Evidence map›Paper›PMID 38430485›Full record

Trial reportEuropean heart journal2024

Early hybrid cardiac rehabilitation in congenital heart disease: the QUALIREHAB trial.

Pascal Amedro, Arthur Gavotto, Helena Huguet, Luc Souilla, Anne-Cecile Huby, Stefan Matecki, Anne Cadene, Gregoire De La Villeon, Marie Vincenti, Oscar Werner and 25 more

Open access · hybridAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in European heart journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
11.2field-weighted citation impact, top 1% 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

22 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
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  7. Article
  8. Review
  9. Article
  10. Article
  11. Daily issues in the life of adults with congenital heart disease: new insights from EURO-ACHD Congress 2025.European heart journal supplements : journal of the European Society of Cardiology · 2026
    Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Cardiac rehabilitation in ACHD: Further investment is now due.International journal of cardiology. Congenital heart disease · 2025
    Article
  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

35 authors at 16 institutions in 3 countries.

Pascal AmedroDepartment of Fetal, Pediatric and Adult Congenital Cardiology, M3C National CHD Reference Centre, Bordeaux University Hospital, Haut-Leveque Hospital, Avenue de Magellan, 33604 Pessac Cedex, France.ORCID 0000-0003-3649-0294
Arthur GavottoPediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, Montpellier University Hospital, Montpellier, France.ORCID 0000-0001-6485-7634
Helena HuguetEpidemiology and Clinical Research Department, University Hospital, University of Montpellier, Montpellier, France.
Luc SouillaPhyMedExp, INSERM, CNRS, University of Montpellier, Montpellier, France.ORCID 0000-0002-5773-1440
Anne-Cecile HubyDepartment of Fetal, Pediatric and Adult Congenital Cardiology, M3C National CHD Reference Centre, Bordeaux University Hospital, Haut-Leveque Hospital, Avenue de Magellan, 33604 Pessac Cedex, France.
Stefan MateckiPhyMedExp, INSERM, CNRS, University of Montpellier, Montpellier, France.ORCID 0000-0002-1878-0936
Anne CadeneEpidemiology and Clinical Research Department, University Hospital, University of Montpellier, Montpellier, France.
Gregoire De La VilleonPediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, Montpellier University Hospital, Montpellier, France.
Marie VincentiPediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, Montpellier University Hospital, Montpellier, France.
Oscar WernerPediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, Montpellier University Hospital, Montpellier, France.ORCID 0000-0002-3741-0498
Charlene BredyPediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, Montpellier University Hospital, Montpellier, France.
Kathleen LavastrePediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, Montpellier University Hospital, Montpellier, France.
Hamouda AbassiPediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, Montpellier University Hospital, Montpellier, France.
Sarah CohenPediatric and Congenital Cardiology Department, M3C National Reference CHD Centre, Marie-Lannelongue Hospital, Le Plessis-Robinson, France.
Sebastien HascoetPediatric and Congenital Cardiology Department, M3C National Reference CHD Centre, Marie-Lannelongue Hospital, Le Plessis-Robinson, France.ORCID 0000-0002-8695-0503
Claire DauphinPediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, Clermont-Ferrand University Hospital, Clermont-Ferrand, France.
Aurelie ChalardPediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, Clermont-Ferrand University Hospital, Clermont-Ferrand, France.
Yves DulacPediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, Toulouse University Hospital, Toulouse, France.ORCID 0000-0002-7027-6358
Nathalie SouletiePediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, Toulouse University Hospital, Toulouse, France.
Helene BouvaistPediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, Grenoble University Hospital, Grenoble, France.ORCID 0000-0002-8243-3971
Stephanie DouchinPediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, Grenoble University Hospital, Grenoble, France.ORCID 0000-0002-6437-4648
Matthias LachaudPediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, Grenoble University Hospital, Grenoble, France.ORCID 0000-0001-8406-3399
Caroline OvaertPediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, APHM La Timone Hospital, Marseille, France.ORCID 0000-0002-2277-2760
Camille SoulatgesPediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, APHM La Timone Hospital, Marseille, France.
Nicolas CombesPediatric and Congenital Cardiology Department, Pasteur Clinic, Toulouse, France.ORCID 0000-0002-5238-7791
Jean-Benoit ThamboDepartment of Fetal, Pediatric and Adult Congenital Cardiology, M3C National CHD Reference Centre, Bordeaux University Hospital, Haut-Leveque Hospital, Avenue de Magellan, 33604 Pessac Cedex, France.ORCID 0000-0001-5738-965X
Xavier IriartDepartment of Fetal, Pediatric and Adult Congenital Cardiology, M3C National CHD Reference Centre, Bordeaux University Hospital, Haut-Leveque Hospital, Avenue de Magellan, 33604 Pessac Cedex, France.ORCID 0000-0002-4911-7432
Fanny BajollePediatric and Congenital Cardiology Department, M3C National Reference CHD Centre, APHP Necker Hospital, Paris, France.ORCID 0000-0002-1106-0987
Damien BonnetPediatric and Congenital Cardiology Department, M3C National Reference CHD Centre, APHP Necker Hospital, Paris, France.ORCID 0000-0002-8722-5805
Helene AnsquerPediatric and Congenital Cardiology Department, Brest University Hospital, Brest, France.
Jean-Guillaume DelpeyPediatric and Congenital Cardiology Department, Brest University Hospital, Brest, France.
Laurence CohenFetal, Pediatric and Congenital Private Practice, 8 rue du Conseil de l'Europe, 91300 Massy, France.
Marie-Christine PicotEpidemiology and Clinical Research Department, University Hospital, University of Montpellier, Montpellier, France.ORCID 0000-0003-4204-7299
Sophie GuillaumontPediatric and Congenital Cardiology Department, M3C Regional Reference CHD Centre, Montpellier University Hospital, Montpellier, France.ORCID 0000-0002-7960-4776
QUALIREHAB Study Group
Centre National de la Recherche Scientifique · FRUniversité de Montpellier · FRUniversité de Bordeaux · FRCentre Hospitalier Universitaire de Grenoble · FRHôpital Necker-Enfants Malades · FRUniversité Fédérale de Toulouse Midi-Pyrénées · FRHôpital Marie Lannelongue · FRCentre Hospitalier Régional Universitaire de Brest · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRHôpital de la Timone · FRClinique Pasteur · FRHôpital Cardiologique du Haut-Lévêque · FRHôpital Européen · FRInserm · FRAdult Congenital Heart Association · USCentre de recherche en Epidémiologie et Santé des Populations · FR

Funding

APARD healthcare providerFrench Federation of CardiologyFrench Ministry of HealthFrench Society of CardiologySaint-Pierre Foundation
6 · The paper itself

Abstract

BACKGROUND AND

aimsCardiopulmonary fitness in congenital heart disease (CHD) decreases faster than in the general population resulting in impaired health-related quality of life (HRQoL). As the standard of care seems insufficient to encourage and maintain fitness, an early hybrid cardiac rehabilitation programme could improve HRQoL in CHD.

methodsThe QUALIREHAB multicentre, randomized, controlled trial evaluated and implemented a 12-week centre- and home-based hybrid cardiac rehabilitation programme, including multidisciplinary care and physical activity sessions. Adolescent and young adult CHD patients with impaired cardiopulmonary fitness were randomly assigned to either the intervention (i.e. cardiac rehabilitation) or the standard of care. The primary outcome was the change in HRQoL from baseline to 12-month follow-up in an intention-to-treat analysis. The secondary outcomes were the change in cardiovascular parameters, cardiopulmonary fitness, and mental health.

resultsThe expected number of 142 patients was enroled in the study (mean age 17.4 ± 3.4 years, 52% female). Patients assigned to the intervention had a significant positive change in HRQoL total score [mean difference 3.8; 95% confidence interval (CI) 0.2; 7.3; P = .038; effect size 0.34], body mass index [mean difference -0.7 kg/m2 (95% CI -1.3; -0.1); P = .022; effect size 0.41], level of physical activity [mean difference 2.5 (95% CI 0.1; 5); P = .044; effect size 0.39], and disease knowledge [mean difference 2.7 (95% CI 0.8; 4.6); P = .007; effect size 0.51]. The per-protocol analysis confirmed these results with a higher magnitude of differences. Acceptability, safety, and short-time effect of the intervention were good to excellent.

conclusionsThis early hybrid cardiac rehabilitation programme improved HRQoL, body mass index, physical activity, and disease knowledge, in youth with CHD, opening up the possibility for the QUALIREHAB programme to be rolled out to the adult population of CHD and non-congenital cardiac disease.

Indexed as

Cardiac RehabilitationHeart Defects, CongenitalAdolescentExerciseExercise TherapyFemaleHumansMaleQuality of LifeYoung AdultCongenital heart defectExercise therapiesPatient educationPhysical activityPhysical fitnessQuality of life

Identifiers

PMID38430485
PMCPMC11032713
OpenAlexW4392349903

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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.