原 著
新生児シミュレーション蘇生におけるScreen tapping法による心拍数の評価
―自作新生児蘇生意思決定支援PCソフトウエアのモバイル・アプリNeoTapLSとの比較検討―
2022 年 92 巻 3 号 p. 272-280
詳細
2022 年 92 巻 3 号 p. 272-280
Aim: To evaluate the accuracy and swiftness of screen tapping-based heart rate (HR) assessment using the neonatal resuscitation decision support software (tool B) the author had previously reported, by comparing with a mobile app NeoTapLS (tool A).
Methods: Twenty-one participants were enrolled to evaluate HR assessment using auscultation plus tool B comparing with auscultation plus tool A. Each participant determined a set of 15 randomly selected HRs simulated in a Laerdal SimNewB® manikin. Tool A and B calculated and displayed the HR based on the user’s last 3 taps on their screens.
Results: A total of 315 measurements were recorded. A high correlation was found between estimated and simulated values by tool B (r=0.993) with error of 2.4 bpm as well as by tool A (r=0.996) with error of 2.0 bpm.The mean HR acquisition time for tool A and B was 8.9 and 9.1 seconds respectively. Tool A and B showed 100% sensitivity and 94.8% and 95.7% specificity respectively in detecting HRs below 100 bpm.
Conclusions: Tool B the author had been involved showed a good accuracy and swiftness in estimating HR as NeoTapLS did. Screen tapping-based HR assessment could be an important resource especially in settings with limited availability of monitoring equipment.
