Evidence map›Paper›PMID 35407452›Full record

ArticleJournal of clinical medicine2022

Prognostic Impact of Hybrid Comprehensive Telerehabilitation Regarding Diastolic Dysfunction in Patients with Heart Failure with Reduced Ejection Fraction-Subanalysis of the TELEREH-HF Randomized Clinical Trial.

Robert Irzmański, Renata Glowczynska, Maciej Banach, Dominika Szalewska, Ryszard Piotrowicz, Ilona Kowalik, Michael J Pencina, Wojciech Zareba, Piotr Orzechowski, Slawomir Pluta and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

13 authors at 7 institutions in 2 countries.

Robert IrzmańskiDepartment of Internal Medicine and Cardiac Rehabilitation, Medical University of Łódź, 90-647 Lodz, Poland.
Renata Glowczynska1st Chair and Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland.
Maciej BanachDepartment of Hypertension, Medical University of Łódź, 90-647 Lodz, Poland.ORCID 0000-0001-6690-6874
Dominika SzalewskaClinic of Rehabilitation Medicine, Faculty of Health Sciences, Medical University of Gdańsk, 80-210 Gdańsk, Poland.
Ryszard PiotrowiczNational Institute of Cardiology, 04-628 Warsaw, Poland.
Ilona KowalikNational Institute of Cardiology, 04-628 Warsaw, Poland.ORCID 0000-0002-8040-5109
Michael J PencinaThe Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC 27710, USA.
Wojciech ZarebaCardiology Unit of the Department of Medicine, University of Rochester Medical Center, Rochester, NY 14642, USA.
Piotr OrzechowskiTelecardiology Center, National Institute of Cardiology, 04-628 Warsaw, Poland.ORCID 0000-0003-3443-1231
Slawomir PlutaDepartment of Cardiology, Congenital Heart Diseases and Electrotherapy, Silesian Center for Heart Diseases, Silesian Medical University, 41-800 Zabrze, Poland.
Zbigniew KalarusDepartment of Cardiology, Congenital Heart Diseases and Electrotherapy, Silesian Center for Heart Diseases, Silesian Medical University, 41-800 Zabrze, Poland.
Grzegorz Opolski1st Chair and Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland.
Ewa PiotrowiczTelecardiology Center, National Institute of Cardiology, 04-628 Warsaw, Poland.
Institute of Cardiology · PLMedical University of Lodz · PLMedical University of Warsaw · PLSilesian Center for Heart Disease · PLDuke University · USGdańsk Medical University · PLUniversity of Rochester Medical Center · US

Funding

National Centre for Research and Development STRATEGMED1/233547/13/NCBR/2015
6 · The paper itself

Abstract

aimsThe objective of the study was to evaluate the effects of individually prescribed hybrid comprehensive telerehabilitation (HCTR) implemented at patients' homes on left ventricular (LV) diastolic function in heart failure (HF) patients. METHODS AND

resultsThe Telerehabilitation in Heart Failure Patients trial (TELEREH-HF) is a multicenter, prospective, randomized (1:1), open-label, parallel-group, controlled trial involving HF patients assigned either to HCTR involving a remotely monitored home training program in conjunction with usual care (HCTR group) or usual care only (UC group). The patient in the HCTR group underwent a 9-week HCTR program consisting of two stages: an initial stage (1 week) conducted in hospital and the subsequent stage (eight weeks) of home-based HCTR five times weekly. Due to difficulties of proper assessment and differences in the evaluation of diastolic function in patients with atrial fibrillation, we included in our subanalysis only patients with sinus rhythm. Depending on the grade of diastolic dysfunction, patients were assigned to subgroups with mild diastolic (MDD) or severe diastolic dysfunction (SDD), both in HCTR (HCTR-MDD and HCTR-SDD) and UC groups (UC-MDD and UC-SDD). Changes from baseline to 9 weeks in echocardiographic parameters were seen only in A velocities in HCTR-MDD vs. UC-MDD; no significant shifts between groups of different diastolic dysfunction grades were observed after HCTR. All-cause mortality was higher in UC-SDD vs. UC-MDD with no difference between HCTR-SDD and HCTR-MDD. Higher probability of HF hospitalization was observed in HCTR-SDD than HCTR-MDD and in UC-SDD than UC-MDD. No differences in the probability of cardiovascular mortality and hospitalization were found.

conclusionsHCTR did not influence diastolic function in HF patients in a significant manner. The grade of diastolic dysfunction had an impact on mortality only in the UC group and HF hospitalization over a 12-24-month follow-up in HCTR and UC groups.

Indexed as

diastolic functionheart failure with reduced ejection fractionhybrid telerehabilitation

Identifiers

PMID35407452
PMCPMC8999786
OpenAlexW4221038639

What Socratic 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 Socratic graph.