Evidence map›Paper›PMID 36345825›Full record

Trial reportCirculation. Heart failure2022

Quality of Life Trajectory and Its Mediators in Older Patients With Acute Decompensated Heart Failure Receiving a Multi-Domain Rehabilitation Intervention: Results From the Rehabilitation Therapy in Older Acute Heart Failure Patients Trial.

David Whellan, Melissa M McCarey, Haiying Chen, M Benjamin Nelson, Amy M Pastva, Pamela Duncan, Robert J Mentz, Dalane W Kitzman, Gordon Reeves, Shelby D Reed

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Circulation. Heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02196038 (REHAB-HF), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 22% 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.

NCT02196038 nacompletednot on this map

REHAB-HF: A Trial of Rehabilitation Therapy in Older Acute Heart Failure Patients

TypeinterventionalSponsorWake Forest University Health SciencesRan2014 to 2020Enrolled349ConditionsAcute Decompensated Heart FailureArmsmulti-domain rehabilitation intervention, Attention Control
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Trajectory of health-related quality of life during and after hospitalisation due to worsening of heart failure.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  6. Review
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 4 institutions in 1 country.

David WhellanDepartment of Medicine, Sidney Kimmel Medical College (D.W.), Thomas Jefferson University, Philadelphia, PA.ORCID 0000-0002-6287-8690
Melissa M McCareyJefferson Clinical Research Institute (M.M.M.), Thomas Jefferson University, Philadelphia, PA.ORCID 0000-0002-5094-3600
Haiying ChenDepartment of Biostatistics and Data Science (H.C.), Wake Forest School of Medicine, Winston-Salem, NC.
M Benjamin NelsonSection on Cardiovascular Medicine, Department of Internal Medicine (M.B.N., D.W.K.), Wake Forest School of Medicine, Winston-Salem, NC.
Amy M PastvaDoctor of Physical Therapy Division, Department of Orthopaedic Surgery (A.M.P.), Duke University School of Medicine, Durham, NC.ORCID 0000-0002-0891-745X
Pamela DuncanDepartment of Neurology (P.D.), Wake Forest School of Medicine, Winston-Salem, NC.ORCID 0000-0002-4838-3253
Robert J MentzDivision of Cardiology and Duke Clinical Research Institute (R.J.M.), Duke University School of Medicine, Durham, NC.ORCID 0000-0002-3222-1719
Dalane W KitzmanSection on Cardiovascular Medicine, Department of Internal Medicine (M.B.N., D.W.K.), Wake Forest School of Medicine, Winston-Salem, NC.
Gordon ReevesNovant Health Heart and Vascular Institute, Charlotte, NC (G.R.).
Shelby D ReedDepartment of Population Health Sciences (S.D.R.), Duke University School of Medicine, Durham, NC.ORCID 0000-0002-7654-4464
Wake Forest University · USDuke University · USThomas Jefferson University · USNovant Health · US

Funding

Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Denise Kathryn Houston · 2002 to 2026
$36.4M
Physical Rehabilitation for Older Patients with Acute HFpEF-The REHAB-HFpEF TrialR01AG078153 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KITZMAN, DALANE W · 2022 to 2025
$26.6M
Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Sarah B. Peskoe · 2006 to 2026
$24.6M
REHAB-HF: A Trial of Rehabilitation Therapy in Older Acute Heart Failure PatientsR01AG045551 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KITZMAN, DALANE W · 2014 to 2018
$6.8M
Pepper OAIC Coordinating CenterU24AG059624 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DALANE W KITZMAN · 2018 to 2026
$6.0M
Exercise Intolerance in Older HFPEF PatientsR01AG018915 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KITZMAN, DALANE W · 2001 to 2019
$5.2M
Repurposing of Metormin for Older Patients with HFpEFU01AG076928 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KITZMAN, DALANE W, YADAV, HARIOM · 2022 to 2024
$2.3M
NIA NIH HHS P30 AG021332NIA NIH HHS P30 AG028716NIA NIH HHS R01 AG018915NIA NIH HHS R01 AG045551NIA NIH HHS R01 AG078153NIA NIH HHS U01 AG076928NIA NIH HHS U24 AG059624
6 · The paper itself

Abstract

backgroundAs patients with heart failure experience worsening of their condition, including acute decompensated heart failure, quality of life deteriorates. However, the trajectory of quality of life changes and their determinants in the context of the Rehabilitation Therapy in Older Acute Heart Failure Patients trial physical rehabilitation intervention are unknown.

methodsPatients ≥60 years old admitted for acute decompensated heart failure (n=349) were randomized to either attention control or intervention. Quality of life outcomes (Kansas City Cardiomyopathy Questionnaire; 12-Item Short-Form Health Survey) were measured at baseline (inpatient), 1 month, and 3 months. Intervention effects were assessed using linear mixed effects regression, including covariates to model the main effects of the intervention and timing of outcome assessments. Mediation analysis determined if changes in Kansas City Cardiomyopathy Questionnaire were due to improvement in physical function (short physical performance battery, 6-minute walk distance).

resultsBaseline Kansas City Cardiomyopathy Questionnaire summary score was similarly poor in the intervention and control arms (40.2±20.6 versus 41.5±20.6). Although the intervention experienced nominally greater Kansas City Cardiomyopathy Questionnaire improvement than control at 1 month (64.7±1.9 versus 61.1±1.9,

conclusionsIn older patients hospitalized for acute decompensated heart failure, quality of life improves in the first month after discharge. The quality of life benefit of a post-discharge physical rehabilitation intervention is detected early with large significant improvements at 3 months achieved primarily through improvement in short physical performance battery. REGISTRATION: URL: https://clinicaltrials.gov; Unique identifier: NCT02196038.

Indexed as

CardiomyopathiesHeart FailureAftercareAgedHumansMiddle AgedPatient DischargeQuality of Lifeagingheart failurephysical functional performancequality of life

Identifiers

PMID36345825
PMCPMC9771880
OpenAlexW4308551565

What OpenQuestion holds

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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.