Evidence map›Paper›PMID 33227967›Full record

ArticleSensors (Basel, Switzerland)2020

Sensors for Continuous Monitoring of Surgeon's Cognitive Workload in the Cardiac Operating Room.

Lauren R Kennedy-Metz, Roger D Dias, Rithy Srey, Geoffrey C Rance, Cesare Furlanello, Marco A Zenati

Abstract readLetter
In one paragraph

Article in Sensors (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. A scoping review of cognitive load assessment tools suitable for clinicians performing REBOA.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  5. Article
  6. Using Digital Biomarkers for Objective Assessment of Perfusionists' Workload and Acute Stress During Cardiac Surgery.Bioinformatics and Biomedical Engineering : 10th International Work-Conference, IWBBIO 2023, Meloneras, Gran Canaria, Spain, July 12-14, 2023, Proceedings. Part I. IWBBIO (Conference) (10th : 2023 : Gran Canaria, Canary Islands) · 2023
    Article
  7. Article
  8. Acquisition and Processing of Brain Signals.Sensors (Basel, Switzerland) · 2021
    Article
  9. Towards an AI Coach to Infer Team Mental Model Alignment in Healthcare.IEEE Conference on Cognitive and Computational Aspects of Situation Management (CogSIMA) · 2021
    Article
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

6 authors.

Lauren R Kennedy-MetzDivision of Cardiac Surgery, Medical Robotics and Computer Assisted Surgery Lab, VA Boston Healthcare System, West Roxbury, MA 02132, USA.ORCID 0000-0002-2696-3943
Roger D DiasSTRATUS Center for Medical Simulation, Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.ORCID 0000-0003-4959-5052
Rithy SreyDivision of Cardiac Surgery, VA Boston Healthcare System, West Roxbury, MA 02132, USA.
Geoffrey C RanceDivision of Cardiac Surgery, VA Boston Healthcare System, West Roxbury, MA 02132, USA.
Cesare FurlanelloHK3 Lab, 20129 Milan, Italy.
Marco A ZenatiDivision of Cardiac Surgery, Medical Robotics and Computer Assisted Surgery Lab, VA Boston Healthcare System, West Roxbury, MA 02132, USA.ORCID 0000-0001-7139-0323

Funding

Developing Standardized Intraoperative Process Models to Enhance Surgical SafetyR01HL126896 · NHLBI · HARVARD MEDICAL SCHOOL · PI ZENATI, MARCO A. · 2016 to 2023
$3.7M
NHLBI NIH HHS R01 HL126896NIH HHS R01HL126896
6 · The paper itself

Abstract

Monitoring healthcare providers' cognitive workload during surgical procedures can provide insight into the dynamic changes of mental states that may affect patient clinical outcomes. The role of cognitive factors influencing both technical and non-technical skill are increasingly being recognized, especially as the opportunities to unobtrusively collect accurate and sensitive data are improving. Applying sensors to capture these data in a complex real-world setting such as the cardiac surgery operating room, however, is accompanied by myriad social, physical, and procedural constraints. The goal of this study was to investigate the feasibility of overcoming logistical barriers in order to effectively collect multi-modal psychophysiological inputs via heart rate (HR) and near-infrared spectroscopy (NIRS) acquisition in the real-world setting of the operating room. The surgeon was outfitted with HR and NIRS sensors during aortic valve surgery, and validation analysis was performed to detect the influence of intra-operative events on cardiovascular and prefrontal cortex changes. Signals collected were significantly correlated and noted intra-operative events and subjective self-reports coincided with observable correlations among cardiovascular and cerebral activity across surgical phases. The primary novelty and contribution of this work is in demonstrating the feasibility of collecting continuous sensor data from a surgical team member in a real-world setting.

Indexed as

CognitionSurgeonsWorkloadHumansOperating RoomsSpectroscopy, Near-Infraredcardiac surgerycognitive workloadheart ratenear-infrared spectroscopy

Identifiers

PMID33227967
PMCPMC7699221

What OpenQuestion holds

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LicenceCC BY
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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.