What does this research mean for the field?

The implementation of an anonymous employee opt-out solution for video deletion in a clinical trial resulted in systematic differences among included newborns, introducing significant selection bias that compromised the trial's validity. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate whether employee-instigated deletion of newborn resuscitation video recordings introduced selection bias and compromised the validity of the NeoBeat randomized clinical trial.

September 3, 2026ResuscitationOpen Access

Selection bias introduced in a randomized clinical trial due to employee instigated deletion of newborn resuscitation videos

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Authors

EHEila Tvedt HovenStavanger University Hospital FRFrida Marie Meling RøineStavanger University Hospital FBFrederikke BuskovStavanger University Hospital

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Implication

Randomized trial reveals that employee-requested video deletions introduced selection bias in newborn resuscitation research, indicating compromised trial validity and premature study termination.

Key Points

To evaluate whether employee-instigated deletion of newborn resuscitation video recordings introduced selection bias and compromised the validity of the NeoBeat randomized clinical trial.
Randomized clinical trial conducted at Stavanger University Hospital, Norway, evaluating whether continuous ECG heart rate display from birth increased the proportion of newborns (gestational age ≥34 weeks) ventilated within 60 seconds.
Assessed birth asphyxia severity proxies before and after implementing an anonymous employee opt-out video deletion system, introduced after staff protests and a 12-month data collection pause.
Overall trial enrollment dropped from 71% (7,343/10,362) before to 58% (2,566/4,417) after implementing anonymous opt-out, with deletion requests removing 0 cases before versus 14 cases after, leaving 171 and 66 video-evaluated cases, respectively.
Included newborns after the opt-out implementation exhibited significantly higher Apgar scores, shorter ventilation durations, and fewer hospital admissions despite comparable baseline characteristics, leading to premature trial termination due to insufficient statistical power.

Cite This Study

Hoven et al. (2026) studied this question.

synapsesocial.com/papers/6a99352e636c6408cfa7d2c4 https://doi.org/10.1016/j.resuscitation.2026.111288

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Implication

Randomized trial reveals that employee-requested video deletions introduced selection bias in newborn resuscitation research, indicating compromised trial validity and premature study termination.

Selection bias introduced in a randomized clinical trial due to employee instigated deletion of newborn resuscitation videos

Discussion

Member takes

Implication

Key Points

Cite This Study

Selection bias introduced in a randomized clinical trial due to employee instigated deletion of newborn resuscitation videos

Discussion

Member takes

Implication

Key Points

Cite This Study

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