Evidence map›Paper›PMID 30856204›Full record

ArticlePloS one2019

Anxiety, depression and quality of life in acute high risk cardiac disease patients eligible for wearable cardioverter defibrillator: Results from the prospective multicenter CRED-registry.

Michael Weiss, Guido Michels, Frank Eberhardt, Wolfgang Fehske, Stefan Winter, Frank Baer, Yeong-Hoon Choi, Christian Albus, Daniel Steven, Stephan Baldus and 1 more

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  4. Article
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  6. Review
  7. Article
  8. International journal of cardiology. Heart & vasculature · 2023
    Article
  9. International journal of cardiology. Heart & vasculature · 2023
    Article
  10. Review
  11. Depressive symptoms in patients after primary and secondary prophylactic ICD implantation.Clinical research in cardiology : official journal of the German Cardiac Society · 2022
    Article
  12. Article
  13. Review
  14. Usage of the wearable cardioverter-defibrillator during pregnancy.International journal of cardiology. Heart & vasculature · 2022
    Article
  15. Article
  16. Article
  17. Article
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

11 authors.

Michael WeissDepartment III of Internal Medicine, Heart Center, University of Cologne, Cologne, Germany.
Guido MichelsDepartment III of Internal Medicine, Heart Center, University of Cologne, Cologne, Germany.
Frank EberhardtEvangelisches Krankenhaus Köln Kalk, Cologne, Germany.
Wolfgang FehskeSt. Vinzenz Hospital, Cologne, Germany.
Stefan WinterSt. Vinzenz Hospital, Cologne, Germany.
Frank BaerSt. Antonius Krankenhaus, Cologne, Germany.
Yeong-Hoon ChoiKlinik für Herz- und Thoraxchirurgie, Heart Center, University of Cologne, Cologne, Germany.
Christian AlbusDepartment of Psychosomatics and Psychotherapy, University of Cologne, Cologne, Germany.
Daniel StevenDepartment III of Internal Medicine, Heart Center, University of Cologne, Cologne, Germany.
Stephan BaldusDepartment III of Internal Medicine, Heart Center, University of Cologne, Cologne, Germany.
Roman PfisterDepartment III of Internal Medicine, Heart Center, University of Cologne, Cologne, Germany.ORCID 0000-0002-4358-5008

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsychological distress is common in patients with cardiovascular disease and negatively impacts outcome. HYPOTHESIS: Psychological distress is high in acute high risk cardiac patients eligible for a WCD, and associated with low quality of life. Distress is aggravated by WCD.

methodsConsecutive patients eligible for a WCD were included in the prospective, multicenter "Cologne Registry of External Defibrillator" registry. Quality of life (Short Form-12), depressive symptoms (Beck-Depression Inventory II) and anxiety (State Trait Anxiety Inventory) were assessed at enrollment and 6-weeks, and associations with WCD prescription were analyzed.

results123 patients (mean [SD] age 59 [± 14] years, 75% male) were included, 85 (69%) of whom received a WCD. At enrollment 21% showed clinically significant depressive symptoms and 52% anxiety symptoms, respectively. At 6 weeks, depressive and anxious symptoms significantly decreased to 7% and 25%, respectively. Depressive symptoms at enrollment and changes at 6 weeks showed significant associations with health-related quality of life, whereas anxious symptoms did not. There was a trend for better improvement of depression scores in patients with WCD (mean [SD] change in score points: -4.1 [6.1] vs -1.8 [3.9]; p = 0.09), whereas change of the anxiousness score was not different (-4.6 [9.5]) vs -3.7 [9.1], p = 0.68).

conclusionIn patients eligible for a WCD, depressive and anxiety symptoms were initially common and depressive symptoms showed a strong association with reduced health-related quality of life contributing to their clinical relevance. WCD recipients showed at least similar improvement of depression and anxiety at 6 weeks when compared to non recipients.

Indexed as

Defibrillators, ImplantableQuality of LifeAdultAgedAnxiety DisordersDepressive DisorderFemaleHeart DiseasesHumansMaleMiddle AgedProspective StudiesRegistriesRiskWearable Electronic Devices

Identifiers

PMID30856204
PMCPMC6411111

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Registered trials

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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.