{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:23:48Z","timestamp":1786119828979,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T00:00:00Z","timestamp":1779062400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T00:00:00Z","timestamp":1779062400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The percentage of glottic opening (POGO) score quantifies the laryngeal view obtained during laryngoscopy. This secondary analysis of the prospective observational PeDiAC study aimed to compare the POGO score with subjective glottic view ratings on a visual analogue scale (VAS) for classifying difficult videolaryngoscopic tracheal intubation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Videolaryngoscopy was used as the first\u2010line approach for tracheal intubation in children over a study period of 16\u2009months. Immediately after tracheal intubation, the airway operators documented a VAS rating of 0\u2013100, with higher values indicating better glottic views. Using videolaryngoscopy recordings of airway management, POGO scores were assigned in a post\u2010hoc analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study comprised 904 tracheal intubations in 809 children. Difficult videolaryngoscopic tracheal intubation occurred in 47 (5.2%) cases. The POGO score had poorer diagnostic performance than VAS rating for classifying difficult videolaryngoscopic tracheal intubation, with AUROCs of 0.52 95%CI (0.42\u20130.62) and 0.79 (95%CI 0.73\u20130.86), respectively, p\u2009&lt;\u20090.001. Based on the AUROC, the POGO score had a poorer diagnostic performance than VAS rating for predicting multiple laryngoscopy attempts (0.46 (95%CI 0.40\u20130.51) vs. 0.66 (95%CI 0.61\u20130.71), p\u2009&lt;\u20090.001); multiple tracheal intubation attempts (0.45 (95%CI 0.41\u20130.50) vs. 0.64 (95%CI 0.60\u20130.68), p\u2009&lt;\u20090.001); time to tracheal intubation &gt;\u200990\u2009s (0.45 (95%CI 0.40\u20130.51) vs. 0.70 (95%CI 0.65\u20130.75), p\u2009&lt;\u20090.001); airway\u2010related adverse events (0.51 (95%CI 0.41\u20130.61) vs. 0.65 (95%CI 0.57\u20130.74), p\u2009=\u20090.030); and severe hypoxaemia (0.47 (95%CI 0.35\u20130.59) vs. 0.63 (95%CI 0.52\u20130.73), p\u2009=\u20090.047). A POGO score &lt;\u200950% had low positive predictive value of 0.11 (95%CI 0.04\u20130.22) and sensitivity of 0.13 (95%CI 0.05\u20130.27) for the occurrence of a difficult videolaryngoscopic intubation and the POGO score showed limited inter\u2010rater reliability (intraclass correlation coefficient 0.61 (95%CI 0.47\u20130.72)).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The POGO score has poor diagnostic performance for classifying difficult videolaryngoscopic tracheal intubation and low inter\u2010rater reliability in children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/anae.70233","type":"journal-article","created":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T09:16:27Z","timestamp":1779095787000},"page":"1228-1235","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic value of the percentage of glottic opening score for classifying videolaryngoscopy in children: a prospective validation study"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8569-386X","authenticated-orcid":false,"given":"Phillip B.","family":"Sasu","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Centre for Anaesthesiology and Intensive Care Medicine University Medical Centre Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3737-2778","authenticated-orcid":false,"given":"Thorsten","family":"Dohrmann","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Centre for Anaesthesiology and Intensive Care Medicine University Medical Centre Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9539-9488","authenticated-orcid":false,"given":"Vera","family":"K\u00f6hl","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Centre for Anaesthesiology and Intensive Care Medicine University Medical Centre Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Mahler","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Centre for Anaesthesiology and Intensive Care Medicine University Medical Centre Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2838-1972","authenticated-orcid":false,"given":"Josephine","family":"Tolkmitt","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Centre for Anaesthesiology and Intensive Care Medicine University Medical Centre Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catharina","family":"Gr\u00fcn","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Centre for Anaesthesiology and Intensive Care Medicine University Medical Centre Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2669-0084","authenticated-orcid":false,"given":"Viktor\u00a0A.","family":"W\u00fcnsch","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Centre for Anaesthesiology and Intensive Care Medicine University Medical Centre Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8490-5717","authenticated-orcid":false,"given":"Linda","family":"Krause","sequence":"additional","affiliation":[{"name":"Institute of Medical Biometry and Epidemiology University Medical Centre Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Z\u00f6llner","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Centre for Anaesthesiology and Intensive Care Medicine University Medical Centre Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5295-2925","authenticated-orcid":false,"given":"Martin","family":"Petzoldt","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Centre for Anaesthesiology and Intensive Care Medicine University Medical Centre Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,18]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213\u20102600(15)00508\u20101"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213\u20102600(17)30116\u20109"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2021.02.021"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.16366"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352\u20104642(22)00313\u20103"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(20)32532\u20100"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.14521"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2020.08.010"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2023.08.040"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553\u20102712.1998.tb02823.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000001331"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12630\u2010016\u20100654\u20106"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/17434440.2023.2174850"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000002210"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13070842"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2012.09.008"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2020.109968"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2024.12.003"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0064147"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.3758\/brm.40.3.699"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.3758\/s13428\u2010022\u201002021\u20100"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.820847"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12155096"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.21454\/rjaic.7518.252.sch"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15985"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.4103\/joacp.JOACP_331_16"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.16394"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.16326"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000005031"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15841"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12103433"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.16678"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2025.0538"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000004002"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/(sici)1097\u20100258(19970715)16:13<1529::aid\u2010sim565>3.0.co;2\u2010h"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.2307\/2531595"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.16440"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2025.04.024"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102044.2009.06057.x"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15820"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13837"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj\u20102023\u2010074819"},{"key":"e_1_2_6_45_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g7594"}],"container-title":["Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anae.70233","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/anae.70233","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anae.70233","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T19:16:42Z","timestamp":1786043802000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1111\/anae.70233"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,18]]},"references-count":44,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/anae.70233"],"URL":"https:\/\/doi.org\/10.1111\/anae.70233","archive":["Portico"],"relation":{},"ISSN":["0003-2409","1365-2044"],"issn-type":[{"value":"0003-2409","type":"print"},{"value":"1365-2044","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,18]]},"assertion":[{"value":"2026-03-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}