Impact of a Mobile Application for Heart Rate Assessment in Simulated Neonatal Resuscitation: a Randomized Controlled Crossover Study
| Registry | NCT03730025 |
|---|---|
| Status | Completed |
| Phase | Not applicable |
| Study type | Interventional; randomized, crossover, masking: single, diagnostic |
| Enrollment | 60 (Actual) |
| Sponsor | University Hospital Padova (Other) |
| Conditions | Neonatal Resuscitation, Heart Rate Assessment |
| Interventions | Auscultation plus NeoTapAS, Auscultation without NeoTapAS (Other) |
| Dates | start 2018-11-02, primary completion 2018-11-20, completion 2018-11-20, first posted 2018-11-05, last updated 2018-12-24 |
| Locations | 1 site in Italy |
Related Papers Related Patents Related Grants Related Experts
All trials for Neonatal Resuscitation All trials for Heart Rate Assessment All trials of Auscultation plus NeoTapAS All trials of Auscultation without NeoTapAS
NeoTapAdvancedSupport (NeoTapAS) is a free-of-charge mobile application that showed good accuracy in HR estimation. This study aims to evaluate the impact of NeoTapAS on timing of HR communication and of resuscitation interventions in a high fidelity simulation scenario.
Assessing the HR by auscultation can be limited due to imprecise auscultation and/or errors in mental computation, leading to inappropriate or delayed resuscitation. Previous studies evaluated a free-of-charge mobile application (NeoTapAdvancedSupport, NeoTapAS) to help HR assessment in a simulated scenario of neonatal resuscitation. NeoTapAS showed good accuracy in estimating HR and could be a useful tool in resource-constrained settings.
Another potential advantage of using NeoTapAS may be the anticipation of HR communication during resuscitation, because it avoids mental computation and possible errors due to the stressful situation. In addition, prompt HR assessment may lead to anticipating resuscitation interventions. However, these hypotheses remain to be demonstrated.
The aim of this study is to evaluate the promptness in HR communication using NeoTapAS compared with mental computation in a high-fidelity simulated newborn resuscitation scenario. In addition, the impact of NeoTapAS on timing of resuscitation procedures will be investigated.
| Arm | Type | Interventions | Description |
|---|---|---|---|
| Auscultation plus NeoTapAS | Experimental | Other: Auscultation plus NeoTapAS | Pediatric resident responsible for HR assessment will estimate the HR by listening to the praecordium with a stethoscope. When using NeoTapAS, he/she will simultaneously tap the same pace on the screen of an iPad with the NeoTapAS app installed and will verbally communicate the HR displayed on the screen. |
| Auscultation without NeoTapAS | Active comparator | Other: Auscultation without NeoTapAS | Pediatric resident responsible for HR assessment will mentally calculate the HR based on auscultation (by counting the number of beats in 6 seconds and multiplying by 10) and will verbally communicate the calculated HR. |
Sex: All, accepts healthy volunteers
Inclusion Criteria: * All pediatric residents from third to fifth year of residency of the University of Piemonte Orientale who were trained on neonatal resuscitation Exclusion Criteria: * Lack of EC approval * Lack of consent to record the scenario and to use the data
| Facility | City | Country | Status |
|---|---|---|---|
| University of Piemonte Orientale | Novara | Italy |