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Effects of cardiac rehabilitation initiated in the early recovery period post cardiac arrest on aerobic endurance: a propensity-matched analysis

2025· article· en· W7127631318 on OpenAlexaff
J Riess, E Alba Schmidt, Gloria Petrasch, M Albus, Sonja Sichler, Greta Hametner, H Brito Da Silva, S J Foulkes, J Vontobel, D Niederseer, M J Haykowsky

Bibliographic record

VenueEuropean Heart Journal · 2025
Typearticle
Languageen
FieldMedicine
TopicCardiac Arrest and Resuscitation
Canadian institutionsUniversity of Alberta
Fundersnot available
KeywordsRehabilitationAerobic exerciseBody mass indexPopulationRetrospective cohort studyCardiovascular eventConfidence intervalEndurance training

Abstract

fetched live from OpenAlex

Abstract Background/Introduction Cardiac arrest (CA) survivors face significant challenges related to functional capacity in the short-term period after their events. While cardiac rehabilitation (CR) is a well-established intervention for various cardiac conditions, its effectiveness in the post-CA population remains understudied. Purpose This investigation aimed to evaluate the impact of CR on aerobic endurance in CA patients who participated in an early CR program. Methods In this retrospective analysis, 34 post-CA patients who completed CR (CR-CA) at a specialized rehabilitation center between December 2022 and June 2024were propensity-matched with 34 CR cardiac patients without CA history (CR-NOCA, N=28 males) based on age, sex, and body mass index (BMI). Aerobic endurance was assessed using the six-minute walk distance test (6MWD) in accordance to American Thoracic Society guidelines at CR initiation and completion. Changes in 6MWD were analyzed using repeated measures ANOVA. Results By design, matched groups demonstrated comparable baseline characteristics (CR-CA, vs. CR-NOCA): age (65.4 vs 65.6 years) and BMI (25.9 ± 4.0 vs. 25.7 ± 3.9 kg/m²). Median interval between event and CR admission was 9.5 days (quartiles 7–15 days), median length of stay in CR was 20 days (quartiles 20–27 days). A significant main effect for time (F(1,66) = 178.77, p < 0.001, η²p = 0.730) was observed, with both groups showing substantial improvements in 6MWD (CR-CA: 425 to 554m vs. CR-NOCA: 416 to 547m, Figure 1). No significant group effect (p = 0.814) or group × time interaction (p = 0.886) was found, indicating similar patterns of improvement between groups. Conclusion Post-CA patients demonstrated significant improvements in 6MWD following CR that were comparable to matched controls without CA history. These findings support the implementation of CR as a safe and effective intervention for enhancing aerobic endurance in post-CA survivors, with benefits similar to those observed in traditional CR populations.Changes in 6-minute walk distance

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.002
Threshold uncertainty score0.009

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0010.000
Open science0.0000.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.014
GPT teacher head0.276
Teacher spread0.262 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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