Evidence map›Paper›PMID 40990882›Full record

Trial reportJACC. Heart failure2025

Sex Differences in Efficacy of Multidomain Rehabilitation Among Older Adults With Acute HF: The REHAB-HF Trial.

Ambarish Pandey, Olivia N Gilbert, Dalane W Kitzman, Alain G Bertoni, Pamela W Duncan, Robert J Mentz, Gordon R Reeves, David J Whellan, M Benjamin Nelson, Haiying Chen and 5 more

Abstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in JACC. Heart failure, 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.

Ambarish PandeyDivision of Cardiology, Department of Medicine, UT Southwestern Medical Center, Dallas, Texas, USA.
Olivia N GilbertSection of Cardiovascular Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Dalane W KitzmanSection of Cardiovascular Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Alain G BertoniDivision of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Pamela W DuncanSticht Center on Aging, Gerontology, and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Robert J MentzDepartment of Medicine, Cardiology Division, Duke University School of Medicine, Durham, North Carolina, USA.
Gordon R ReevesSection of Cardiovascular Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA; Former affiliation: Novant Health Heart and Vascular Institute, Charlotte, North Carolina, USA.
David J WhellanDepartment of Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
M Benjamin NelsonSection of Cardiovascular Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Haiying ChenDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Vinayak SubramanianDivision of Cardiology, Department of Medicine, UT Southwestern Medical Center, Dallas, Texas, USA.
Shelby D ReedDepartment of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
Bharati UpadhyaDepartment of Medicine, Cardiology Division, Duke University School of Medicine, Durham, North Carolina, USA.
Christopher M O'ConnorInova Heart and Vascular Institute, Fairfax, Virginia, USA; Duke Clinical Research Institute, Durham, North Carolina, USA.
Amy M PastvaDepartment of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, USA; Department of Orthopedic Surgery, Physical Therapy Division, Duke University School of Medicine, Durham, North Carolina, USA; Claude D. Pepper Older Americans Independence Center, Duke University School of Medicine, Durham, North Carolina, USA. Electronic address: amy.pastva@duke.edu.

Funding

Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Denise Kathryn Houston · 2002 to 2026
$36.4M
Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
Physical Rehabilitation for Older Patients with Acute HFpEF-The REHAB-HFpEF TrialR01AG078153 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KITZMAN, DALANE W · 2022 to 2025
$26.6M
Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Sarah B. Peskoe · 2006 to 2026
$24.6M
TRANSFORM-HF CCCU01HL125511 · NHLBI · YALE UNIVERSITY · PI MENTZ, ROBERT JOHN, VELAZQUEZ, ERIC J · 2017 to 2021
$7.7M
REHAB-HF: A Trial of Rehabilitation Therapy in Older Acute Heart Failure PatientsR01AG045551 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KITZMAN, DALANE W · 2014 to 2018
$6.8M
Pepper OAIC Coordinating CenterU24AG059624 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DALANE W KITZMAN · 2018 to 2026
$6.0M
Exercise Intolerance in Older HFPEF PatientsR01AG018915 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KITZMAN, DALANE W · 2001 to 2019
$5.2M
Polypill strategy for the evidence-based management of heart failure with reduced ejection fraction in an underserved patient populationR01MD017529 · NIMHD · UT SOUTHWESTERN MEDICAL CENTER · PI PANDEY, AMBARISH, WANG, THOMAS J. · 2022 to 2025
$2.9M
Wake Forest Atrium HeartShare Clinical CenterU01HL160272 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DALANE W KITZMAN · 2021 to 2026
$2.3M
Repurposing of Metormin for Older Patients with HFpEFU01AG076928 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KITZMAN, DALANE W, YADAV, HARIOM · 2022 to 2024
$2.3M
Cardiac biomarkers, intensive blood pressure treatment and risk of adverse cardiovascular outcomes in type 2 diabetes, a secondary analysis of the ACCORD BPR21HL169708 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI PANDEY, AMBARISH · 2023 to 2024
$261k
NCATS NIH HHS UL1 TR001420NHLBI NIH HHS R21 HL169708NHLBI NIH HHS U01 HL125511NHLBI NIH HHS U01 HL160272NIA NIH HHS P30 AG021332NIA NIH HHS P30 AG028716NIA NIH HHS R01 AG018915NIA NIH HHS R01 AG045551NIA NIH HHS R01 AG078153NIA NIH HHS U01 AG076928NIA NIH HHS U24 AG059624NIMHD NIH HHS R01 MD017529
6 · The paper itself

Abstract

backgroundA multidomain physical rehabilitation intervention (REHAB-HF [Rehabilitation Therapy in Older Acute Heart Failure Patients] intervention) has been associated with significant improvements in physical function and quality of life (QOL) among older patients with acute decompensated heart failure (ADHF).

objectivesThis study aims to evaluate sex differences in the treatment effect of a multidomain rehabilitation intervention among participants of the REHAB-HF trial.

methodsIn this prespecified secondary analysis of the REHAB-HF trial, sex differences in the treatment effect of the REHAB-HF intervention (vs attention control) on key 3-month outcomes of the Short Physical Performance Battery (SPPB, primary), frailty burden, 6-minute walking distance (6MWD), and QOL were assessed. Statistical significance for treatment effect interaction (sex∗intervention) was set at 0.1.

resultsAmong the 349 trial participants, female patients (n = 183) had a significantly lower baseline SPPB score and 6MWD and a higher frailty burden than male patients (n = 166). Female (vs male) participants had a significantly greater improvement in SPPB (effect size: 1.9 [95% CI: 1.1-2.7] vs 1.0 [95% CI: 0.1-1.8]; P for interaction = 0.1) and frailty burden, as assessed by Fried phenotype criteria (effect size: -0.5 [95% CI: -0.9 to -0.2] vs 0.00 [95% CI: -0.4 to 0.4]; P for interaction = 0.04) with the REHAB-HF intervention. The magnitude of the improvement in 6MWD and QOL (Kansas City Cardiomyopathy Questionnaire score) with the REHAB-HF intervention was also greater among female (vs male) participants without a significant treatment effect interaction by sex. There was no significant difference in rates of adverse clinical outcomes associated with the intervention across both sex groups. There was no difference in intervention adherence by sex.

conclusionsFemale (vs male) participants with ADHF had a significantly greater improvement in physical function in response to the REHAB-HF intervention.

Indexed as

Cardiac RehabilitationExercise TherapyHeart FailureAcute DiseaseAgedAged, 80 and overFemaleFrailtyHumansMalePhysical Functional PerformanceQuality of LifeSex FactorsTreatment OutcomeWalk Testgeriatricheart failurephysical rehabilitation

Identifiers

PMID40990882
PMCPMC12462890

What Socratic holds

Textmetadata
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.