Evidence map›Paper›PMID 38547413›Full record

ArticleMilitary medicine2024

Telemedicine for Potential Application in Austere Military Environments: Neurosurgical Support for a Decompressive Craniectomy.

Pieter W Stark, O J F van Waes, John S Soria van Hoeve, Boudewijn L S Borger van der Burg, Rigo Hoencamp

Open access · hybridAbstract read
In one paragraph

Article in Military medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 42% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

5 authors at 3 institutions in 1 country.

Pieter W StarkTrauma Research Unit, Department of Surgery, Erasmus MC University Hospital, Rotterdam, South-Holland 3015 GD, the Netherlands.ORCID 0000-0002-2860-1276
O J F van WaesTrauma Research Unit, Department of Surgery, Erasmus MC University Hospital, Rotterdam, South-Holland 3015 GD, the Netherlands.ORCID 0000-0002-7690-9937
John S Soria van HoeveDepartment of Neurosurgery, Erasmus MC University Hospital, Rotterdam, South-Holland 3015 GD, the Netherlands.
Boudewijn L S Borger van der BurgDepartment of Surgery, Alrijne Hospital, Leiderdorp, South-Holland 2353 GA, the Netherlands.ORCID 0000-0002-1199-4042
Rigo HoencampTrauma Research Unit, Department of Surgery, Erasmus MC University Hospital, Rotterdam, South-Holland 3015 GD, the Netherlands.ORCID 0000-0002-1253-673X
Erasmus MC · NLAlrijne Ziekenhuis · NLLeiden University · NL

Funding

Karel Doorman Fund 19-0068Ministerie van Defensie 19-0068Stichting ZiektekostenVerzekering Krijgsmacht 19-0068
6 · The paper itself

Abstract

introductionThe main goal of this study was to assess the feasibility of a head-mounted display (HMD) providing telemedicine neurosurgical support during a decompressive craniectomy by a military surgeon who is isolated from readily available neurosurgical care. The secondary aim was to assess the usability perceived by the military surgeon and to evaluate technical aspects of the head-mounted display. MATERIALS AND

methodsAfter a standard concise lecture, 10 military surgeons performed a decompressive craniectomy on a AnubiFiX-embalmed post-mortem human head. Seven military surgeons used a HMD to receive telemedicine neurosurgical support. In the control group, three military surgeons performed a decompressive craniectomy without guidance. The performance of the decompressive craniectomy was evaluated qualitatively by the supervising neurosurgeon and quantified with the surgeons' operative performance tool. The military surgeons rated the usability of the HMD with the telehealth usability questionnaire.

resultsAll military surgeons performed a decompressive craniectomy adequately directly after a standard concise lecture. The HMD was used to discuss potential errors and reconfirmed essential steps. The military surgeons were very satisfied with the HMD providing telemedicine neurosurgical support. Military surgeons in the control group were faster. The HMD showed no hard technical errors.

conclusionsIt is feasible to provide telemedicine neurosurgical support with a HMD during a decompressive craniectomy performed by a non-neurosurgically trained military surgeon. All military surgeons showed competence in performing a decompressive craniectomy after receiving a standardized concise lecture. The use of a HMD clearly demonstrated the potential to improve the quality of these neurosurgical procedures performed by military surgeons.

Indexed as

Decompressive CraniectomyTelemedicineHumansMilitary MedicineMilitary PersonnelSurveys and Questionnaires

Identifiers

PMID38547413
PMCPMC11363160
OpenAlexW4393280216

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.