Evidence map›Paper›PMID 36240252›Full record

Observational studyPloS one2022

Post-intensive care syndrome in out-of-hospital cardiac arrest patients: A prospective observational cohort study.

Alessia Vincent, Katharina Beck, Emanuel Thommen, Madlaina Widmer, Christoph Becker, Nina Loretz, Sebastian Gross, Jonas Mueller, Simon A Amacher, Chantal Bohren and 7 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Recovery Phase in the Chain of Survival in Cardiac Arrest Patients: Scoping Review.The Malaysian journal of medical sciences : MJMS · 2026
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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

17 authors at 2 institutions in 1 country.

Alessia VincentMedical Communication and Psychosomatic Medicine, University Hospital Basel, Klingelbergstrasse, Basel, Switzerland.ORCID 0000-0001-7176-5172
Katharina BeckMedical Communication and Psychosomatic Medicine, University Hospital Basel, Klingelbergstrasse, Basel, Switzerland.
Emanuel ThommenMedical Communication and Psychosomatic Medicine, University Hospital Basel, Klingelbergstrasse, Basel, Switzerland.
Madlaina WidmerMedical Communication and Psychosomatic Medicine, University Hospital Basel, Klingelbergstrasse, Basel, Switzerland.
Christoph BeckerMedical Communication and Psychosomatic Medicine, University Hospital Basel, Klingelbergstrasse, Basel, Switzerland.
Nina LoretzMedical Communication and Psychosomatic Medicine, University Hospital Basel, Klingelbergstrasse, Basel, Switzerland.
Sebastian GrossMedical Communication and Psychosomatic Medicine, University Hospital Basel, Klingelbergstrasse, Basel, Switzerland.
Jonas MuellerMedical Communication and Psychosomatic Medicine, University Hospital Basel, Klingelbergstrasse, Basel, Switzerland.ORCID 0000-0002-0070-5823
Simon A AmacherMedical Communication and Psychosomatic Medicine, University Hospital Basel, Klingelbergstrasse, Basel, Switzerland.ORCID 0000-0001-6530-1240
Chantal BohrenMedical Communication and Psychosomatic Medicine, University Hospital Basel, Klingelbergstrasse, Basel, Switzerland.
Rainer SchaefertMedical Communication and Psychosomatic Medicine, University Hospital Basel, Klingelbergstrasse, Basel, Switzerland.
Jens GaabDivision of Clinical Psychology and Psychotherapy, Faculty of Psychology, University of Basel, Missionsstrasse, Basel, Switzerland.
Stephan MarschDepartment of Intensive Care, University Hospital Basel, Petersgraben, Basel, Switzerland.
Christian EmsdenDepartment of Intensive Care, University Hospital Basel, Petersgraben, Basel, Switzerland.
Kai TisljarDepartment of Intensive Care, University Hospital Basel, Petersgraben, Basel, Switzerland.
Raoul SutterDepartment of Intensive Care, University Hospital Basel, Petersgraben, Basel, Switzerland.
Sabina HunzikerMedical Communication and Psychosomatic Medicine, University Hospital Basel, Klingelbergstrasse, Basel, Switzerland.ORCID 0000-0003-3648-3609
University Hospital of Basel · CHUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntensive care unit patients are at risk for post-intensive care syndrome (PICS), which includes psychological, physical and/or cognitive sequelae after their hospital stay. Our aim was to investigate PICS in adult patients with out-of-hospital cardiac arrest (OHCA).

methodsIn this prospective observational cohort study, we assessed risks for PICS at 3 and 12-month follow-up within the following domains: a) physical impairment (EuroQol [EQ-5D-3L]), b) cognitive functioning (Cerebral Performance Category [CPC] score >1, modified Rankin Scale [mRS] >2) and c) psychological burden (Hospital Anxiety and Depression Scale [HADS], Impact of Event Scale-Revised [IES-R]).

resultsAt 3 months, 69/139 patients (50%) met the definition of PICS including 37% in the physical domain, 25% in the cognitive domain and 13% in the psychological domain. Intubation (OR 2.3, 95%CI 1.1 to 5,0 p = 0.03), sedatives (OR 3.4, 95%CI 1 to 11, p = 0.045), mRS at discharge (OR 4.3, 95%CI 1.70 to 11.01, p = 0.002), CPC at discharge (OR 3.3, 95%CI 1.4 to 7.6, p = 0.005) and post-discharge work loss (OR 13.4, 95%CI 1.7 to 107.5, p = 0.014) were significantly associated with PICS. At 12 months, 52/110 (47%) patients had PICS, which was associated with prolonged duration of rehabilitation, higher APACHE scores, and higher mRS and CPC scores at hospital discharge.

conclusionsNearly half of long-term OHCA survivors show PICS after 3 and 12 months. These high numbers call for more emphasis on appropriate screening and treatment in this patient population. Future studies should evaluate whether early identification of these patients enables preventive strategies and treatment options.

Indexed as

Out-of-Hospital Cardiac ArrestStress Disorders, Post-TraumaticAdultAftercareAnxietyCritical IllnessDepressionHumansHypnotics and SedativesIntensive Care UnitsPatient DischargeProspective StudiesHypnotics and Sedatives

Identifiers

PMID36240252
PMCPMC9565684
OpenAlexW4306247790

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.