Jornal de pediatria · 2026
What most captures the physician's interest when evaluating a multiparameter monitor in a Neonatal ICU? - A simulation study.
СтатьяНазвание и аннотация: Перевод в очереди
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Assunção Simone Yumi Tsuji, Barros Marina Carvalho de Moraes, Júnior Roberto Gonçalves de Magalhães, Franco Pâmella Cristina do Prado, Mello Beatriz Mesquita, Kawakami Mandira Daripa, Marinonio Ana Silvia Scavacini, Sanudo Adriana, Miyoshi Milton Harumi, de Almeida Maria Fernanda, Heiderich Tatiany Marcondes, Orsi Rafael Nobre, Thomaz Carlos Eduardo, Guinsburg Ruth
Аннотация
OBJECTIVE: To assess the gaze of physicians in the Neonatal ICU setting when evaluating a multiparameter monitor to determine the presence/absence of vital sign alterations.
METHODS: Pediatricians' 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.
RESULTS: Eighty 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).
CONCLUSION: In the neonatal ICU setting, when assessing the monitor, HR attracts physicians' initial attention, followed by oximetry parameters.
METHODS: Pediatricians' 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.
RESULTS: Eighty 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).
CONCLUSION: In the neonatal ICU setting, when assessing the monitor, HR attracts physicians' initial attention, followed by oximetry parameters.