Evidence map›Paper›PMID 41180337›Full record

ArticleCJC open2025

Long-term Effects of 3-Month Home-Based Cardiac Rehabilitation Using Information and Communication Technology for Heart Failure with Physical Frailty.

Yuta Nagatomi, Tomomi Ide, Takeo Fujino, Takeshi Tohyama, Tae Higuchi, Tomoyuki Nezu, Takuya Nagata, Toru Hashimoto, Shouji Matsushima, Keisuke Shinohara and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CJC open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Yuta NagatomiDepartment of Rehabilitation Medicine, Kyushu University Hospital, Fukuoka, Japan.
Tomomi IdeDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Takeo FujinoDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Takeshi TohyamaDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Tae HiguchiDepartment of Rehabilitation Medicine, Kyushu University Hospital, Fukuoka, Japan.
Tomoyuki NezuDepartment of Rehabilitation Medicine, Kyushu University Hospital, Fukuoka, Japan.
Takuya NagataDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Toru HashimotoDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Shouji MatsushimaDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Keisuke ShinoharaDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Tomiko YokoyamaDepartment of Nutrition, Kyushu University Hospital, Fukuoka, Japan.
Masataka IkedaDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Shintaro KinugawaDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Hiroyuki TsutsuiSchool of Medicine and Graduate School, International University of Health and Welfare, Fukuoka, Japan.
Kohtaro AbeDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Information and communication technology (ICT)-supported home-based cardiac rehabilitation (HBCR) has gained prominence because of its potential advantages, including improved patient engagement. However, the long-term effects on patients with heart failure (HF) and physical frailty are unclear. The aim of this study was to determine the effects of HBCR on patients with HF and physical frailty 12 months after the HBCR intervention. Methods: This single-centre, single-arm intervention trial included 30 outpatients with chronic HF and physical frailty or pre-frailty. Participants received a comprehensive ICT-based HBCR intervention, including disease management, exercise, and nutritional guidance for 3 months, followed by a 12-month period of ICT-supported self-management without professional guidance. The primary outcome was the change in 6-minute walking distance (6MWD). Results: The 6MWD of the patients significantly improved at 3 months, compared with baseline (395.8 ± 16.2 metres [95% confidence interval (CI): 363.0-428.6] vs 445.1 ± 16.3 metres [95% CI, 412.0-478.2]; Conclusions: At 12 months after the intervention, the initial improvements in exercise tolerance and frailty were not maintained in the overall cohort. The ICT-supported self-management approach used in this study was insufficient to promote sustained behavioural change over the long term.

Indexed as

Cardiac rehabilitationexercise toleranceheart failurehome rehabilitationphysical frailtytelemedicine

Identifiers

PMID41180337
PMCPMC12572893

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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.