{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:16:14Z","timestamp":1777533374992,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T00:00:00Z","timestamp":1675728000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2023,8]]},"abstract":"\n Objective<\/jats:title>\n To compare real-world data from a single centre heart failure rehabilitation programme, evaluating the effect of programme completion and improved functional capacity on morbidity and mortality in patients with heart failure.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A retrospective longitudinal analysis of service outcomes.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n A single-centre London based NHS trust.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Patients attending heart failure rehabilitation between 2016 and 2020.<\/jats:p>\n <\/jats:sec>\n \n Intervention<\/jats:title>\n Patients participated in a 12-week heart failure rehabilitation programme with those completing \u22656 rehabilitation sessions classified as \u2018completers\u2019.<\/jats:p>\n <\/jats:sec>\n \n Main Measures<\/jats:title>\n Pre and post 6-min walk tests measured improvement in physical ability, depicted by a meaningful increase in distance (\u226530 m). Kaplan\u2013Meier survival analysis was used to predict risk of event (myocardial infarction, cerebrovascular accident, heart failure readmission and death) between \u2018completers\u2019 and \u2018non-completers\u2019. Kaplan\u2013Meier Log rank was employed for \u2018completers\u2019, examining time to event between \u2018improvers\u2019 (6-min walk test \u226530 m) and \u2018non-improvers\u2019 (6-min walk test <30 m).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n 137 patients (male 61%) attended heart failure rehabilitation over the 4-year period. 86% ( n = 117) of patients completed the programme. During the follow-up period, there were 25 events, including three deaths. There was no statistically significant difference in time to event between completers and non-completers, ( P = 0.563). Improvement in 6-min walk test results demonstrate some short-term benefit, however no long-term benefits in morbidity and mortality were seen ( P = 0.888).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Completion of heart failure rehabilitation is not associated with a lower risk of combined event in this study. Improved 6-min walk test appears to be associated with short-term advantage in event-free survival time.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/02692155231154127","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:15:11Z","timestamp":1675815311000},"page":"1052-1061","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Morbidity and mortality following heart failure rehabilitation: The effect of programme completion and 6-min walk test distance"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1193-9657","authenticated-orcid":false,"given":"Iain","family":"Waite","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Cardiology, Kings College Hospital, London, England"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare","family":"Pearson","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kings College Hospital, London, England"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharlene","family":"Greenwood","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Renal Medicine, Kings College Hospital, London, England"},{"name":"Renal Sciences, Faculty of Life Sciences and Medicine, King's College London, London, England"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,2,7]]},"reference":[{"key":"bibr1-02692155231154127","unstructured":"National Cardiac Audit Programme. NICOR Annual report 2020. NICOR-2020-NCAP-Annual-Report-FINAL.pdf."},{"key":"bibr2-02692155231154127","first-page":"1","volume":"2014","author":"Taylor RS","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr3-02692155231154127","unstructured":"Chronic heart failure in adults: diagnosis and management NICE guideline [NG106]. Published date: 12 September 2018 https:\/\/www.nice.org.uk\/guidance\/ng106."},{"key":"bibr4-02692155231154127","doi-asserted-by":"publisher","DOI":"10.1177\/2047487312449597"},{"key":"bibr5-02692155231154127","first-page":"CD003331","volume":"1","author":"Long L","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr6-02692155231154127","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.329.7459.224"},{"key":"bibr7-02692155231154127","unstructured":"National Institute for Health and Care Excellence. Chronic heart failure in adults Diagnosis and management NG106 Full Guideline 2018. (1.9 Cardiac Rehabilitation) https:\/\/www.nice.org.uk\/guidance\/ng106\/chapter\/Recommendations#cardiac-rehabilitation."},{"key":"bibr8-02692155231154127","unstructured":"Association of Chartered Physiotherapists. In Cardiac Rehabilitation (ACPICR).\n Standards for Physical activity and exercise in the cardiovascular population\n . 2015. 3rd ed. ACPICRStandards.pdf."},{"key":"bibr9-02692155231154127","first-page":"783","volume":"48","author":"Enright PL","year":"2003","journal-title":"Respir Care"},{"key":"bibr10-02692155231154127","doi-asserted-by":"publisher","DOI":"10.1177\/1753944719870084"},{"key":"bibr11-02692155231154127","doi-asserted-by":"publisher","DOI":"10.1097\/01823246-201324030-00004"},{"key":"bibr12-02692155231154127","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.166.1.at1102"},{"key":"bibr13-02692155231154127","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehw128"},{"key":"bibr14-02692155231154127","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2016.01.207"},{"key":"bibr15-02692155231154127","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(96)00527-9"}],"container-title":["Clinical Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692155231154127","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02692155231154127","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692155231154127","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:52:07Z","timestamp":1777395127000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/02692155231154127"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,7]]},"references-count":15,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1177\/02692155231154127"],"URL":"https:\/\/doi.org\/10.1177\/02692155231154127","relation":{},"ISSN":["0269-2155","1477-0873"],"issn-type":[{"value":"0269-2155","type":"print"},{"value":"1477-0873","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,7]]}}}