Evidence map›Paper›PMID 19168520›Full record

Trial reportEuropean journal of heart failure2009

A randomized trial of the addition of home-based exercise to specialist heart failure nurse care: the Birmingham Rehabilitation Uptake Maximisation study for patients with Congestive Heart Failure (BRUM-CHF) study.

Kate Jolly, Rod S Taylor, Gregory Y H Lip, Mick Davies, Russell Davis, Jonathan Mant, Sally Singh, Sheila Greenfield, Jackie Ingram, Jane Stubley and 2 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in European journal of heart failure, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 19 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 19 pooled it
–field-weighted citation impact
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

37 citing papers in PubMed, 19 syntheses or guidelines pooled it.

  1. Pooled it
  2. Exercise-based cardiac rehabilitation for adults with heart failure.The Cochrane database of systematic reviews · 2024
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  12. Exercise-based cardiac rehabilitation for adults with heart failure.The Cochrane database of systematic reviews · 2019
    Pooled it
  13. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2017
    Pooled it
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  15. Exercise-based rehabilitation for heart failure.The Cochrane database of systematic reviews · 2014
    Pooled it
  16. What is the use? Application of the short form (SF) questionnaires for the evaluation of treatment effects.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2013
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  18. Heart failure.BMJ clinical evidence · 2011
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  19. Heart failure.BMJ clinical evidence · 2010
    Pooled it
  20. Trial
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

12 authors.

Kate JollyDepartment of Public Health and Epidemiology, University of Birmingham, Public Health Building, and University Department of Medicine, City Hospital, Birmingham B15 2TT, UK. c.b.jolly@bham.ac.uk
Rod S Taylor
Gregory Y H Lip
Mick Davies
Russell Davis
Jonathan Mant
Sally Singh
Sheila Greenfield
Jackie Ingram
Jane Stubley
Stirling Bryan
Andrew Stevens

Funding

British Heart FoundationDepartment of Health
6 · The paper itself

Abstract

aimsSupervised exercise can benefit selected patients with heart failure, however the effectiveness of home-based exercise remains uncertain. We aimed to assess the effectiveness of a home-based exercise programme in addition to specialist heart failure nurse care. METHODS AND

resultsThis was a randomized controlled trial of a home-based walking and resistance exercise programme plus specialist nurse care (n=84) compared with specialist nurse care alone (n=85) in a heart failure population in the West Midlands, UK. PRIMARY OUTCOME: Minnesota Living with Heart Failure Questionnaire (MLwHFQ) at 6 and 12 months. SECONDARY OUTCOMES: composite of death, hospital admission with heart failure or myocardial infarction; psychological well-being; generic quality of life (EQ-5D); exercise capacity. There was no statistically significant difference between groups in the MLwHFQ at 6 month (mean, 95% CI) (-2.53, -7.87 to 2.80) and 12 month (-0.55, -5.87 to 4.76) follow-up or secondary outcomes with the exception of a higher EQ-5D score (0.11, 0.04 to 0.18) at 6 months and lower Hospital Anxiety and Depression Scale score (-1.07, -2.00 to -0.14) at 12 months, in favour of the exercise group. At 6 months, the control group showed deterioration in physical activity, exercise capacity, and generic quality of life.

conclusionHome-based exercise training programmes may not be appropriate for community-based heart failure patients.

Indexed as

Exercise TherapyHome Care ServicesAgedFemaleHeart FailureHospitalizationHumansMaleMiddle AgedPatient ComplianceQuality of LifeSpecialties, NursingTreatment Outcome

Identifiers

PMID19168520
PMCPMC2639417

What OpenQuestion holds

Textmetadata
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.