Evidence map›Paper›PMID 40038426›Full record

Trial reportScientific reports2025

Analysis of stress responses in medical students during simulated pericardiocentesis training using virtual reality and 3D-printed mannequin.

Alberto Rubio-López, Rodrigo García-Carmona, Laura Zarandieta-Román, Alejandro Rubio-Navas, Ángel González-Pinto, Pablo Cardinal-Fernández

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Alberto Rubio-LópezIntensive Care Unit, Hospital Universitario HM Montepríncipe, HM Hospitales, Madrid, Spain. arubiolopez@gmail.com.
Rodrigo García-CarmonaDepartment of Information Technologies, Institute of Technology, Universidad San Pablo-CEU, CEU Universities, Campus Montepríncipe, Madrid, Spain.
Laura Zarandieta-RománDepartment of Information Technologies, Institute of Technology, Universidad San Pablo-CEU, CEU Universities, Campus Montepríncipe, Madrid, Spain.
Alejandro Rubio-NavasUniversidad Autónoma. Facultad de Biología., Madrid, Spain.
Ángel González-PintoHead of Cardiac Surgery Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Pablo Cardinal-FernándezIntensive Care Unit, Hospital Universitario HM Torrelodones, HM Hospitales, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated the effectiveness of Virtual Reality (VR) and three-dimensional (3D)-printed mannequins in replicating stress levels during pericardiocentesis training and compared their impact on learners' emotional and physiological responses. A secondary analysis explored how demographic, lifestyle, and academic factors influence stress responses, providing deeper insights into the variability of physiological markers among medical trainees. We conducted a randomized study involving 108 final-year medical students (mean age: 23.6 years, 87% female) to compare stress responses during pericardiocentesis training using a 3D-printed mannequin and VR model as simulation modalities, both custom-designed by the research team. We investigated the influence of demographic, lifestyle, and academic factors, including medication use and perceived stress, on heart rate variability (HRV) markers. The two simulations showed similar HRV parameters, validating their effectiveness in replicating physiological stress levels associated with clinical scenarios. Secondary analysis revealed significant associations between the low frequency/high frequency ratio and family income and a trend-level effect for anxiolytic use, suggesting an interplay of socioeconomic and pharmacological factors on stress responses. Age and sex interacted significantly with HRV metrics, with younger students demonstrating heightened sympathetic activation. Our results suggest that the incorporation of VR into medical training programs may enhance learning outcomes and accessibility.

Indexed as

PericardiocentesisPrinting, Three-DimensionalStress, PsychologicalStudents, MedicalVirtual RealityAdultFemaleHeart RateHumansMaleManikinsYoung Adult3D-printed mannequinHeart rate variabilityMedical educationPericardiocentesis trainingStress levelsVirtual reality

Identifiers

PMID40038426
PMCPMC11880553

What OpenQuestion holds

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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.