Evidence map›Paper›PMID 31344319›Full record

ArticleJournal of thrombosis and haemostasis : JTH2019

Quality of life and functional limitations after pulmonary embolism and its prognostic relevance.

Karsten Keller, Clara Tesche, Aslihan Gerhold-Ay, Stefan Nickels, Frederikus A Klok, Lisa Rappold, Gerd Hasenfuß, Claudia Dellas, Stavros V Konstantinides, Mareike Lankeit

Registry-linked trialOpen access · bronzeAbstract readValidation Study
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07143539 (Early Exercise-based Rehabilitation in High-risk Patients Hospitalized for Acute Pulmonary Embolism), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 2% 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.

NCT07143539 narecruitingnot on this mapstarted 2025, after this paper: background citation

Early Exercise-based Rehabilitation in High-risk Patients Hospitalized for Acute Pulmonary Embolism: a Pragmatic Multicenter Randomized Partially Blinded Superiority Trial

TypeinterventionalSponsorInsel Gruppe AG, University Hospital BernRan2025 to 2028Enrolled160ConditionsVenous Thromboembolism (VTE), Exercise Therapy, Quality of Life (QOL), Anxiety DepressionArmsExercise-based rehabilitation program
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Fatigue after pulmonary embolism-prevalence and predictors.Frontiers in cardiovascular medicine · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Psychological Impact of Pulmonary Embolism: A Narrative Review.Journal of community hospital internal medicine perspectives · 2025
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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

10 authors at 5 institutions in 3 countries.

Karsten KellerCenter for Thrombosis and Hemostasis (CTH), University Medical Center Mainz, Mainz, Germany.ORCID 0000-0002-0820-9584
Clara TescheClinic for Cardiology and Pulmonology, Heart Center, University Medical Center, Goettingen, Germany.
Aslihan Gerhold-AyCenter for Thrombosis and Hemostasis (CTH), University Medical Center Mainz, Mainz, Germany.
Stefan NickelsCenter for Thrombosis and Hemostasis (CTH), University Medical Center Mainz, Mainz, Germany.
Frederikus A KlokCenter for Thrombosis and Hemostasis (CTH), University Medical Center Mainz, Mainz, Germany.ORCID 0000-0001-9961-0754
Lisa RappoldClinic for Cardiology and Pulmonology, Heart Center, University Medical Center, Goettingen, Germany.
Gerd HasenfußClinic for Cardiology and Pulmonology, Heart Center, University Medical Center, Goettingen, Germany.
Claudia DellasDepartment of Paediatric Cardiology and Intensive Care, GUCH Center, University Medical Center, Goettingen, Germany.
Stavros V KonstantinidesCenter for Thrombosis and Hemostasis (CTH), University Medical Center Mainz, Mainz, Germany.
Mareike LankeitCenter for Thrombosis and Hemostasis (CTH), University Medical Center Mainz, Mainz, Germany.ORCID 0000-0001-5211-7997
Johannes Gutenberg University Mainz · DEDemocritus University of Thrace · GRDüsseldorf University Hospital · DEGerman Centre for Cardiovascular Research · DESiloah St. Trudpert Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile the importance of patients' quality of life (QoL) in chronic cardiac or pulmonary disease is uncontroversial, the burden of an acute pulmonary embolism (PE) on QoL has received little attention thus far.

objectivesWe aimed to validate the German PEmb-QoL questionnaire, identify associations between QoL and clinical/functional parameters, and investigate the prognostic relevance of QoL for long-term survival in survivors of an acute PE episode. PATIENTS/

methodsPatients were invited for a clinical follow-up visit including assessment of QoL using the German PEmb-QoL questionnaire 6 months after an objectively confirmed PE at a single center. Internal consistency reliability, construct-related validity, and regressions between PEmb-QoL and clinical patient-characteristics were assessed using standard scale construction techniques.

resultsOverall, 101 patients [median age, 69 ([interquartile range] IQR 57-75) years; women, 48.5%] were examined 208 (IQR 185-242) days after PE. Internal consistency reliability and construct-related validity of the PEmb-QoL questionnaire were acceptable. As many as 47.0% of patients reported dyspnea, 27.5% had right ventricular (RV) dysfunction on transthoracic echocardiography (TTE), and 25.3% were diagnosed with post-PE impairment (PPEI) at 6-month follow-up. Furthermore, 15.9% of patients were diagnosed with depression 6 months after an acute PE. The QoL was affected by dyspnea, preexisting pulmonary disease, and PPEI, and a reduced QoL was associated with an increased risk for long-term mortality after an observation period of 3.6 years.

conclusionsThe German PEmb-QoL questionnaire is a reliable instrument for assessing QoL 6 months after PE. The QoL was affected by dyspnea, preexisting pulmonary disease, and PPEI and was associated with long-term mortality.

Indexed as

Cost of IllnessQuality of LifeSurveys and QuestionnairesSurvivorsSymptom AssessmentAgedDyspneaFemaleGermanyHealth StatusHumansMaleMiddle AgedPredictive Value of TestsPrognosisProspective Studies

Identifiers

PMID31344319
PMCPMC6900046
OpenAlexW2963233709

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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.