Development of a Hand Motion-based Assessment System for Endotracheal Intubation Training.

Endotracheal intubation (ETI) is a procedure to manage and secure an unconscious patient's airway. It is one of the most critical skills in emergency or intensive care. Regular training and practice are required for medical providers to maintain proficiency. Currently, ETI training is assessed by hu...

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Publicado en:Journal of Medical Systems Vol. 45; no. 8; pp. 1 - 11
Autores principales: Lim, Chiho, Ko, Hoo Sang, Cho, Sohyung, Ohu, Ikechukwu, Wang, Henry E., Griffin, Russell, Kerrey, Benjamin, Carlson, Jestin N.
Formato: algorithm equations & formulas pictorial research tables/charts Journal Article
Publicado: Springer Nature Aug2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2021
      vid: 45
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-021-01755-2
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        atl: Development of a Hand Motion-based Assessment System for Endotracheal Intubation Training.
      aug:
        au:
          Lim, Chiho
          Ko, Hoo Sang
          Cho, Sohyung
          Ohu, Ikechukwu
          Wang, Henry E.
          Griffin, Russell
          Kerrey, Benjamin
          Carlson, Jestin N.
        affil: Department of Industrial Engineering, Southern Illinois University, 62026, Edwardsville, IL, USA
      sug:
        subj:
          Intubation, Intratracheal Education
          Hand Physiology
          Motion Analysis Systems
          Program Development
          Education, Nursing
          Descriptive Statistics
          Intubation, Intratracheal
          Expert Clinicians
          Health Services Accessibility
          Automation
          Monitoring, Physiologic
          Time Factors
          Algorithms
          Experimental Studies
          Neural Networks (Computer)
          Patient Assessment Methods
          Reliability and Validity
          Models, Educational
          Male
          Female
          Human
          Correlational Studies
          Comparative Studies
          Correlation Coefficient
          T-Tests
          Male
          Female
      ab: Endotracheal intubation (ETI) is a procedure to manage and secure an unconscious patient's airway. It is one of the most critical skills in emergency or intensive care. Regular training and practice are required for medical providers to maintain proficiency. Currently, ETI training is assessed by human supervisors who may make inconsistent assessments. This study aims at developing an automated assessment system that analyzes ETI skills and classifies a trainee into an experienced or a novice immediately after training. To make the system more available and affordable, we investigate the feasibility of utilizing only hand motion features as determining factors of ETI proficiency. To this end, we extract 18 features from hand motion in time and frequency domains, and also 12 force features for comparison. Subsequently, feature selection algorithms are applied to identify an ideal feature set for developing classification models. Experimental results show that an artificial neural network (ANN) classifier with five hand motion features selected by a correlation-based algorithm achieves the highest accuracy of 91.17% while an ANN with five force features has only 80.06%. This study corroborates that a simple assessment system based on a small number of hand motion features can be effective in assisting ETI training.
      pubtype: Academic Journal
      doctype:
        algorithm
        equations & formulas
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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