Evidence map›Paper›PMID 34501261›Full record

ReviewJournal of clinical medicine2021

Surviving to Acute Myocardial Infarction: The Role of Psychological Factors and Alexithymia in Delayed Time to Searching Care: A Systematic Review.

Federica Sancassiani, Roberta Montisci, Antonio Preti, Pasquale Paribello, Luigi Meloni, Ferdinando Romano, Antonio E Nardi, Mauro Giovanni Carta

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

8 citing papers in PubMed, 38 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

8 authors at 4 institutions in 2 countries.

Federica SancassianiDepartment of Medical Sciences and Public Health, University of Cagliari, Asse Didattico E. SS 554 Bivio Sestu, 09042 Monserrato, CA, Italy.
Roberta MontisciDepartment of Medical Sciences and Public Health, University of Cagliari, Asse Didattico E. SS 554 Bivio Sestu, 09042 Monserrato, CA, Italy.ORCID 0000-0002-7218-6751
Antonio PretiDepartment of Neurosciences, University of Turin, 10126 Turin, Italy.
Pasquale ParibelloDepartment of Medical Sciences and Public Health, University of Cagliari, Asse Didattico E. SS 554 Bivio Sestu, 09042 Monserrato, CA, Italy.ORCID 0000-0001-9953-6929
Luigi MeloniDepartment of Medical Sciences and Public Health, University of Cagliari, Asse Didattico E. SS 554 Bivio Sestu, 09042 Monserrato, CA, Italy.
Ferdinando RomanoDepartment of Public Health and Infectious Diseases, University of Rome "La Sapienza", 00185 Rome, Italy.
Antonio E NardiLaboratory of Panic and Respiration, Institute of Psychiatry of Federal University of Rio de Janeiro (IPUB/UFRJ), Rio de Janeiro 22290-140, Brazil.ORCID 0000-0002-2152-4669
Mauro Giovanni CartaDepartment of Medical Sciences and Public Health, University of Cagliari, Asse Didattico E. SS 554 Bivio Sestu, 09042 Monserrato, CA, Italy.ORCID 0000-0003-0706-9687
University of Cagliari · ITSapienza University of Rome · ITUniversidade Federal do Rio de Janeiro · BRUniversity of Turin · IT

Funding

P.O.R. SARDEGNA F.S.E. 2014-2020 - Asse III "Istruzione e Formazione, Obiettivo Tematico: 10, Obiettivo Specifico: 10.5, Azione dell'accordo di Partenariato:10.5.12 "Avviso di chiamata per il finanziamento di Progetti di ricerca - Anno 2017".
6 · The paper itself

Abstract

The time from symptom onset to reperfusion is a critical determinant of myocardial salvage and clinical outcomes in patients with acute myocardial infarction (AMI). This time period could be delayed if people do not seek help promptly and/or if the health system is not efficient in responding quickly and attending to these individuals. The aim of this study was to identify psychological factors associated with pre-hospital delay (PHD) or patients' decisional delay (PDD) in people with an ongoing AMI. A search in PubMed/Medline from 1990 to 2021 with the keywords "pre-hospital delay" OR "prehospital delay" OR "patient delay" OR "decisional delay" OR "care seeking behavior" AND "psychological factors" OR "alexithymia" AND "myocardial infarction" was performed. Thirty-six studies were included, involving 10.389 patients. Wrong appraisal, interpretation and causal beliefs about symptoms, denial of the severity of the symptoms and high levels of alexithymia were found related to longer PHD or PDD. Alexithymia may be an overarching construct that explains the disparate findings of the studies exploring the role of psychological factors in PHD or PDD. Further studies are needed in order to analyse the role of alexithymia in patients with risk factors for AMI to prevent delay.

Indexed as

acute myocardial infarctionalexithymiacare-seeking behaviordecisional delaypre-hospital delaypsychological factors

Identifiers

PMID34501261
PMCPMC8432253
OpenAlexW3196171018

What OpenQuestion holds

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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.