Impact of a Mobile Application for Heart Rate Assessment in Simulated Neonatal Resuscitation

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Impact of a Mobile Application for Heart Rate Assessment in Simulated Neonatal Resuscitation: a Randomized Controlled Crossover Study

Conditions
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Neonatal Resuscitation, Heart Rate Assessment

Intervention / Treatment
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* Other: Auscultation plus NeoTapAS
* Other: Auscultation without NeoTapAS


Participation Criteria
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Eligibility Criteria
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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
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Auscultation plus NeoTapAS<br>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. | Other: Auscultation plus NeoTapAS<br>* 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.<br>|
| Active Comparator: Auscultation without NeoTapAS<br>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. | Other: Auscultation without NeoTapAS<br>* Auscultation without NeoTapAS<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Timing of the first HR communication. | Time elapsed from birth to the first HR communication | 1 min | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Timing of the second HR communication |  | 2 min | 
| Timing of the third HR communication |  | 3 min | 
| Timing of the fourth HR communication |  | 4 min | 
| Timing of resuscitation interventions (positive pressure ventilation, chest compressions, intubation and administration of first dose of adrenaline |  | 10 min | 
| Timing of the fifth HR communication |  | 5 min | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Heart rate, Assessment, Time, Resuscitation intervention