Evidence map›Paper›PMID 27342261›Full record

ReviewHeart & lung : the journal of critical care

Adaptation and coping in patients living with an LVAD: A metasynthesis.

Martha Abshire, Roslyn Prichard, Mia Cajita, Michelle DiGiacomo, Cheryl Dennison Himmelfarb

Open access · greenAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Martha AbshireJohns Hopkins University School of Nursing, 525 N. Wolfe Street, Baltimore, MD 21205, USA. Electronic address: Mabshir1@jhu.edu.
Roslyn PrichardCentre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology, Sydney, Building 10, Level 6, Room 400, 235-253 Jones St, Ultimo, NSW 2007, Australia.
Mia CajitaJohns Hopkins University School of Nursing, 525 N. Wolfe Street, Baltimore, MD 21205, USA.
Michelle DiGiacomoCentre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology, Sydney, Building 10, Level 6, Room 400, 235-253 Jones St, Ultimo, NSW 2007, Australia.
Cheryl Dennison HimmelfarbJohns Hopkins University School of Nursing, 525 N. Wolfe Street, Baltimore, MD 21205, USA; Johns Hopkins University, School of Medicine, Baltimore, MD, USA.
Johns Hopkins University · USUniversity of Technology Sydney · AU

Funding

Institute for Clinical and Translational ResearchTL1TR001078 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$1.9M
Interdisciplinary Training in Cardiovascular Health ResearchT32NR012704 · NINR · JOHNS HOPKINS UNIVERSITY · PI ALLEN, JERILYN K · 2011 to 2020
$1.8M
Physiological and Psychological Stress in Left Ventricular Assist Device PatientsF31NR015179 · NINR · JOHNS HOPKINS UNIVERSITY · PI ABSHIRE, MARTHA ALLISON · 2015 to 2016
$81k
mHealth use in older people with heart failureF31NR015943 · NINR · JOHNS HOPKINS UNIVERSITY · PI CAJITA, MAAN ISABELLA · 2015 to 2016
$81k
NCATS NIH HHS TL1 TR001078NINR NIH HHS F31 NR015179NINR NIH HHS F31 NR015943NINR NIH HHS T32 NR012704
6 · The paper itself

Abstract

objectiveTo synthesize information supporting coping and adaptation of LVAD patients and to identify opportunities for future interventions.

backgroundLeft Ventricular Assist Device (LVAD) patients demonstrate improvements in quality of life and functional status, but qualitative research has not been meaningfully integrated.

methodsQualitative meta-synthesis using Lazarus and Folkmans' Transactional Model of stress and coping.

resultsFour distinct stages of adaptation were identified: Pre-LVAD, Implant Hospitalization, Early Home Adaptation and Late Home Adaptation. Each stage includes tasks in physical, psychological and social domains. Two themes emerged: 1) Primary Appraisal: Every stage is a new challenge and 2) Secondary Appraisal: Routines are achievable, emotions are more difficult.

conclusionsEmotional challenges including fear and anxiety related to life-limiting illness and changed social roles need to be honestly addressed. Individuals living with LVAD achieve a sense of independence, enjoy social interactions and meaningful activities through addressing practical and emotional problems to facilitate coping.

Indexed as

Adaptation, PsychologicalAdaptation, PhysiologicalEmotionsHeart-Assist DevicesHeart FailureHumansQualitative ResearchQuality of LifeAdaptationCopingHeart failureLeft Ventricular Assist DeviceLVAD

Identifiers

PMID27342261
PMCPMC5035582
OpenAlexW2471290377

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.