Evidence map›Paper›PMID 42228415›Full record

ArticleCritical care explorations2026

A Novel Screen-Based Virtual Reality Tool for Teaching Brain Death Determination: A Pilot Study of the Virtual Reality Brain Death Determination Tool.

Mikel S Ehntholt, Patricia A Mulvania, Theresa A Daly, Andrea L C Schneider, Monisha A Kumar, Richard D Hasz, Joshua M Levine

Abstract read
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Article in Critical care explorations, 2026. 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
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0citing papers 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

7 authors.

Mikel S EhntholtDepartment of Neurology, University of Pennsylvania, Philadelphia, PA.
Patricia A MulvaniaGift of Life Institute, Philadelphia, PA.
Theresa A DalyGift of Life Institute, Philadelphia, PA.
Andrea L C SchneiderDepartment of Neurology, University of Pennsylvania, Philadelphia, PA.
Monisha A KumarDepartment of Neurology, University of Pennsylvania, Philadelphia, PA.
Richard D HaszGift of Life Institute, Philadelphia, PA.
Joshua M LevineDepartment of Neurology, University of Pennsylvania, Philadelphia, PA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess physician acceptance of a Virtual Reality Brain Death Determination Tool (VRBDDT) as an educational modality and its impact on physician knowledge and confidence in brain death determination and communication with patient families.

designProspective pilot study using surveys administered pretraining and post-training.

settingOne hundred twenty-six acute care hospitals within the Gift of Life Donor Program's Donor Service Area. SUBJECTS: Physicians responsible for performing brain death determination.

interventionsParticipants completed a novel, virtual reality-based training program consisting of eLearning modules integrated with virtual reality simulations of brain death determination procedures and family communication. MEASUREMENTS AND MAIN

resultsOf 142 enrolled participants, 69 completed both pretraining and post-training assessments consisting of a 14-item questionnaire. Median scores significantly improved from 73.2% pretraining to 91.1% post-training (p < 0.001). Participants demonstrated the largest improvements in knowledge about clinical examination procedures and family communication skills. Self-reported confidence significantly increased post-training, with high satisfaction and acceptance ratings reported by participants.

conclusionsThe VRBDDT was accepted by physicians and significantly enhanced knowledge and confidence related to brain death determination and family communication.

Indexed as

Brain DeathVirtual RealityAdultClinical CompetenceFemaleHumansMaleMiddle AgedPilot ProjectsProspective StudiesSurveys and Questionnairesbrain deathdeath by neurologic criteriamedical educationsimulationvirtual reality

Identifiers

PMID42228415
PMCPMC13232902

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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.