Evidence map›Paper›PMID 40889587›Full record

Observational studyResuscitation2025

Comparative accuracy of a wireless heart rate monitor (NeoBeat) versus standard EKG during resuscitation of very premature neonates.

Kasim Hassen, Kaitlyn Fitzgerald, Felix Ines, Anup C Katheria

Abstract readObservational StudyComparative Study
In one paragraph

Observational study in Resuscitation, 2025. 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
–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

1 citing paper in PubMed.

  1. Review
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

4 authors.

Kasim HassenNeonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, San Diego, CA, USA.
Kaitlyn FitzgeraldNeonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, San Diego, CA, USA.
Felix InesNeonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, San Diego, CA, USA.
Anup C KatheriaNeonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, San Diego, CA, USA. Electronic address: anup.katheria@sharp.com.

Funding

Delayed Cord Clamping with Oxygen In Extremely Low Gestational Age Infants (DOXIE)R03HD105224 · NICHD · SHARP MEMORIAL HOSPITAL · PI KATHERIA, ANUP C · 2022 to 2023
$154k
NICHD NIH HHS R03 HD105224
6 · The paper itself

Abstract

backgroundRapid and accurate heart rate assessment is essential in neonatal resuscitation, particularly for very premature infants where delays can impact timely intervention. A wireless heart rate monitor (NeoBeat) device has been validated in term babies but not in smaller preterm infants. We sought to validate the use of the Neobeat device compared to standard EKG in extremely preterm neonates during resuscitation.

methodsA prospective observational study of very premature neonates undergoing routine resuscitation was conducted at a tertiary care center. Heart rate data were simultaneously recorded using the NeoBeat wireless monitor and a standard three-lead EKG.

resultsThirty very preterm infants (gestational age, (GA) 26.6 ± 1.9 weeks and birth weight range (250-1310 g)) were enrolled. A total of 1690 heart rate pairs were analyzed. A strong correlation and tracking observed between NeoBeat and EKG-derived heart rates (Pearson r = 0.96, Spearman ρ = 0.95), with a mean absolute difference of 3.76 beats per minute (bpm). Correlation remained robust across different resuscitation interventions (Intubation: r = 0.93 vs. No Intubation: r = 0.90, p = 0.207, PPV: r = 0.93 vs. No PPV: r = 0.87, p = 0.726).

conclusionIn very preterm infants, NeoBeat wireless monitor achieved 96 % precision (r = 0.96) and maintained a mean absolute difference of 3.76 bpm compared to EKG, supporting its reliability and accuracy for real time neonatal monitoring, including infants weighing as little as 250 g, though statistical power in this range was limited. Randomized studies comparing NeoBeat to standard EKG are warranted to confirm these findings in extremely preterm infants and explore whether NeoBeat improves clinical outcomes.

Indexed as

ElectrocardiographyHeart RateResuscitationWireless TechnologyFemaleGestational AgeHumansInfant, Extremely PrematureInfant, NewbornInfant, PrematureMaleMonitoring, PhysiologicProspective StudiesReproducibility of ResultsHeart rate monitoringNeonatal resuscitationPreterm

Identifiers

PMID40889587
PMCPMC12439110

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Registered trials

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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.