Evidence map›Paper›PMID 31376645›Full record

ReviewGeneral hospital psychiatry

Can hospitalization be hazardous to your health? A nosocomial based stress model for hospitalization.

Bernard P Chang

Open access · greenAbstract readReview
In one paragraph

Review in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
9.6field-weighted citation impact, top 2% 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

24 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2026
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  13. Coping Strategies as a Mental Health Protection Factor of Spanish Nurses during COVID-19.International journal of environmental research and public health · 2021
    Article
  14. Article
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  19. Observational
  20. Are There Long-term Consequences to Psychological Stress During a Medical Event?Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2020
    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

1 author at 1 institution in 1 country.

Bernard P ChangDepartment of Emergency Medicine, Columbia University Medical Center, New York, NY, United States of America. Electronic address: bpc2103@cumc.columbia.edu.
Columbia University Irving Medical Center · US

Funding

The Identification of Modifiable Emergency Department and Sleep Factors Contributing to Psychological and Cardiovascular Risk in CliniciansR01HL146911 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHANG, BERNARD P., SHECHTER, ARI · 2020 to 2024
$4.3M
Testing a rapid outpatient management strategy on PTSD, cardiovascular and rehospitalization risk in TIA and minor stroke survivors evaluated in the Emergency DepartmentR01HL141811 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHANG, BERNARD P. · 2018 to 2022
$3.5M
NHLBI NIH HHS R01 HL141811NHLBI NIH HHS R01 HL146911
6 · The paper itself

Abstract

objectiveHospitalization places patients at elevated risk for the development of "nosocomial" or hospital acquired complications, ranging from multidrug resistant infections to delirium and physical deconditioning. Adverse nosocomial psychological effects of hospitalization may also exist. This paper introduces a nosocomial based stress model, conceptualizing hospitalization as a unique period of biopsychosocial vulnerability, due to physiologic effects of acute illness and psychosocial variables of the hospital experience.

methodA research synthesis and narrative review was performed to evaluate evidence supporting this model, integrating existing knowledge of the psychological and physiological effects of acute life threatening events, with known sequelae associated with hospitalization.

resultPsychosocial factors during hospitalization may act as independent predictors of recovery following hospitalization, moderating variables impacting ongoing physiologic changes due to acute illness, and/or dynamic bidirectional elements, influencing medical and psychological outcomes in the near and long-term setting.

conclusionThe Nosocomial Stress model provides a novel framework to understanding the biopsychosocial interactions between the psychological and physiologic processes associated with illness and hospitalization. Based on this model, a research agenda is proposed to assess the contributions of acute illness, the hospital experience, and their interactions on the recovery of patients following hospitalization.

Indexed as

Acute DiseaseCross InfectionHospitalizationModels, BiologicalStress, PsychologicalHumansHospitalizationHospital stressorsNosocomial stress

Identifiers

PMID31376645
PMCPMC6791742
OpenAlexW2964382219

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.