Evidence map›Paper›PMID 39978856›Full record

Trial reportThe European respiratory journal2025

Post-Hospitalisation COVID-19 Rehabilitation (PHOSP-R): a randomised controlled trial of exercise-based rehabilitation.

Enya Daynes, Rachael A Evans, Neil J Greening, Nicolette C Bishop, Thomas Yates, Daniel Lozano-Rojas, Kimon Ntotsis, Matthew Richardson, Molly M Baldwin, Malik Hamrouni and 32 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The European respiratory journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Assessment and management of post-COVID-19 pulmonary complications: a rapid review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

42 authors.

Enya DaynesThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK enya.daynes@uhl-tr.nhs.uk.ORCID https://orcid.org/0000-0003-0127-1649
Rachael A EvansThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0002-1667-868X
Neil J GreeningThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0003-0453-7529
Nicolette C BishopNational Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Thomas YatesNIHR Leicester Biomedical Research Centre - Diabetes, Leicester, UK.
Daniel Lozano-RojasThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.
Kimon NtotsisThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.
Matthew RichardsonThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.
Molly M BaldwinThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0002-6269-7961
Malik HamrouniDiabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UK.
Emily HumeDepartment of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0003-0462-2395
Hamish McAuleyThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0001-8997-0764
George MillsThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.
Dimitrios MegaritisDepartment of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0001-6786-4346
Matthew RobertsDiabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UK.
Charlotte E BoltonCentre for Respiratory Research, Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK.ORCID https://orcid.org/0000-0002-9578-2249
James D ChalmersUniversity of Dundee, Ninewells Hospital and Medical School, Dundee, UK.
Trudie ChalderInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Annemarie B DochertyCentre for Medical Informatics, The Usher Institute, University of Edinburgh, Edinburgh, UK.
Omer ElneimaThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0003-2480-8840
Ewen M HarrisonMRC Human Immunology Unit, University of Oxford, Oxford, UK.
Victoria C HarrisThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.
Ling P HoMRC Human Immunology Unit, University of Oxford, Oxford, UK.
Alex HorsleyManchester University NHS Foundation Trust, Manchester, UK.ORCID https://orcid.org/0000-0003-1828-0058
Linzy Houchen-WolloffThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0003-4940-8835
Olivia C LeavyThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.
Michael MarksDepartment of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK.ORCID https://orcid.org/0000-0002-7585-4743
Krishna PoinasamyAsthma and Lung UK, London, UK.
Jennifer K QuintSchool of Public Health, Imperial College London, London, UK.ORCID https://orcid.org/0000-0003-0149-4869
Betty RamanRadcliffe Department of Medicine, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0002-1239-9608
Ruth M SaundersThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.
Aarti ShikotraThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.
Amisha SingapuriThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.
Marco SerenoThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.
Sarah TerryThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.
Louise V WainThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0003-4951-1867
William D-C ManHarefield Respiratory Research Group, Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-3782-659X
Carlos EchevarriaThe Newcastle upon Tyne Hospitals NHS Foundation Trust, Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Ioannis VogiatzisDepartment of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.
Christopher BrightlingThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.
Sally J SinghThe Institute for Lung Health, NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0002-9834-0366
PHOSP-COVID Study Collaborative Group

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectivePost-COVID syndrome involves prolonged symptoms with multisystem and functional impairment lasting ≥12 weeks after acute coronavirus disease 2019 (COVID-19). We aimed to determine the efficacy of exercise-based rehabilitation interventions, either face-to-face or remote, compared to usual care in individuals experiencing post-COVID syndrome following a hospitalisation with acute COVID-19.

designThis single-blind randomised controlled trial compared two exercise-based rehabilitation interventions (face-to-face or remote) to usual care in participants with post-COVID syndrome following a hospitalisation. The interventions were either a face-to-face or remote 8-week programme of individually prescribed exercise and education. The primary outcome was the change in Incremental Shuttle Walking Test (ISWT) following 8 weeks of intervention (either face-to-face or remote) compared to usual care. Other secondary outcomes were measured including health-related quality of life (HRQoL), and exploratory outcomes included lymphocyte immunotyping.

results181 participants (55% male, mean±sd age 59±12 years, length of hospital stay 12±19 days) were randomised. There was an improvement in the ISWT distance following face-to-face rehabilitation (mean 52 m, 95% CI 19-85 m; p=0.002) and remote rehabilitation (mean 34 m, 95% CI 1-66 m; p=0.047) compared to usual care alone. There were no differences between groups for HRQoL self-reported symptoms. Analysis of immune markers revealed significant increases in naïve and memory CD8

conclusionExercise-based rehabilitation improved short-term exercise capacity in post-COVID syndrome following an acute hospitalisation and showed potential for beneficial immunomodulatory effects.

Indexed as

COVID-19Exercise TherapyAgedFemaleHospitalizationHumansMaleMiddle AgedPost-Acute COVID-19 SyndromeQuality of LifeSARS-CoV-2Single-Blind MethodTreatment OutcomeWalk Test

Identifiers

PMID39978856
PMCPMC12095904

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.