Methodology: 3.5/5
Usefulness: 2/5

Turner JS, et al. JAMA Netw Open. 2020 Jul 1;3(7):e209278.

Question and Methods: Systematic review and meta-analysis evaluating if checklist use during endotracheal intubation leads to improved patient outcomes.
Findings: The authors found no difference in their primary outcome of mortality or any secondary outcomes when assessing studies with low risk of bias.
Limitations: The major limitation of this review is the poor quality of the included studies – with most being of before-after observational design at high risk of bias.

Interpretation: Due to the high risk of bias of included studies, the results of this review should not alter our practice at this time. Absence of evidence does not equal a lack of benefit, and further RCTs are required to further investigate checklist utility.   

By: Dr. Justin Godbout

Author

  • Dr. Rosenberg is an emergency physician at the Ottawa Hospital, assistant professor at the University of Ottawa, and Director of the Digital Scholarship and Knowledge Dissemination Program.