Evidence map›Paper›PMID 38464429›Full record

ArticleTransplantation direct2024

The Relationship Between Rehabilitation and Frailty in Advanced Heart or Lung Disease.

Vaishnavi Dinesh, Rachel Pierce, Lauren Hespe, Sonali Thakkar, Marko Wong, Luke El Sabbagh, Liarna Honeysett, Peter Brown, Kim Delbaere, Adrian Havryk and 2 more

Abstract read
In one paragraph

Article in Transplantation direct, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. 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

12 authors.

Vaishnavi DineshSt Vincent's Clinical School, Faculty of Medicine, University of New South Wales, Sydney , NSW, Australia.
Rachel PierceHeart Transplant Unit, St Vincent's Hospital, Darlinghurst, NSW, Australia.
Lauren HespeHeart Transplant Unit, St Vincent's Hospital, Darlinghurst, NSW, Australia.
Sonali ThakkarHeart Transplant Unit, St Vincent's Hospital, Darlinghurst, NSW, Australia.
Marko WongGraduate School of Biomedical Engineering, University of New South Wales, Sydney, NSW, Australia.
Luke El SabbaghGraduate School of Biomedical Engineering, University of New South Wales, Sydney, NSW, Australia.
Liarna HoneysettHeart Transplant Unit, St Vincent's Hospital, Darlinghurst, NSW, Australia.
Peter BrownGraduate School of Biomedical Engineering, University of New South Wales, Sydney, NSW, Australia.
Kim DelbaereFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, NSW, Australia.
Adrian HavrykLung Transplant Unit, St Vincent's Hospital, Darlinghurst, NSW, Australia.
Monique MaloufLung Transplant Unit, St Vincent's Hospital, Darlinghurst, NSW, Australia.
Peter S MacdonaldSt Vincent's Clinical School, Faculty of Medicine, University of New South Wales, Sydney , NSW, Australia.ORCID https://orcid.org/0000-0001-5378-2825

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Frailty increases morbidity and mortality in patients with advanced heart and lung disease. Emerging evidence shows that postoperative cardiac or pulmonary rehabilitation can improve the frailty status of these patients. The aim of this hypothesis-generating study was to test the relationship between prehabilitation and frailty in patients with advanced heart or lung disease referred for heart and lung transplantation. Methods: The study was a retrospective audit of consecutive patients with advanced heart or lung disease referred for transplant assessment between January 2021 and December 2022. Frailty scores were recorded using Fried's frailty phenotype (range, 0-5), and rehabilitation status of patients at the time of frailty assessment was recorded. Results: Of 286 patients, 124 patients had advanced heart disease (mean age 53 ± 12 y; 82% men) and 162 patients had advanced lung disease (mean age 55 ± 12 y; 43% men). Sixty-nine (24%) patients were robust (score 0), 156 (55%) were prefrail (score, 1-2), and 61 (21%) were frail (score, 3-5). Eighty-two (29%) patients participated in hospital-based rehabilitation, 72 (25%) in home-based rehabilitation, and 132 (46%) in no rehabilitation. Frailty scores were significantly lower in patients participating in hospital-based or home-based rehabilitation compared with patients not participating in rehabilitation (0.8 ± 1.0 versus 0.8 ± 0.9 versus 2.3 Conclusions: This study shows that patients participating in cardiac or pulmonary rehabilitation are less frail compared with patients not participating in rehabilitation. These findings suggest that prehabilitation could be beneficial for patients awaiting heart or lung transplantation.

Identifiers

PMID38464429
PMCPMC10923330

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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.