (Medizinische Universität Wien)
Vienna, Spitalgasse 23, Austria
Foothills Medical Centre
Calgary, Alberta, T2N 2T9, Canada
Alberta Children's Hospital
Calgary, Alberta, T3B 6A9, Canada
British Columbia Children's Hospital
Vancouver, British Columbia, V6H 3V4, Canada
CHU Sainte-Justine
Montreal, Quebec, H3T 1C4, Canada
CHU Sainte-Justine
Montreal, Quebec, QC H3T 1C5, Canada
The University of Manitoba
Winnipeg, B R3T 2N2, Canada
University Hospital Schleswig-Holstein, Campus Luebeck, Children's Hospital
Lübeck, 23562, Germany
Aster Hospitals - India
Bengaluru, Karnataka, 560078, India
Rainbow Children's Hospital
Bangalore, 560092, India
Bambino Gesu
Roma, 00165, Italy
National Center for Child Health and Development
Setagaya-Ku, Tokyo, 157-8535, Japan
Hiroshima University
Hiroshima, 734-8551, Japan
Hyogo Prefectural Kobe Children's Hospital
Kobe, 650-0047, Japan
Aichi Children's Health and Medical Center
Ōbu, Japan
Saitama Children's Medical Center
Saitama, 350-0451, Japan
Jichi Medical University Hospital
Shimotsuke, 329-0431, Japan
Tokyo Metropolitan
Tokyo, 163-8001, Japan
Starship Children's Hospital
Auckland, 1023, New Zealand
KK Women's and Children's Hospital
Singapore, 168753, Singapore
KK Women's & Children's Hospital, Singapore
Singapore, 229899, Singapore
Cardiff & Vale University Health Board
Cardiff, Wales, CF14 4XW, United Kingdom
Related Publications (1)
Gabrani A, Kojima T, Sanders RC Jr, Shenoi A, Montgomery V, Parsons SJ, Gangadharan S, Nett S, Napolitano N, Tarquinio K, Simon DW, Lee A, Emeriaud G, Adu-Darko M, Giuliano JS Jr, Meyer K, Graciano AL, Turner DA, Krawiec C, Bakar AM, Polikoff LA, Parker M, Harwayne-Gidansky I, Crulli B, Vanderford P, Breuer RK, Gradidge E, Branca A, Glater-Welt LB, Tellez D, Wright LV, Pinto M, Nadkarni V, Nishisaki A; National Emergency Airway Registry for Children (NEAR4KIDS) Collaborators and Pediatric Acute Lung Injury and Sepsis Investigators (PALISI). Downward Trend in Pediatric Resident Laryngoscopy Participation in PICUs. Pediatr Crit Care Med. 2018 May;19(5):e242-e250. doi: 10.1097/PCC.0000000000001470.
PMID: 29406378DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Vinay Nadkarni, MD. MS
Children's Hospital of Philadelphia
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 6, 2015
First Posted
July 9, 2015
Study Start
March 1, 2010
Primary Completion (Estimated)
January 1, 2030
Study Completion (Estimated)
January 1, 2030
Last Updated
January 9, 2026
Record last verified: 2026-01