Ağaçkıran İlter, Ağaçkıran Merve
Emergency Department, Hitit University Faculty of Medicine, Çorum, TUR.
Department of Emergency Medicine, Hitit University Erol Olçok Training and Research Hospital, Çorum, TUR.
Cureus. 2024 Dec 20;16(12):e76102. doi: 10.7759/cureus.76102. eCollection 2024 Dec.
Objective Proper preparation is necessary before performing certain procedures on a patient. Recently, videos created using social media content have been used as a preparation method. This has become particularly important in medical education since the COVID-19 pandemic. Central venous catheter placement is an important procedure performed in critically ill patients. This study assessed the quality of videos about central venous catheter placement available on YouTube. Methods A search was conducted on YouTube with the keyword "central venous catheter placement" on June 1, 2024. The review process involved two independent medical experts who comprehensively assessed the relevance and content of each video. To assess the quality of the videos, the DISCERN score, mDISCERN score, Global Quality Score (GQS), and American Medical Association Journal (JAMA) rating scale were used as evaluation tools. Results Top 41 English-language videos deemed most relevant were evaluated, each with over 25,000 views. Analysis of the video sources revealed that 36.6% of the videos were uploaded by doctors. Moreover, 87.8% of the videos were audio narrations accompanied by real patients or mannequins, and the remaining videos comprised audio narration with animated images. The mean JAMA score of the videos was 1.73, the mean mDISCERN score was 2.66, the mean DISCERN score was 40.46, and the mean GQS score was 3.8. A statistically significant difference was observed between the mDISCERN scores of videos containing real visual content and those containing animated visual content (p = 0.038). Moreover, the same two groups also exhibited higher quality scores in the GQS (p = 0.029). Conclusion The quality of information related to central venous catheter placement on YouTube is highly variable. Specifically, videos that provide valuable information and those that have the potential to mislead viewers do not have a noticeable difference in terms of views and popularity. For a medical practitioner or physician seeking reliable information, a useful and safe approach is preferring videos uploaded by medical professionals. It is important to prioritize the professional identity of the content creator rather than the video's popularity or the number of comments it has received.
目的 在对患者进行某些操作之前，适当的准备是必要的。最近，利用社交媒体内容制作的视频已被用作一种准备方法。自新冠疫情以来，这在医学教育中变得尤为重要。中心静脉导管置入是危重症患者进行的一项重要操作。本研究评估了YouTube上有关中心静脉导管置入视频的质量。方法 2024年6月1日在YouTube上使用关键词“中心静脉导管置入”进行搜索。审查过程由两名独立的医学专家进行，他们全面评估每个视频的相关性和内容。为评估视频质量，使用DISCERN评分、mDISCERN评分、全球质量评分（GQS）和美国医学协会杂志（JAMA）评级量表作为评估工具。结果 对41个被认为最相关的英语视频进行了评估，每个视频的观看次数均超过25000次。对视频来源的分析显示，36.6%的视频由医生上传。此外，87.8%的视频是伴有真实患者或人体模型的音频旁白，其余视频则是带有动画图像的音频旁白。视频的平均JAMA评分为1.73，平均mDISCERN评分为2.66，平均DISCERN评分为40.46，平均GQS评分为3.8。在包含真实视觉内容的视频和包含动画视觉内容的视频的mDISCERN评分之间观察到统计学上的显著差异（p = 0.038）。此外，这两组在GQS中也表现出更高的质量评分（p = 0.029）。结论 YouTube上与中心静脉导管置入相关的信息质量差异很大。具体而言，提供有价值信息的视频和可能误导观众的视频在观看次数和受欢迎程度方面没有明显差异。对于寻求可靠信息的医学从业者或医生来说，一种有用且安全的方法是优先选择医学专业人员上传的视频。重要的是要优先考虑内容创作者的专业身份，而不是视频的受欢迎程度或收到的评论数量。
