Evidence map›Paper›PMID 30199387›Full record

ArticleASAIO journal (American Society for Artificial Internal Organs : 1992)

Physiological and Psychological Stress in Patients Living With a Left Ventricular Assist Device.

Martha Abshire, Julie T Bidwell, Gayle Page, Chakra Budhathoki, Patricia M Davidson, Stuart D Russell, Hae-Ra Han, Shashank Desai, Cheryl Dennison Himmelfarb

Open access · greenAbstract read
In one paragraph

Article in ASAIO journal (American Society for Artificial Internal Organs : 1992). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
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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

9 authors at 4 institutions in 1 country.

Martha AbshireFrom the Johns Hopkins University School of Nursing, Baltimore, Maryland.
Julie T BidwellFamily Caregiving Institute, UC Davis Betty Irene Moore School of Nursing, University of California, Davis, California.
Gayle PageFrom the Johns Hopkins University School of Nursing, Baltimore, Maryland.
Chakra BudhathokiFrom the Johns Hopkins University School of Nursing, Baltimore, Maryland.
Patricia M DavidsonFrom the Johns Hopkins University School of Nursing, Baltimore, Maryland.
Stuart D RussellDepartment of Medicine, Duke University School of Medicine, Durham, North Carolina.
Hae-Ra HanFrom the Johns Hopkins University School of Nursing, Baltimore, Maryland.
Shashank DesaiInova Heart and Vascular Institute, Falls Church, Virginia.
Cheryl Dennison HimmelfarbFrom the Johns Hopkins University School of Nursing, Baltimore, Maryland.
Johns Hopkins University · USAlaska Heart and Vascular Institute · USDuke University · USUniversity of California, Davis · US

Funding

Training in Interventions to Improve Outcomes in Chronic ConditionsT32NR012715 · NINR · EMORY UNIVERSITY · PI GARY, REBECCA A, SONG, MI-KYUNG · 2012 to 2022
$3.2M
Institute for Clinical and Translational ResearchTL1TR001078 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$1.9M
Physiological and Psychological Stress in Left Ventricular Assist Device PatientsF31NR015179 · NINR · JOHNS HOPKINS UNIVERSITY · PI ABSHIRE, MARTHA ALLISON · 2015 to 2016
$81k
NCATS NIH HHS TL1 TR001078NINR NIH HHS F31 NR015179NINR NIH HHS T32 NR012715
6 · The paper itself

Abstract

Patients with a left ventricular assist device (LVAD) commonly experience psychological distress post-implantation, but physiological stress and differences by implant strategy remain unstudied. This study describes indicators of physiological (salivary cortisol, C-reactive protein, sleep quality) and psychological (perceived stress, depression, and fatigue) stress by implant strategy and examines relationships between stress and outcomes (quality of life [QOL] and functional status). Prospective, cross-sectional data were collected from patients ≥3 months post-LVAD implantation (n = 44), and descriptive statistics and logistic regression were used. The study sample was average age 57.7 ± 13 years, mostly male (73%), married (70.5%), and racially diverse. Median LVAD support was 18.2 months. Most had normal cortisol awakening response and fair sleep quality, with moderate psychological stress. There were no differences in stress by implant strategy. Normal cortisol awakening response was correlated with low depressive symptoms. Sleep quality and psychological stress were associated with QOL, whereas cortisol and C-reactive protein levels were associated with functional status. This is the first report of salivary biomarkers and stress in LVAD outpatients. Future research should examine physiological and psychological stress and consider potential clinical implications for stress measurement for tailored approaches to stress management in this population.

Indexed as

Stress, PhysiologicalAdultAgedCross-Sectional StudiesFemaleHeart-Assist DevicesHumansMaleMiddle AgedProspective StudiesQuality of LifeStress, PsychologicalSurveys and Questionnaires

Identifiers

PMID30199387
PMCPMC6218313
OpenAlexW2891843279

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.