{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T05:38:22Z","timestamp":1792647502470,"version":"4.5.0"},"reference-count":38,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"20","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2026,10,20]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Referrals to and participation in cardiac rehabilitation programs remain suboptimal. We examined factors associated with home\u2010based cardiac rehabilitation (HBCR) referral and participation and associations of referral and participation with outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">In this retrospective cohort study, we included adults \u226518\u2009years of age from Kaiser Permanente Southern California with a HBCR\u2010qualifying event or procedure between January 2021 and September 2024. HBCR referral and, separately, participation was identified within 90\u2009days. Outcomes included 30\u2010, 180\u2010, and 365\u2010day hospitalizations and all\u2010cause mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">Among 44\u2009468 adults, 13\u2009164 (29.6%) received a referral within 90\u2009days. Those receiving versus not receiving a referral were younger (mean age 65.6 versus 70.6\u2009years) and more often male (71.4% versus 59.5%). Referral was associated with a lower likelihood of 180\u2010day all\u2010cause and cardiovascular disease hospitalization (prevalence ratio [PR], 0.86 [95% CI, 0.82\u20130.91] and PR, 0.76 [95% CI, 0.66\u20130.82]), and 365\u2010day all\u2010cause and cardiovascular disease hospitalization (PR, 0.83 [95% CI, 0.79\u20130.86] and PR, 0.70 [95% CI, 0.66\u20130.75]). Participation was associated with a lower likelihood of 30\u2010day all\u2010cause hospitalization (PR, 0.78 [95% CI, 0.66\u20130.92]), 180\u2010day all\u2010cause and cardiovascular disease hospitalization (PR, 0.83 [95% CI, 0.75\u20130.91] and PR, 0.85 [95% CI, 0.74\u20130.98]), and 365\u2010day all\u2010cause and cardiovascular disease hospitalization (PR, 0.89 [95% CI, 0.82\u20130.96] and PR, 0.87 [95% CI, 0.78\u20130.98]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Older adults and women had lower HBCR referral highlighting persistent gaps. Lower hospitalization risk associated with timely HBCR referral and participation underscores the importance of appropriate patient screening to improve outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.126.050248","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T11:51:45Z","timestamp":1791633105000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Patient Characteristics and Outcomes Associated With Home\u2010Based Cardiac Rehabilitation"],"prefix":"10.1161","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0735-0340","authenticated-orcid":false,"given":"Matthew T.","family":"Mefford","sequence":"first","affiliation":[{"name":"Kaiser Permanente Southern California","place":["Pasadena, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9657-0135","authenticated-orcid":false,"given":"Matt","family":"Zhou","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Southern California","place":["Pasadena, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6491-7745","authenticated-orcid":false,"given":"Hui","family":"Zhou","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Southern California","place":["Pasadena, USA"]},{"name":"Kaiser Permanente Bernard J. Tyson School of Medicine","place":["Pasadena, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7827-7654","authenticated-orcid":false,"given":"Teresa N.","family":"Harrison","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Southern California","place":["Pasadena, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam E.","family":"Silliman","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Southern California","place":["Pasadena, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Shin","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Southern California","place":["Pasadena, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1840-9387","authenticated-orcid":false,"given":"Columbus D.","family":"Batiste","sequence":"additional","affiliation":[{"name":"Southern California Permanente Medical Group","place":["Pasadena, USA"]},{"name":"Kaiser Permanente Riverside Medical Center","place":["Los Angeles, USA"]},{"name":"Kaiser Permanente Center for Health Innovation","place":["Tustin, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debora A.","family":"Lahti","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Center for Health Innovation","place":["Tustin, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadashi T.","family":"Funahashi","sequence":"additional","affiliation":[{"name":"Southern California Permanente Medical Group","place":["Pasadena, USA"]},{"name":"Kaiser Permanente Center for Health Innovation","place":["Tustin, USA"]},{"name":"Kaiser Permanente Orange County Medical Center","place":["Anaheim, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6089-217X","authenticated-orcid":false,"given":"Chileshe","family":"Nkonde\u2010Price","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Southern California","place":["Pasadena, USA"]},{"name":"Southern California Permanente Medical Group","place":["Pasadena, USA"]},{"name":"Kaiser Permanente West Los Angeles Medical Center","place":["Los Angeles, USA"]},{"name":"Kaiser Permanente Bernard J. 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