Evidence map›Paper›PMID 27437048›Full record

ArticleApplied clinical informatics2016

Guiding Principles for a Pediatric Neurology ICU (neuroPICU) Bedside Multimodal Monitor: Findings from an International Working Group.

Zachary M Grinspan, Yonina C Eldar, Daniel Gopher, Amihai Gottlieb, Rotem Lammfromm, Halinder S Mangat, Nimrod Peleg, Steven Pon, Igal Rozenberg, Nicholas D Schiff and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Applied clinical informatics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
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  4. Clinician-Driven Design ofIEEE journal of translational engineering in health and medicine · 2018
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 2 countries.

Zachary M GrinspanDepartment of Healthcare Policy & Research, Weill Cornell Medicine, New York, NY; Department of Pediatrics, Weill Cornell Medicine, New York, NY; New York-Presbyterian Hospital, New York, NY.
Yonina C EldarFaculty of Electrical Engineering, Technion Israel Institute of Technology , Haifa, Israel.
Daniel GopherFaculty of Industrial Engineering and Management, Technion Israel Institute of Technology , Haifa, Israel.
Amihai GottliebFaculty of Industrial Engineering and Management, Technion Israel Institute of Technology , Haifa, Israel.
Rotem LammfrommFaculty of Industrial Engineering and Management, Technion Israel Institute of Technology , Haifa, Israel.
Halinder S MangatNew York-Presbyterian Hospital, New York, NY; Department of Neurology, Weill Cornell Medicine, New York, NY.
Nimrod PelegFaculty of Electrical Engineering, Technion Israel Institute of Technology , Haifa, Israel.
Steven PonDepartment of Pediatrics, Weill Cornell Medicine, New York, NY; New York-Presbyterian Hospital, New York, NY.
Igal RozenbergFaculty of Electrical Engineering, Technion Israel Institute of Technology , Haifa, Israel.
Nicholas D SchiffNew York-Presbyterian Hospital, New York, NY; Department of Neurology, Weill Cornell Medicine, New York, NY; Brain and Mind Research Institute, Weill Cornell Medical College, New York, NY.
David E StarkDepartments of Medicine and Bioengineering, Stanford University , Stanford, CA.
Peter YanNew York-Presbyterian Hospital, New York, NY; Department of Neurology, Weill Cornell Medicine, New York, NY.
Hillel PrattFaculties of Medicine and Biomedical Engineering, Technion Israel Institute of Technology , Haifa, Israel.
Barry E KosofskyDepartment of Pediatrics, Weill Cornell Medicine, New York, NY; New York-Presbyterian Hospital, New York, NY; Department of Neurology, Weill Cornell Medicine, New York, NY; Brain and Mind Research Institute, Weill Cornell Medical College, New York, NY.
Technion – Israel Institute of Technology · ILNewYork–Presbyterian Hospital · USCornell University · USMIND Research Institute · USStanford University · US

Funding

WCMC Child Neurology Postdoctoral Training on Developmental NeurosciencesK12NS066274 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI KOSOFSKY, BARRY E · 2010 to 2019
$2.8M
NINDS NIH HHS K12 NS066274
6 · The paper itself

Abstract

backgroundPhysicians caring for children with serious acute neurologic disease must process overwhelming amounts of physiological and medical information. Strategies to optimize real time display of this information are understudied.

objectivesOur goal was to engage clinical and engineering experts to develop guiding principles for creating a pediatric neurology intensive care unit (neuroPICU) monitor that integrates and displays data from multiple sources in an intuitive and informative manner.

methodsTo accomplish this goal, an international group of physicians and engineers communicated regularly for one year. We integrated findings from clinical observations, interviews, a survey, signal processing, and visualization exercises to develop a concept for a neuroPICU display.

resultsKey conclusions from our efforts include: (1) A neuroPICU display should support (a) rapid review of retrospective time series (i.e. cardiac, pulmonary, and neurologic physiology data), (b) rapidly modifiable formats for viewing that data according to the specialty of the reviewer, and (c) communication of the degree of risk of clinical decline. (2) Specialized visualizations of physiologic parameters can highlight abnormalities in multivariable temporal data. Examples include 3-D stacked spider plots and color coded time series plots. (3) Visual summaries of EEG with spectral tools (i.e. hemispheric asymmetry and median power) can highlight seizures via patient-specific "fingerprints." (4) Intuitive displays should emphasize subsets of physiology and processed EEG data to provide a rapid gestalt of the current status and medical stability of a patient.

conclusionsA well-designed neuroPICU display must present multiple datasets in dynamic, flexible, and informative views to accommodate clinicians from multiple disciplines in a variety of clinical scenarios.

Indexed as

Intensive Care Units, PediatricInternationalityChildElectroencephalographyHumansNeeds AssessmentNeurologyPatient Care TeamSignal Processing, Computer-AssistedSurveys and Questionnairesbiomedical engineering [H02.070]data display [F02.784.412.221]informatics [L01.313]neurology [H02.403.600]Pediatric intensive care units [N02.278.388.493.390]

Identifiers

PMID27437048
PMCPMC4941847
OpenAlexW2397751268

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.