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  1. AU="Hochstrasser, Seraina"
  2. AU="Bronk, Marieke"
  3. AU=Lee Jeonghyun
  4. AU="Teshima, M"
  5. AU="Murray, Anne M"
  6. AU="Suaña Calsín, Milciades Conrado"
  7. AU="Bai, Yao" AU="Bai, Yao"
  8. AU="Strandberg, Erik"
  9. AU="Dar Dowlatshahi"
  10. AU="Capote, Ailem Rabasa"
  11. AU="Richier, Q"
  12. AU="Jamla, Monica"
  13. AU="Shimomura, Taizou"
  14. AU="Tampakakis, Emmanouil"
  15. AU="Tabares, Jeffrey V"

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  1. Artikel ; Online: Association of electrocardiogram alterations of rescuers and performance during a simulated cardiac arrest: A prospective simulation study.

    Tramèr, Lucas / Becker, Christoph / Hochstrasser, Seraina / Marsch, Stephan / Hunziker, Sabina

    PloS one

    2018  Band 13, Heft 6, Seite(n) e0198661

    Abstract: Background: Performance of cardiopulmonary resuscitation (CPR) causes significant mental stress for rescuers, especially if performed by inexperienced individuals. Our aim was to study electrocardiogram (ECG) alterations in rescuers and its association ... ...

    Abstract Background: Performance of cardiopulmonary resuscitation (CPR) causes significant mental stress for rescuers, especially if performed by inexperienced individuals. Our aim was to study electrocardiogram (ECG) alterations in rescuers and its association with gender and CPR performance.
    Methods: We included 126 medical students in this prospective, observational simulator study. Each student was equipped with a 3-lead continuous ECG device tracking the individual electrocardiographic output before, during and after CPR. We analyzed variations in heart rate, heart-rate variability (HRV) and ST- and T-wave morphology.
    Results: Compared to baseline, mean heart rate (bpm) significantly increased during resuscitation and again decreased after resuscitation (from 87 to 97 to 80, p<0.001). Heart-rate variability (the standard deviation of all N-N intervals, SDNN) (ms2) showed the opposite pattern, decreasing during resuscitation and increasing after resuscitation (117 to 92 to 93ms, p<0.001). Abnormalities in T-waves and ST-segments were observed in 29.4% of participants. Maximal heart rate (r = 0.25, p = 0.046) as well as heart rate reactivity (r = 0.7, p<0.001) correlated with hands-on time, a measure of CPR performance. Compared to males, female rescuers had a significantly higher maximal heart rate (136bpm vs. 126bpm, p = 0.008) and lower HRV (SDNN 102 vs. 119ms, p = 0.004) and tended to show more abnormalities in T-waves and ST-segments (36% vs. 21%, p = 0.080).
    Conclusion: CPR causes significant ECG alterations in healthy medical students with ST-segment and T-wave abnormalities, with more pronounced effects in females. Clinical implications of these findings need to be further investigated.
    Mesh-Begriff(e) Cardiopulmonary Resuscitation/psychology ; Electrocardiography ; Female ; Heart/physiopathology ; Heart Arrest/therapy ; Heart Rate ; Humans ; Male ; Manikins ; Occupational Stress/etiology ; Occupational Stress/physiopathology ; Prospective Studies ; Sex Factors ; Students, Medical/psychology
    Sprache Englisch
    Erscheinungsdatum 2018-06-14
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Observational Study
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0198661
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Gender-focused training improves leadership of female medical students: A randomised trial.

    Hochstrasser, Seraina Rahel / Amacher, Simon Adrian / Tschan, Franziska / Semmer, Norbert Karl / Becker, Christoph / Metzger, Kerstin / Hunziker, Sabina / Marsch, Stephan

    Medical education

    2021  Band 56, Heft 3, Seite(n) 321–330

    Abstract: Objectives: Recent research suggests that the gender of health care providers may affect their medical performance. This trial investigated (1) the effects of the gender composition of resuscitation teams on leadership behaviour of first responders and ( ...

    Abstract Objectives: Recent research suggests that the gender of health care providers may affect their medical performance. This trial investigated (1) the effects of the gender composition of resuscitation teams on leadership behaviour of first responders and (2) the effects of a brief gender-specific instruction on leadership behaviour of female first responders.
    Methods: This prospective randomised single-blinded trial, carried out between 2008 and 2016, included 364 fourth-year medical students of two Swiss universities. One hundred and eighty-two teams of two students each were confronted with a simulated cardiac arrest, occurring in the presence of a first responder while a second responder is summoned to help. The effect of gender composition was assessed by comparing all possible gender-combinations of first and second responders. The gender-specific instruction focused on the importance of leadership, gender differences in self-esteem and leadership, acknowledgement of unease while leading, professional role, and mission statement to lead was delivered orally for 10 min by a staff physician and tested by randomising female first responders to the intervention group or the control group. The primary outcome, based on ratings of video-recorded performance, was the first responders' percentage contribution to their teams' leadership statements and critical treatment decision making.
    Results: Female first responders contributed significantly less to leadership statements (53% vs. 76%; P = 0.001) and critical decisions (57% vs. 76%; P = 0.018) than male first responders. For critical treatment decisions, this effect was more pronounced (P = 0.007) when the second responder was male. The gender-specific intervention significantly increased female first responder's contribution to leadership statements (P = 0.024) and critical treatment decisions (P = 0.034).
    Conclusions: Female first responders contributed less to their rescue teams' leadership and critical decision making than their male colleagues. A brief gender-specific leadership instruction was effective in improving female medical students' leadership behaviours.
    Mesh-Begriff(e) Clinical Competence ; Female ; Heart Arrest ; Humans ; Leadership ; Male ; Prospective Studies ; Students, Medical
    Sprache Englisch
    Erscheinungsdatum 2021-09-12
    Erscheinungsland England
    Dokumenttyp Journal Article ; Randomized Controlled Trial
    ZDB-ID 195274-2
    ISSN 1365-2923 ; 0308-0110
    ISSN (online) 1365-2923
    ISSN 0308-0110
    DOI 10.1111/medu.14658
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  3. Artikel: Gender-focused training improves leadership of female medical students

    Hochstrasser, Seraina Rahel / Amacher, Simon Adrian / Tschan, Franziska / Semmer, Norbert Karl / Becker, Christoph / Metzger, Kerstin / Hunziker, Sabina / Marsch, Stephan

    Medical Education

    A randomised trial

    2022  Band 56, Heft 3, Seite(n) 321–330

    Abstract: Objectives: Recent research suggests that the gender of health care providers may affect their medical performance. This trial investigated (1) the effects of the gender composition of resuscitation teams on leadership behaviour of first responders and ( ... ...

    Titelübersetzung Geschlechtsspezifisches Training verbessert die Führungsqualitäten von Medizinstudentinnen: Eine randomisierte Studie
    Abstract Objectives: Recent research suggests that the gender of health care providers may affect their medical performance. This trial investigated (1) the effects of the gender composition of resuscitation teams on leadership behaviour of first responders and (2) the effects of a brief gender-specific instruction on leadership behaviour of female first responders. Methods: This prospective randomised single-blinded trial, carried out between 2008 and 2016, included 364 fourth-year medical students of two Swiss universities. One hundred and eighty-two teams of two students each were confronted with a simulated cardiac arrest, occurring in the presence of a first responder while a second responder is summoned to help. The effect of gender composition was assessed by comparing all possible gender-combinations of first and second responders. The gender-specific instruction focused on the importance of leadership, gender differences in self-esteem and leadership, acknowledgement of unease while leading, professional role, and mission statement to lead was delivered orally for 10 min by a staff physician and tested by randomising female first responders to the intervention group or the control group. The primary outcome, based on ratings of video-recorded performance, was the first responders' percentage contribution to their teams' leadership statements and critical treatment decision making. Results: Female first responders contributed significantly less to leadership statements (53% vs. 76%; P = 0.001) and critical decisions (57% vs. 76%; P = 0.018) than male first responders. For critical treatment decisions, this effect was more pronounced (P = 0.007) when the second responder was male. The gender-specific intervention significantly increased female first responder's contribution to leadership statements (P = 0.024) and critical treatment decisions (P = 0.034). Conclusions: Female first responders contributed less to their rescue teams' leadership and critical decision making than their male colleagues. A brief gender-specific leadership instruction was effective in improving female medical students' leadership behaviours.
    Schlagwörter Berufliche Kompetenz ; Decision Making ; Emergency Services ; Entscheidungsfindung ; Ersthelfende ; First Responders ; Frauen ; Führung ; Geschlechtsunterschiede beim Menschen ; Group Dynamics ; Gruppendynamik ; Human Females ; Human Sex Differences ; Intervention ; Leadership ; Leistung (Ausführung) ; Medical Students ; Medizinstudierende ; Notdienste ; Performance ; Professional Competence ; Training
    Sprache Englisch
    Dokumenttyp Artikel
    ZDB-ID 195274-2
    ISSN 1365-2923 ; 0308-0110
    ISSN (online) 1365-2923
    ISSN 0308-0110
    DOI 10.1111/medu.14658
    Datenquelle PSYNDEX

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  4. Artikel ; Online: Association of self-esteem, personality, stress and gender with performance of a resuscitation team: A simulation-based study.

    Tramèr, Lucas / Becker, Christoph / Schumacher, Cleo / Beck, Katharina / Tschan, Franziska / Semmer, Norbert K / Hochstrasser, Seraina / Marsch, Stephan / Hunziker, Sabina

    PloS one

    2020  Band 15, Heft 5, Seite(n) e0233155

    Abstract: Background: Gender composition, stress and leadership of a resuscitation team influence CPR performance. Whether psychological variables such as self-esteem, motivation and personality traits are associated with resuscitation performance, stress levels ... ...

    Abstract Background: Gender composition, stress and leadership of a resuscitation team influence CPR performance. Whether psychological variables such as self-esteem, motivation and personality traits are associated with resuscitation performance, stress levels and gender of rescuers during a cardiac arrest scenario remains uncertain.
    Methods: We included 108 medical students in this prospective, observational simulator study. We videotaped the resuscitation performance and assessed self-esteem, perceived stress-overload and personality traits using validated questionnaires. In addition, we analysed leadership utterances and ECG data of all participants during the simulation. The primary endpoint was cardiopulmonary resuscitation performance, defined as hands-on time within the first 180 sec. Secondary outcomes included first meaningful measure of resuscitation, leadership statements of group leaders and physiological stress parameters of rescuers.
    Results: Adjusted for group size and leadership designation, mean self-esteem of students was significantly associated with hands-on time (adjusted regression coefficient 7.94 (95%CI 2.61 to 13.27), p<0.01). The personality trait conscientiousness was positively associated with hands-on time (adjusted regression coefficient 38.4, [95%CI 7.41 to 69.38, p = 0.02]). However, after additional adjustment for self-esteem, this association was no longer significant. Further, agreeableness of team leaders was significantly associated with longer hands-on time (adjusted regression coefficient 20.87 [95%CI 3.81 to 37.94], p = 0.02). Openness to experience was negatively associated with heart rate reactivity (-5.92 (95%CI -10 to -1.85), p<0.01). Male students showed significantly higher (mean, [±SD]) self-esteem levels (24.6 [±3.8] vs. 22.0 [±4.4], p<0.01), expressed significantly more leadership statements (7.9 [±7.8] vs. 4.6 [±3.8], p<0.01) and initiated first resuscitation measures more often (n, [%]) compared to female students (16, [23] vs. 7, [12], p = 0.01).
    Conclusion: This simulator study found that self-esteem of resuscitation teams and agreeableness of team leaders of inexperienced students was associated with cardiopulmonary resuscitation performance. Whether enhancing these factors during resuscitation trainings serve for better performance remains to be studied.
    Mesh-Begriff(e) Cardiopulmonary Resuscitation/psychology ; Computer Simulation ; Electrocardiography ; Female ; Humans ; Leadership ; Male ; Personality ; Self Concept ; Sex Characteristics ; Stress, Psychological/psychology
    Sprache Englisch
    Erscheinungsdatum 2020-05-14
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0233155
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: Effect of Bedside vs. Non-bedside Patient Case Presentation During Ward Rounds: a Systematic Review and Meta-analysis.

    Gamp, Martina / Becker, Christoph / Tondorf, Theresa / Hochstrasser, Seraina / Metzger, Kerstin / Meinlschmidt, Gunther / Langewitz, Wolf / Schäfert, Rainer / Bassetti, Stefano / Hunziker, Sabina

    Journal of general internal medicine

    2019  Band 34, Heft 3, Seite(n) 447–457

    Abstract: Background: Ward rounds are important for communicating with patients, but it is unclear whether bedside or non-bedside case presentation is the better approach.: Methods: We conducted a comprehensive search up to July 2018 to identify randomized ... ...

    Abstract Background: Ward rounds are important for communicating with patients, but it is unclear whether bedside or non-bedside case presentation is the better approach.
    Methods: We conducted a comprehensive search up to July 2018 to identify randomized controlled trials (RCTs) comparing bedside and non-bedside case presentations. Data was abstracted independently by two researchers and study quality was assessed using the Cochrane Risk of Bias Tool. Our primary outcome was patient's satisfaction with ward rounds. Our main secondary outcome was patient's understanding of disease and the management plan.
    Results: Among 1647 identified articles, we included five RCTs involving 655 participants with overall moderate trial quality. We found no difference in having low patient's satisfaction between bedside and non-bedside case presentations (risk ratio [RR], 0.85; 95% CI, 0.66 to 1.09). We also found no impact on patient's understanding of their disease and management plan (RR, 0.92; 95% CI, 0.67 to 1.28). Trial sequential analysis (TSA) indicated low power of our main analysis.
    Discussion: We found no differences in patient-relevant outcomes between bedside and non-bedside case presentations with a lack of statistical power among current trials. There is a need for larger studies to find the optimal approach to patient case presentation during ward rounds.
    Mesh-Begriff(e) Humans ; Patient Satisfaction ; Randomized Controlled Trials as Topic/methods ; Teaching Rounds/methods ; Treatment Outcome
    Sprache Englisch
    Erscheinungsdatum 2019-01-02
    Erscheinungsland United States
    Dokumenttyp Comparative Study ; Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-018-4714-1
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel: Association of self-esteem, personality, stress and gender with performance of a resuscitation team

    Tramèr, Lucas / Becker, Christoph / Schumacher, Cleo / Beck, Katharina / Tschan, Franziska / Semmer, Norbert K. / Hochstrasser, Seraina / Marsch, Stephan / Hunziker, Sabina

    PLoS ONE

    A simulation-based study

    2020  Band 15, Heft 5, Seite(n) No

    Abstract: Background: Gender composition, stress and leadership of a resuscitation team influence CPR performance. Whether psychological variables such as self-esteem, motivation and personality traits are associated with resuscitation performance, stress levels ... ...

    Titelübersetzung Zusammenhang von Selbstwertgefühl, Persönlichkeit, Stress und Geschlecht mit der Leistung eines Reanimationsteams: Eine simulationsbasierte Studie
    Abstract Background: Gender composition, stress and leadership of a resuscitation team influence CPR performance. Whether psychological variables such as self-esteem, motivation and personality traits are associated with resuscitation performance, stress levels and gender of rescuers during a cardiac arrest scenario remains uncertain. Methods: We included 108 medical students in this prospective, observational simulator study. We videotaped the resuscitation performance and assessed self-esteem, perceived stress-overload and personality traits using validated questionnaires. In addition, we analysed leadership utterances and ECG data of all participants during the simulation. The primary endpoint was cardiopulmonary resuscitation performance, defined as hands-on time within the first 180 sec. Secondary outcomes included first meaningful measure of resuscitation, leadership statements of group leaders and physiological stress parameters of rescuers. Results: Adjusted for group size and leadership designation, mean self-esteem of students was significantly associated with hands-on time (adjusted regression coefficient 7.94 (95%CI 2.61 to 13.27), p< 0.01). The personality trait conscientiousness was positively associated with hands-on time (adjusted regression coefficient 38.4, [95%CI 7.41 to 69.38, p = 0.02]). However, after additional adjustment for self-esteem, this association was no longer significant. Further, agreeableness of team leaders was significantly associated with longer hands-on time (adjusted regression coefficient 20.87 [95%CI 3.81 to 37.94], p = 0.02). Openness to experience was negatively associated with heart rate reactivity (-5.92 (95%CI -10 to -1.85), p<0.01). Male students showed significantly higher (mean, [+/- SD]) self-esteem levels (24.6 [+/- 3.8] vs. 22.0 [+/- 4.4], p< 0.01), expressed significantly more leadership statements (7.9 [+/- 7.8] vs. 4.6 [+/- 3.8], p<0.01) and initiated first resuscitation measures more often (n, [%]) compared to female students (16, [23] vs. 7, [12], p = 0.01). Conclusion: This simulator study found that self-esteem of resuscitation teams and agreeableness of team leaders of inexperienced students was associated with cardiopulmonary resuscitation performance. Whether enhancing these factors during resuscitation trainings serve for better performance remains to be studied.
    Schlagwörter CPR ; Ersthelfende ; First Responders ; Führung ; Geschlechtsunterschiede beim Menschen ; Heart Rate Variability ; Herz-Lungen-Wiederbelebung ; Herzfrequenzvariabilität ; Human Sex Differences ; Leadership ; Leistung (Ausführung) ; Medical Students ; Medizinstudierende ; Motivation ; Performance ; Personality Traits ; Persönlichkeitsmerkmale ; Self-Esteem ; Stress ; Teams ; Wertschätzung der eigenen Person
    Sprache Englisch
    Dokumenttyp Artikel
    ZDB-ID 2267670-3
    ISSN 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0233155
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  7. Artikel ; Online: Trimethylamine-N-oxide (TMAO) predicts short- and long-term mortality and poor neurological outcome in out-of-hospital cardiac arrest patients.

    Hochstrasser, Seraina R / Metzger, Kerstin / Vincent, Alessia M / Becker, Christoph / Keller, Annalena K J / Beck, Katharina / Perrig, Sebastian / Tisljar, Kai / Sutter, Raoul / Schuetz, Philipp / Bernasconi, Luca / Neyer, Peter / Marsch, Stephan / Hunziker, Sabina

    Clinical chemistry and laboratory medicine

    2020  Band 59, Heft 2, Seite(n) 393–402

    Abstract: Objectives: Prior research found the gut microbiota-dependent and pro-atherogenic molecule trimethylamine-N-oxide (TMAO) to be associated with cardiovascular events as well as all-cause mortality in different patient populations with cardiovascular ... ...

    Abstract Objectives: Prior research found the gut microbiota-dependent and pro-atherogenic molecule trimethylamine-N-oxide (TMAO) to be associated with cardiovascular events as well as all-cause mortality in different patient populations with cardiovascular disease. Our aim was to investigate the prognostic value of TMAO regarding clinical outcomes in patients after out-of-hospital cardiac arrest (OHCA).
    Methods: We included consecutive OHCA patients upon intensive care unit admission into this prospective observational study between October 2012 and May 2016. We studied associations of admission serum TMAO with in-hospital mortality (primary endpoint), 90-day mortality and neurological outcome defined by the Cerebral Performance Category (CPC) scale.
    Results: We included 258 OHCA patients of which 44.6% died during hospitalization. Hospital non-survivors showed significantly higher admission TMAO levels (μmol L-1) compared to hospital survivors (median interquartile range (IQR) 13.2 (6.6-34.9) vs. 6.4 (2.9-15.9), p<0.001). After multivariate adjustment for other prognostic factors, TMAO levels were significantly associated with in-hospital mortality (adjusted odds ratios (OR) 2.1, 95%CI 1.1-4.2, p=0.026). Results for secondary outcomes were similar with significant associations with 90-day mortality and neurological outcome in univariate analyses.
    Conclusions: In patients after OHCA, TMAO levels were independently associated with in-hospital mortality and other adverse clinical outcomes and may help to improve prognostication for these patients in the future. Whether TMAO levels can be influenced by nutritional interventions should be addressed in future studies.
    Sprache Englisch
    Erscheinungsdatum 2020-08-31
    Erscheinungsland Germany
    Dokumenttyp Journal Article
    ZDB-ID 1418007-8
    ISSN 1437-4331 ; 1434-6621 ; 1437-8523
    ISSN (online) 1437-4331
    ISSN 1434-6621 ; 1437-8523
    DOI 10.1515/cclm-2020-0159
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  8. Artikel ; Online: Activation of the kynurenine pathway predicts mortality and neurological outcome in cardiac arrest patients: A validation study.

    Loretz, Nina / Becker, Christoph / Hochstrasser, Seraina / Metzger, Kerstin / Beck, Katharina / Mueller, Jonas / Gross, Sebastian / Vincent, Alessia / Amacher, Simon A / Sutter, Raoul / Tisljar, Kai / Schuetz, Philipp / Bernasconi, Luca / Neyer, Peter / Pargger, Hans / Marsch, Stephan / Hunziker, Sabina

    Journal of critical care

    2021  Band 67, Seite(n) 57–65

    Abstract: Purpose: Activation of the kynurenine pathway (KP) has been shown to predict outcome in cardiac arrest (CA) patients. We validated these findings in a Swiss cohort.: Methods: We measured admission tryptophan and kynurenine levels in 270 consecutive ... ...

    Abstract Purpose: Activation of the kynurenine pathway (KP) has been shown to predict outcome in cardiac arrest (CA) patients. We validated these findings in a Swiss cohort.
    Methods: We measured admission tryptophan and kynurenine levels in 270 consecutive CA patients (38 in-hospital CA) and investigated associations with in-hospital mortality and neurological outcome at hospital discharge.
    Results: 120 of 270 (44%) patients died in the hospital. Compared to survivors, non-survivors showed higher median initial kynurenine levels (5.28 μmol/l [IQR 2.91 to 7.40] vs 3.58 μmol/l [IQR 2.47 to 5.46]; p < 0.001) and a higher median kynurenine/tryptophan ratio (0.10 μmol/l [IQR 0.07 to 0.17] vs 0.07 μmol/l [IQR 0.05 to 0.1]; p < 0.001). In a model adjusted for age, gender and comorbidities, kynurenine (OR 1.16, 95% CI 1.05 to 1.27; p = 0.001) and kynurenine/tryptophan ratio (OR 1.19, 95% CI 1.08 to 1.31; p = 0.003) were significantly associated with mortality. Results were similar for neurological outcome.
    Conclusions: Our findings validate a previous study and show associations of the activation of the KP with unfavorable outcomes after CA. Future studies should evaluate whether therapeutic modulation of the KP may impact clinical outcomes after CA.
    Mesh-Begriff(e) Cohort Studies ; Heart Arrest/therapy ; Hospital Mortality ; Humans ; Kynurenine/metabolism ; Tryptophan
    Chemische Substanzen Kynurenine (343-65-7) ; Tryptophan (8DUH1N11BX)
    Sprache Englisch
    Erscheinungsdatum 2021-10-18
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 632818-0
    ISSN 1557-8615 ; 0883-9441
    ISSN (online) 1557-8615
    ISSN 0883-9441
    DOI 10.1016/j.jcrc.2021.09.025
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  9. Artikel ; Online: Effect of Bedside Compared With Outside the Room Patient Case Presentation on Patients' Knowledge About Their Medical Care : A Randomized, Controlled, Multicenter Trial.

    Becker, Christoph / Gamp, Martina / Schuetz, Philipp / Beck, Katharina / Vincent, Alessia / Hochstrasser, Seraina / Metzger, Kerstin / Widmer, Madlaina / Thommen, Emanuel / Mueller, Beat / Fux, Christoph A / Leuppi, Jörg D / Schaefert, Rainer / Langewitz, Wolf / Trendelenburg, Marten / Breidthardt, Tobias / Eckstein, Jens / Osthoff, Michael / Bassetti, Stefano /
    Hunziker, Sabina

    Annals of internal medicine

    2021  Band 174, Heft 9, Seite(n) 1282–1292

    Abstract: Background: Although bedside case presentation contributes to patient-centered care through active patient participation in medical discussions, the complexity of medical information and jargon-induced confusion may cause misunderstandings and patient ... ...

    Abstract Background: Although bedside case presentation contributes to patient-centered care through active patient participation in medical discussions, the complexity of medical information and jargon-induced confusion may cause misunderstandings and patient discomfort.
    Objective: To compare bedside versus outside the room patient case presentation regarding patients' knowledge about their medical care.
    Design: Randomized, controlled, parallel-group trial. (ClinicalTrials.gov: NCT03210987).
    Setting: 3 Swiss teaching hospitals.
    Patients: Adult medical patients who were hospitalized.
    Intervention: Patients were randomly assigned to bedside or outside the room case presentation.
    Measurements: The primary endpoint was patients' average knowledge of 3 dimensions of their medical care (each rated on a visual analogue scale from 0 to 100): understanding their disease, the therapeutic approach being used, and further plans for care.
    Results: Compared with patients in the outside the room group (
    Limitation: Only Swiss hospitals and medical patients were included.
    Conclusion: Compared with outside the room case presentation, bedside case presentation was shorter and resulted in similar patient knowledge, but sensitive topics were more often avoided and patient confusion was higher. Physicians presenting at the bedside need to be skilled in the use of medical language to avoid confusion and misunderstandings.
    Primary funding source: Swiss National Foundation (10531C_ 182422).
    Mesh-Begriff(e) Aged ; Female ; Health Literacy ; Humans ; Male ; Middle Aged ; Patient Satisfaction ; Patient-Centered Care ; Patients/psychology ; Physician-Patient Relations ; Switzerland ; Teaching Rounds ; Terminology as Topic
    Sprache Englisch
    Erscheinungsdatum 2021-06-29
    Erscheinungsland United States
    Dokumenttyp Comparative Study ; Journal Article ; Multicenter Study ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/M21-0909
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  10. Artikel: Effect of bedside vs. non-bedside patient case presentation during ward rounds

    Gamp, Martina / Becker, Christoph / Tondorf, Theresa / Hochstrasser, Seraina / Metzger, Kerstin / Meinlschmidt, Gunther / Langewitz, Wolf / Schäfert, Rainer / Bassetti, Stefano / Hunziker, Sabina

    Journal of General Internal Medicine

    A systematic review and meta-analysis

    2019  Band 34, Heft 3, Seite(n) 447–457

    Abstract: Background: Ward rounds are important for communicating with patients, but it is unclear whether bedside or non-bedside case presentation is the better approach. Methods: We conducted a comprehensive search up to July 2018 to identify randomized ... ...

    Titelübersetzung Wirkung der Präsentation von Patientenfällen am Krankenbett oder abseits davon während der Stationsvisite: Eine systematische Überprüfung und Meta-Analyse
    Abstract Background: Ward rounds are important for communicating with patients, but it is unclear whether bedside or non-bedside case presentation is the better approach. Methods: We conducted a comprehensive search up to July 2018 to identify randomized controlled trials (RCTs) comparing bedside and non-bedside case presentations. Data was abstracted independently by two researchers and study quality was assessed using the Cochrane Risk of Bias Tool. Our primary outcome was patient's satisfaction with ward rounds. Our main secondary outcome was patient's understanding of disease and the management plan. Results: Among 1647 identified articles, we included five RCTs involving 655 participants with overall moderate trial quality. We found no difference in having low patient's satisfaction between bedside and non-bedside case presentations (risk ratio [RR], 0.85; 95% CI, 0.66 to 1.09). We also found no impact on patient's understanding of their disease and management plan (RR, 0.92; 95% CI, 0.67 to 1.28). Trial sequential analysis (TSA) indicated low power of our main analysis. Discussion: We found no differences in patient-relevant outcomes between bedside and non-bedside case presentations with a lack of statistical power among current trials. There is a need for larger studies to find the optimal approach to patient case presentation during ward rounds. (c) Society of General Internal Medicine 2018
    Schlagwörter Client Satisfaction ; Communication ; Comprehension ; Hospitals ; Kommunikation ; Krankenhäuser ; Medical Patients ; Medical Personnel ; Medizinische Patientinnen und Patienten ; Medizinisches Personal ; Verständnis ; Zufriedenheit von Klientinnen und Klienten
    Sprache Englisch
    Dokumenttyp Artikel
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-018-4714-1
    Datenquelle PSYNDEX

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