Evidence map›Paper›PMID 34496942›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2021

One out of three bystanders of out-of-hospital cardiac arrests shows signs of pathological psychological processing weeks after the incident - results from structured telephone interviews.

Peter Brinkrolf, Bibiana Metelmann, Camilla Metelmann, Mina Baumgarten, Carolin Scharte, Alexander Zarbock, Klaus Hahnenkamp, Andreas Bohn

Open access · goldAbstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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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

8 authors at 2 institutions in 1 country.

Peter Brinkrolf *Department of Anaesthesiology, University Medicine Greifswald, Klinik für Anästhesiologie, Ferdinand-Sauerbruch Straße 1, 17489, Greifswald, Germany.
Bibiana Metelmann *Department of Anaesthesiology, University Medicine Greifswald, Klinik für Anästhesiologie, Ferdinand-Sauerbruch Straße 1, 17489, Greifswald, Germany. bibiana.metelmann@uni-greifswald.de.ORCID http://orcid.org/0000-0003-2090-7358
Camilla MetelmannDepartment of Anaesthesiology, University Medicine Greifswald, Klinik für Anästhesiologie, Ferdinand-Sauerbruch Straße 1, 17489, Greifswald, Germany.
Mina BaumgartenUniversity Medicine Greifswald, Greifswald, Germany.
Carolin ScharteDepartment of Anaesthesiology, Intensive Care and Pain Medicine, University Hospital Münster, Münster, Germany.
Alexander ZarbockDepartment of Anaesthesiology, Intensive Care and Pain Medicine, University Hospital Münster, Münster, Germany.
Klaus HahnenkampDepartment of Anaesthesiology, University Medicine Greifswald, Klinik für Anästhesiologie, Ferdinand-Sauerbruch Straße 1, 17489, Greifswald, Germany.
Andreas BohnDepartment of Anaesthesiology, Intensive Care and Pain Medicine, University Hospital Münster, Münster, Germany.
Universitätsmedizin Greifswald · DEUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWitnessing an out-of-hospital cardiac arrest (OHCA) is a traumatic experience. This study analyses bystanders` psychological processing of OHCA. We examined the potential impact of bystanders performing resuscitation and the influence of the relationship between bystander and patient (stranger vs. family/friend of the patient) on the psychological processing.

methodsA telephone interview survey with bystanders, who witnessed an OHCA of an adult patient was performed weeks after the event between December 2014 and April 2016. The semi-standardized questionnaire contained a question regarding the paramount emotion at the time of the interview. In a post-hoc analysis statements given in response were rated by independent researchers into the categories "signs of pathological psychological processing", "physiological psychological processing" and "no signs of psychological distress due to the OHCA".

resultsIn this analysis 89 telephone interviews were included. In 27 cases (30.3%) signs of pathological psychological processing could be detected. Bystanders performing resuscitation had a higher rate of "no signs of psychological distress after witnessing OHCA" compared to those not resuscitating (54.7% vs. 26.7%, p < 0.05; relative risk 2.01; 95%CI 1.08, 3.89). No statistical significant differences in the psychological processing could be shown for gender, age, relationship to the patient, current employment in the health sector, location of cardiac arrest or number of additional bystanders.

conclusionsOne out of three bystanders of OHCA suffers signs of pathological psychological processing. This was independent of bystander´s age, gender and relationship to the patient. Performing resuscitation seems to help coping with witnessing OHCA.

Indexed as

Cardiopulmonary ResuscitationOut-of-Hospital Cardiac ArrestAdultHumansSurveys and QuestionnairesTelephoneBystander CPREmotional adjustmentOut-of-hospital cardiac arrestOut-of-hospital CPRPsychological distressPsychological traumaWitnessed cardiac arrest

Identifiers

PMID34496942
PMCPMC8425096
OpenAlexW3197731384

What OpenQuestion holds

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LicenceCC BY
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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.