Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.10.002
Brazilian Journal of Anesthesiology
Short Communication

A cross-sectional study analyzing the quality of YouTube videos as a source of information for COVID-19 intubation

Um estudo transversal analisando a qualidade dos vídeos do YouTube como fonte de informação para intubação COVID-19

Baris Arslan, Tayfun Sugur, Osman Ciloglu, Ali Arslan, Vedat Acik

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Abstract

Introduction
There are many possible sources of medical information; however, the quality of the information varies. Poor quality or inaccurate resources may be harmful if they are trusted by providers. This study aimed to analyze the quality of coronavirus disease 2019 (COVID-19)-related intubation videos on YouTube.

Methods
The term “COVID-19 intubation” was searched on YouTube. The top 100 videos retrieved were sorted by relevance and 37 videos were included. The video demographics were recorded. The quality of the videos was analyzed using an 18-point checklist, which was designed for evaluating COVID-19 intubation. Videos were also evaluated using general video quality scores and the modified Journal of the American Medical Association score.

Results
The educational quality was graded as good for eight (21.6%) videos, moderate for 13 (35.1%) videos, and poor for 16 (43.2%) videos. The median safe COVID-19 intubation score (SCIS) was 11 (IQR = 5–13). The SCISs indicated that videos prepared in an intensive care unit were higher in quality than videos from other sources (p < 0.05). The length of the video was predictive of quality (area under the curve = 0.802, 95% CI = 0.658–0.945, p = 0.10).

Conclusions
The quality of YouTube videos for COVID-19 intubation is substandard. Poor quality videos may provide inaccurate knowledge to viewers and potentially cause harm.

Keywords

Airway management;  COVID-19;  Coronavirus;  Hand washing;  Intubation

Resumo

Introdução: Existem muitas fontes possíveis de informação médica; no entanto, a qualidade das informações varia. Recursos de baixa qualidade ou imprecisos podem ser prejudiciais se forem confiáveis pelos provedores. Este estudo teve como objetivo analisar a qualidade dos vídeos de intubação relacionados à doença de coronavírus 2019 (COVID-19) no YouTube. Métodos: O termo “intubação COVID-19” foi pesquisado no YouTube. Os 100 principais vídeos recuperados foram classificados por relevância e 37 vídeos foram incluídos. Os dados demográficos do vídeo foram registrados. A qualidade dos vídeos foi analisada usando uma lista de verificação de 18 pontos, projetada para avaliar a intubação com COVID-19. Os vídeos também foram avaliados usando pontuações gerais de qualidade de vídeo e a pontuação modificada do Journal of the American Medical Association. Resultados: A qualidade educacional foi classificada como boa para oito (21,6%) vídeos, moderada para 13 (35,1%) vídeos e ruim para 16 (43,2%) vídeos. A pontuação média de intubação segura COVID-19 (SCIS) foi 11 (IQR = 5-13). Os SCISs indicaram que os vídeos preparados em uma unidade de terapia intensiva eram de qualidade superior aos vídeos de outras fontes (p < 0,05). A duração do vídeo foi preditiva de qualidade (área sob a curva = 0,802, IC 95% = 0,658-0,945, p = 0,10). Conclusões: A qualidade dos vídeos do YouTube para intubação com COVID-19 é de padrão inferior. Vídeos de baixa qualidade podem fornecer informações imprecisas aos espectadores e causar danos.

Palavras-chave

Gestão das vias aéreas; COVID-19; Coronavírus; Lavagem das mãos; Intubação

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