Evidence map›Paper›PMID 35383074›Full record

Trial reportBMJ open2022

Impact of family presence during cardiopulmonary resuscitation on team performance and perceived task load: a prospective randomised simulator-based trial.

Mareike Willmes, Timur Sellmann, Norbert Semmer, Franziska Tschan, Dietmar Wetzchewald, Heidrun Schwager, S G Russo, Stephan Marsch

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.1field-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, 19 citations in OpenAlex.

  1. 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

8 authors at 5 institutions in 2 countries.

Mareike WillmesInstitution for Emergency Medicine, Arnsberg, Germany.
Timur SellmannDepartment of Anaesthesiology and Intensive Care Medicine, Evangelisches Krankenhaus BETHESDA zu Duisburg GmbH, Duisburg, Nordrhein-Westfalen, Germany.
Norbert SemmerDepartment of Psychology, University of Berne, Berne, Switzerland.
Franziska TschanDepartment of Psychology, University of Neuchâtel, Neuchatel, Switzerland.
Dietmar WetzchewaldInstitution for Emergency Medicine, Arnsberg, Germany.
Heidrun SchwagerInstitution for Emergency Medicine, Arnsberg, Germany.
S G RussoDepartment of Anaesthesiology, Witten/Herdecke University, Witten, Nordrhein-Westfalen, Germany.
Stephan MarschDepartment of Intensive Care, University Hospital, Basel, Switzerland stephan.marsch@usb.ch.ORCID 0000-0002-4095-2765
Klinikum Arnsberg · DEWitten/Herdecke University · DEUniversity Hospital of Basel · CHUniversity of Bern · CHUniversity of Neuchâtel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesGuidelines recommend family presence to be offered during cardiopulmonary resuscitation (CPR). Data on the effects of family presence on the quality of CPR and rescuers' workload and stress levels are sparse and conflicting. This randomised trial investigated the effects of family presence on quality of CPR, and rescuers' perceived stress.

designProspective randomised single-blind trial.

settingVoluntary workshops of educational courses.

participants1085 physicians (565 men) randomised to 325 teams entered the trial. 318 teams completed the trial without protocol violation.

interventionsTeams were randomised to a family presence group (n=160) or a control group (n=158) and to three versions of leadership: (a) designated at random, (b) designated by the team or (c) left open. Thereafter, teams were confronted with a simulated cardiac arrest which was video-recorded. Trained actors played a family member according a scripted role.

main outcome measuresThe primary endpoint was hands-on time. Secondary outcomes included interaction time, rescuers' perceived task load and adherence to CPR algorithms.

resultsTeams interacted with the family member during 24 (17-36) % of the time spent for resuscitation. Family presence had no effect on hands-on time (88% (84%-91%) vs 89% (85%-91%); p=0.18). Family presence increased frustration (60 (30-75) vs 45 (30-70); p<0.001) and perceived temporal (75 (55-85) vs 70 (50-80); p=0.001) and mental demands (75 (60-85) vs 70 (55-80); p=0.009), but had no relevant effect on CPR performance markers. Leadership condition had no effects.

conclusionsInteracting with a family member occupied about a quarter of the time spent for CPR. While this additional task was associated with an increase in frustration and perceived temporal and mental demands, family presence had no relevant negative effect on the quality of CPR. TRIAL REGISTRATION NUMBER: DRKS00024759.

Indexed as

Cardiopulmonary ResuscitationHeart ArrestHumansLeadershipMaleProspective StudiesSingle-Blind Methodaccident & emergency medicineadult intensive & critical carecardiologyhealth policymedical ethics

Identifiers

PMID35383074
PMCPMC8983997
OpenAlexW4224321946

What OpenQuestion holds

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LicenceCC BY-NC
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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.