Evidence map›Paper›PMID 40242191›Full record

ArticleResearch and practice in thrombosis and haemostasis2025

Exercise capacity, dyspnea, and quality of life 6 months after exercise-based rehabilitation in patients with persistent dyspnea following pulmonary embolism.

Stacey Haukeland-Parker, Øyvind Jervan, Waleed Ghanima, Martijn A Spruit, René Holst, Jostein Gleditsch, Mazdak Tavoly, Knut Stavem, Kjetil Steine, Dan Atar and 3 more

Abstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2025. 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
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Exercise after pulmonary embolism: a call for greater nuance in interpreting safety and efficacy.European respiratory review : an official journal of the European Respiratory Society · 2025
    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

13 authors.

Stacey Haukeland-ParkerDepartment of Physical Medicine and Rehabilitation, Østfold Hospital Trust, Grålum, Norway.
Øyvind JervanDepartment of Cardiology, Østfold Hospital Trust, Grålum, Norway.
Waleed GhanimaInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Martijn A SpruitDepartment of Research and Development, CIRO+, Horn, The Netherlands.
René HolstDepartment of Research, Emergency Medicine and Hematooncology, Østfold Hospital Trust, Grålum, Norway.
Jostein GleditschInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Mazdak TavolyDepartment of Research, Emergency Medicine and Hematooncology, Østfold Hospital Trust, Grålum, Norway.
Knut StavemInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Kjetil SteineInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Dan AtarInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Anders Erik Astrup DahmInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Frederikus A KlokDepartment of Medicine-Thrombosis and Haemostasis, Leiden University Medical Center, Leiden, The Netherlands.
Hege Hølmo JohannessenInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Exercise is safe and effective in the short-term following pulmonary embolism. To date, little is known about the long-term effects. Objectives: The aim of the study was to investigate whether the effects of exercise-based rehabilitation are maintained 6 months after completion in patients with persistent dyspnea following pulmonary embolism when compared with usual care. Methods: A 2-center, randomized controlled trial compared 8 weeks of exercise-based rehabilitation with usual care. Patients were reassessed postintervention and 6 months later. Exercise capacity was measured with the incremental shuttle walk test (ISWT). Dyspnea was assessed with the Shortness of Breath Questionnaire, and health-related quality of life was assessed with disease-specific (Pulmonary Embolism Quality of Life Questionnaire) and generic questionnaires. Results: In total, 159 of 211 randomized patients attended follow-up 6 months postintervention. The significant improvement on the ISWT in the rehabilitation group was maintained at the 6-month follow-up (96 m; SE: 15 m; 95% CI: 66, 127). There were no changes on the ISWT in the control group at either time point. From postintervention to 6×-month follow-up, the rehabilitation group had further improvements in dyspnea compared with the control group (-3 points; SE: 1.4; 95% CI: -6, -1; Conclusion: The improvement in exercise capacity after 8 weeks of exercise-based rehabilitation in patients with pulmonary embolism and persistent dyspnea was maintained at the 6-month follow-up, while no improvement was observed in the control group, highlighting the relevance of offering rehabilitation to these patients.

Indexed as

dyspneaexercise capacitypulmonary embolismrehabilitationvenous thromboembolism

Identifiers

PMID40242191
PMCPMC12002659

What Socratic holds

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LicenceCC BY-NC-ND
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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.