Evidence map›Paper›PMID 42014020›Full record

ArticleJornal de pediatria

What most captures the physician's interest when evaluating a multiparameter monitor in a Neonatal ICU? - A simulation study.

Simone Yumi Tsuji Assunção, Marina Carvalho de Moraes Barros, Roberto Gonçalves de Magalhães Júnior, Pâmella Cristina do Prado Franco, Beatriz Mesquita Mello, Mandira Daripa Kawakami, Ana Silvia Scavacini Marinonio, Adriana Sanudo, Milton Harumi Miyoshi, Maria Fernanda de Almeida and 4 more

Abstract read
In one paragraph

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

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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.

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

14 authors.

Simone Yumi Tsuji AssunçãoUniversidade Federal de São Paulo, Escola Paulista de Medicina, Department of Pediatrics, Division of Neonatal Medicine, São Paulo, SP, Brazil.
Marina Carvalho de Moraes BarrosUniversidade Federal de São Paulo, Escola Paulista de Medicina, Department of Pediatrics, Division of Neonatal Medicine, São Paulo, SP, Brazil. Electronic address: marina.barros@unifesp.br.
Roberto Gonçalves de Magalhães JúniorCentro Universitario FEI, Department of Electrical Engineering, Image Processing Laboratory, São Bernardo do Campo, SP, Brazil.
Pâmella Cristina do Prado FrancoUniversidade Federal de São Paulo, Escola Paulista de Medicina, Department of Pediatrics, Division of Neonatal Medicine, São Paulo, SP, Brazil.
Beatriz Mesquita MelloUniversidade Federal de São Paulo, Escola Paulista de Medicina, Department of Pediatrics, Division of Neonatal Medicine, São Paulo, SP, Brazil.
Mandira Daripa KawakamiUniversidade Federal de São Paulo, Escola Paulista de Medicina, Department of Pediatrics, Division of Neonatal Medicine, São Paulo, SP, Brazil.
Ana Silvia Scavacini MarinonioUniversidade Federal de São Paulo, Escola Paulista de Medicina, Department of Pediatrics, Division of Neonatal Medicine, São Paulo, SP, Brazil.
Adriana SanudoUniversidade Federal de São Paulo, Escola Paulista de Medicina, Department of Preventive Medicine, São Paulo, SP, Brazil.
Milton Harumi MiyoshiUniversidade Federal de São Paulo, Escola Paulista de Medicina, Department of Pediatrics, Division of Neonatal Medicine, São Paulo, SP, Brazil.
Maria Fernanda de AlmeidaUniversidade Federal de São Paulo, Escola Paulista de Medicina, Department of Pediatrics, Division of Neonatal Medicine, São Paulo, SP, Brazil.
Tatiany Marcondes HeiderichCentro Universitario FEI, Department of Electrical Engineering, Image Processing Laboratory, São Bernardo do Campo, SP, Brazil.
Rafael Nobre OrsiCentro Universitario FEI, Department of Electrical Engineering, Image Processing Laboratory, São Bernardo do Campo, SP, Brazil.
Carlos Eduardo ThomazCentro Universitario FEI, Department of Electrical Engineering, Image Processing Laboratory, São Bernardo do Campo, SP, Brazil.
Ruth GuinsburgUniversidade Federal de São Paulo, Escola Paulista de Medicina, Department of Pediatrics, Division of Neonatal Medicine, São Paulo, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the gaze of physicians in the Neonatal ICU setting when evaluating a multiparameter monitor to determine the presence/absence of vital sign alterations.

methodsPediatricians' gaze was tracked when they evaluated a 30-second video of a multiparametric monitor on a screen. They assessed one of three scenarios: Normal, Tachycardia, or Hyperoxia. Eight areas of interest (AOI) were defined: Heart rate(HR), Electrocardiogram(ECG), SpO₂, Pulse wave(PulseW), Respiratory rate(RR), Respiration curve(Resp.C), Blood pressure(BP), and Temperature(Temp.). Gaze fixation on each AOI was analyzed in three periods:0-3, 0-5, 0-10 s. Generalized estimating equations were used to evaluate the effect of the parameters/scenarios on the participants' likelihood of gaze fixation on each AOI.

resultsEighty physicians (86% female; 35.3 ± 8.2 years old) were evaluated. At 0-3 s, 0-5 s, and 0-10 s, the percentage of physicians who fixed their gaze on each AOI was, respectively:HR: 93, 96, 98%; ECG: 73, 79, 89%; SpO2: 75, 94, 95%; PulseW: 86, 88, 98%; RR: 48, 80, 95%; Resp.C: 26, 49, 73%; BP: 35, 63, 98%; Temp: 31, 53, 91%. Compared with HR, the likelihood of gaze fixation was lower at 0-3 s, for ECG (Odds Ratio-OR: 0.21), SpO2 (OR: 0.24), RR (OR: 0.07), RespC (OR: 0.03), BP (OR: 0.04) and Temp (OR: 0.04); at 0-5 s, for ECG (OR: 0.14), RR (OR; 0.16), Resp.C (OR: 0.04), BP (OR: 0.07) and Temp (OR: 0.04); and at 0-10 s, only for Resp.C (OR: 0.07).

conclusionIn the neonatal ICU setting, when assessing the monitor, HR attracts physicians' initial attention, followed by oximetry parameters.

Indexed as

Fixation, OcularIntensive Care Units, NeonatalPediatriciansVital SignsAdultFemaleHumansInfant, NewbornMaleMonitoring, PhysiologicClinical decision makingEye tracking technologyNeonatal intensive care unitsNewbornVital signs

Identifiers

PMID42014020
PMCPMC13112247

What OpenQuestion holds

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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.