Evidence map›Paper›PMID 37244290›Full record

Trial reportJornal de pediatria

High and low-fidelity simulation for respiratory diseases pediatric training: a prospective and randomized study.

Beatriz Cristina Heitmann Gomes Valente, Maria do Carmo Barros de Melo, Priscila Menezes Ferri Liu, Beatriz Adriane Rodrigues Gonçalves, Romina Aparecida Dos Santos Gomes, Isadora Guimarães Martins, Ana Clara Pereira Lage de Oliveira, Ana Luísa de Cássia Magalhães Ferreira, Rafaella Garcia Bothrel, Laura Maria de Lima Belizário Facury Lasmar

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Jornal de pediatria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. 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

10 authors.

Beatriz Cristina Heitmann Gomes ValenteFaculdade de Medicina da Universidade Federal de Minas Gerais, Departamento de Pediatria, Belo Horizonte, Minas Gerais, Brazil. Electronic address: beatrizheitmann2@gmail.com.
Maria do Carmo Barros de MeloFaculdade de Medicina da Universidade Federal de Minas Gerais, Departamento de Pediatria, Belo Horizonte, Minas Gerais, Brazil.
Priscila Menezes Ferri LiuFaculdade de Medicina da Universidade Federal de Minas Gerais, Departamento de Pediatria, Belo Horizonte, Minas Gerais, Brazil.
Beatriz Adriane Rodrigues GonçalvesFaculdade de Medicina da Universidade Federal de Minas Gerais, Departamento de Pediatria, Belo Horizonte, Minas Gerais, Brazil.
Romina Aparecida Dos Santos GomesFaculdade de Medicina da Universidade Federal de Minas Gerais, Departamento de Pediatria, Belo Horizonte, Minas Gerais, Brazil.
Isadora Guimarães MartinsFaculdade de Medicina da Universidade Federal de Minas Gerais, Estudante de Medicina Belo Horizonte, Minas Gerais, Brazil.
Ana Clara Pereira Lage de OliveiraFaculdade de Medicina da Universidade Federal de Minas Gerais, Estudante de Medicina Belo Horizonte, Minas Gerais, Brazil.
Ana Luísa de Cássia Magalhães FerreiraFaculdade de Medicina da Universidade Federal de Minas Gerais, Estudante de Medicina Belo Horizonte, Minas Gerais, Brazil.
Rafaella Garcia BothrelFaculdade de Medicina da Universidade Federal de Minas Gerais, Estudante de Medicina Belo Horizonte, Minas Gerais, Brazil.
Laura Maria de Lima Belizário Facury LasmarFaculdade de Medicina da Universidade Federal de Minas Gerais, Departamento de Pediatria, Belo Horizonte, Minas Gerais, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare high and low-fidelity simulations for the recognition of respiratory distress and failure in urgency and emergency pediatric scenarios.

methods70 fourth-year medical students were randomly distributed in high and low-fidelity groups and simulated different types of respiratory problems. Theory tests, performance checklists, and satisfaction and self-confidence questionnaires were used in the assessment. Face-to-face simulation and memory retention was applied. The statistics were evaluated by averages and quartiles, Kappa, and generalized estimating equations. The p-value was considered 0.05.

resultsIn the theory test there was an increase in scores in both methodologies (p < 0.001); in memory retention (p = 0.043) and at the end of the process the high-fidelity group had better results. The performance in the practical checklists was better after the second simulation (p > 0,05). The high-fidelity group felt more challenged in both phases (p = 0.042; p = 0.018) and showed greater self-confidence to recognize changes in clinical conditions and in memory retention (p = 0.050). The same group, in relation to the hypothetical real patient to be treated in the future, felt better confident to recognize respiratory distress and failure (p = 0.008; p = 0.004), and better prepared to make a systematic clinical evaluation of the patient in memory retention (p = 0.016).

conclusionThe two levels of simulations enhance diagnostic skills. High fidelity improves knowledge, leads the student to feel more challenged and more self-confident in recognizing the severity of the clinical case, including memory retention, and showed benefits regarding self-confidence in recognizing respiratory distress and failure in pediatric cases.

Indexed as

Respiratory Distress SyndromeRespiratory Tract DiseasesChildEmotionsHumansProspective StudiesSelf ConceptMedical educationPediatricsRespiratory tract diseasesSimulation training

Identifiers

PMID37244290
PMCPMC10492141

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.