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

Hans Rosenberg
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.