Evidence map›Paper›PMID 38452994›Full record

ArticleResuscitation2024

Emotional distress, social support, and functional dependence predict readiness for hospital discharge in a prospective sample of cognitively intact cardiac arrest survivors.

Alexander M Presciutti, Nomin Enkhtsetseg, Katharyn L Flickinger, Patrick J Coppler, Cecelia Ratay, Ankur A Doshi, Sarah M Perman, Ana-Maria Vranceanu, Jonathan Elmer

Open access · greenAbstract read
In one paragraph

Article in Resuscitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
6.9field-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

6 citing papers in PubMed, 10 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

9 authors at 3 institutions in 1 country.

Alexander M PresciuttiCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, USA; Department of Psychiatry, Harvard Medical School, USA. Electronic address: apresciutti@mgh.harvard.edu.
Nomin EnkhtsetsegCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, USA.
Katharyn L FlickingerDepartment of Emergency Medicine, University of Pittsburgh School of Medicine, USA.
Patrick J CopplerDepartment of Emergency Medicine, University of Pittsburgh School of Medicine, USA.
Cecelia RatayDepartment of Emergency Medicine, University of Pittsburgh School of Medicine, USA.
Ankur A DoshiDepartment of Emergency Medicine, University of Pittsburgh School of Medicine, USA.
Sarah M PermanDepartment of Emergency Medicine, Yale University School of Medicine, USA.
Ana-Maria VranceanuCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, USA; Department of Psychiatry, Harvard Medical School, USA.
Jonathan ElmerDepartment of Emergency Medicine, University of Pittsburgh School of Medicine, USA; Department of Critical Care Medicine, University of Pittsburgh School of Medicine, USA; Department of Neurology, University of Pittsburgh School of Medicine, USA.
University of Pittsburgh · USMassachusetts General Hospital · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Recovering Together after Cardiac Arrest: A dyadic mind-body intervention for emotional distress in cardiac arrest survivors and their informal caregiversK23AT012487 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI Alex M. Presciutti · 2023 to 2026
$677k
NCATS NIH HHS UL1 TR001863NCCIH NIH HHS K23 AT012487NCCIH NIH HHS L30 AT012564
6 · The paper itself

Abstract

aimTo inform screening, referral and treatment initiatives, we tested the hypothesis that emotional distress, social support, functional dependence, and cognitive impairment within 72 hours prior to discharge predict readiness for discharge in awake and alert cardiac arrest (CA) survivors.

methodsThis was a secondary analysis of a prospective single-center cohort of CA survivors enrolled between 4/2021 and 9/2022. We quantified emotional distress using the Posttraumatic Stress Disorder Checklist-5 and PROMIS Emotional Distress - Anxiety and Depression Short Forms 4a; perceived social support using the ENRICHD Social Support Inventory; functional dependence using the modified Rankin Scale; and cognitive impairment using the Telephone Interview for Cognitive Status. Our primary outcome was readiness for discharge, measured using the Readiness for Hospital Discharge Scale. We used multivariable linear regression to test the independent association of each survivorship factor and readiness for discharge.

resultsWe included 110 patients (64% male, 88% white, mean age 59 [standard deviation ± 13.1 years]). Emotional distress, functional dependence, and social support were independently associated with readiness for discharge (adjusted β's [absolute value]: 0.25-0.30, all p < 0.05).

conclusionsHospital systems should consider implementing routine in-hospital screening for emotional distress, social support, and functional dependence for CA survivors who are awake, alert and approaching hospital discharge, and prioritize brief in hospital treatment or post-discharge referrals.

Indexed as

Patient DischargePsychological DistressSocial SupportSurvivorsAgedCognitive DysfunctionFemaleHeart ArrestHumansMaleMiddle AgedProspective StudiesCardiac arrestEmotional distressFunctional statusSocial supportSurvivorship

Identifiers

PMID38452994
PMCPMC11088514
OpenAlexW4392515253

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.