Evidence map›Paper›PMID 37133553›Full record

ArticleJournal of medical systems2023

Human Factors Evaluation of HeartMate 3 Left Ventricular Assist Device Peripherals: An Eye Tracking Supported Simulation Study.

Gregor Widhalm, Theodor Abart, Moritz Noeske, Lisa Kumer, Katharina Ebenberger, Clemens Atteneder, Angelika Berger, Günther Laufer, Dominik Wiedemann, Daniel Zimpfer and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical systems, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 54% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

13 authors at 2 institutions in 1 country.

Gregor WidhalmDepartment of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0003-4762-5035
Theodor AbartDepartment of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-1871-1834
Moritz NoeskeDepartment of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.
Lisa KumerDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Katharina EbenbergerDepartment of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.
Clemens AttenederDepartment of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-5735-3216
Angelika BergerDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0001-8775-2405
Günther LauferDepartment of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0001-7257-110X
Dominik WiedemannDepartment of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-2055-8293
Daniel ZimpferDepartment of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-2185-4895
Heinrich SchimaDepartment of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-8003-7617
Michael WagnerDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0003-0982-2310
Thomas SchlöglhoferDepartment of Cardiac Surgery, Medical University of Vienna, Vienna, Austria. thomas.schloeglhofer@meduniwien.ac.at.ORCID http://orcid.org/0000-0003-4354-4860
Medical University of Vienna · ATLudwig Boltzmann Institute for Cancer Research · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite recent design improvements, human factors issues continue to challenge left ventricular assist device (LVAD) therapy. The aim of this study was to evaluate user experience of former non-HeartMate 3 (HM3) LVAD patients post heart transplantation (HTX) and laypersons (LP) with HM3 LVAD peripherals in simulated everyday and emergency scenarios.

methodsThis single center cohort study included untrained HTX and LP. Seven scenarios, including battery exchanges (without alarm, advisory alarm, dim light, consolidated bag), change of power supply, driveline dis-/reconnection and controller exchange were simulated. Subjects' gaze behavior was recorded using eye tracking technology. Success rate, pump-off-time, duration to success (DTS), percental fixation duration per areas of interest and post-scenario-survey results were defined as outcome measures.

resultsThirty subjects completed 210 scenarios, initially solving 82.4% (HTX vs. LP, p = 1.00). Changing power supply revealed highest complexity (DTS = 251 ± 93s, p = 0.76): 26.7% succeeded at first attempt (p = 0.68), 56.7% at second attempt, with significantly more LP failing (p = 0.04), resulting in 10 hazards from driveline disconnections (pump-off-time 2-118s, p = 0.25). Comparison on initial success showed differences in fixation durations for seven areas of interest (p < 0.037). Decreasing DTS during battery exchanges (p < 0.001) indicate high learnability. Exchanging batteries within the bag took longer (median DTS = 75.0 (IQR = 45.0)s, p = 0.09), especially in elderly subjects (r = 0.61, p < 0.001). Subjects with less initial success were more afraid of making mistakes (p = 0.048).

conclusionThis eye tracking based human factors study provided insights into user experiences in handling HM3 peripherals. It highlights unintuitive and hazardous characteristics, providing guidance for future user-centered design of LVAD wearables.

Indexed as

Heart-Assist DevicesHeart FailureHeart TransplantationAgedCohort StudiesEye-Tracking TechnologyHumansRetrospective StudiesEye trackingHuman factorsLeft ventricular assist devicePeripheralsSimulationUsability

Identifiers

PMID37133553
PMCPMC10156833
OpenAlexW4367834644

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.