{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:58:22Z","timestamp":1783490302164,"version":"3.55.0"},"reference-count":38,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2019,2,28]],"date-time":"2019-02-28T00:00:00Z","timestamp":1551312000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Academic Medical Organization of Southwestern Ontario - Opportunities Fund","award":["F13-004"],"award-info":[{"award-number":["F13-004"]}]},{"name":"Western University\u2019s Department of Medicine\u2019s Program of Experimental Medicine","award":["n\/a"],"award-info":[{"award-number":["n\/a"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Community-based hybrid cardiac rehabilitation (CR) programs offer a viable alternative to conventional centre-based CR, however their long-term benefits are unknown. We conducted a secondary analysis of the CR Participation Study conducted in London, Ontario, between 2003 and 2006. CR eligible patients hospitalized for a major cardiac event, who resided within 60 min, were referred to a hybrid CR program; 381 of 544 (64%) referred patients initiated CR; an additional 1,498 CR eligible patients were not referred due to distance. For the present study, CR participants were matched using propensity scores to CR eligible non-participants who resided beyond 60 min, yielding 214 matched pairs. Subjects were followed for a mean (standard deviation, SD) of 8.56 (3.38) years for the outcomes of mortality or re-hospitalization for a major cardiac event. Hybrid CR participation was associated with a non-significant 16% lower event rate (Hazard Ratio [HR]: 0.84, 95% CI: 0.59\u20131.17). When restricting to pairs where CR participants achieved a greater than 0.5 metabolic equivalent exercise capacity increase (123 pairs), CR completion was associated with a 51% lower event rate (HR: 0.49, 95% CI: 0.29\u20130.81). Successful completion of a community-based hybrid CR program may be associated with decreased long-term mortality or recurrent cardiac events.<\/jats:p>","DOI":"10.3390\/jcm8030290","type":"journal-article","created":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T03:33:00Z","timestamp":1551411180000},"page":"290","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Importance of Completing Hybrid Cardiac Rehabilitation for Long-Term Outcomes: A Real-World Evaluation"],"prefix":"10.3390","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5456-1351","authenticated-orcid":false,"given":"Neville G.","family":"Suskin","sequence":"first","affiliation":[{"name":"Lawson Heath Research Institute, Department of Medicine, Division of Cardiology, Western University, London, Ontario, ON N6A 5A5, Canada"},{"name":"Institute for Clinical Evaluative Sciences, London, Ontario, ON N6A 5W9, Canada"},{"name":"Department of Epidemiology and Biostatistics, Western University, London, Ontario, ON N6A 5C1, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salimah Z.","family":"Shariff","sequence":"additional","affiliation":[{"name":"Institute for Clinical Evaluative Sciences, London, Ontario, ON N6A 5W9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit X.","family":"Garg","sequence":"additional","affiliation":[{"name":"Institute for Clinical Evaluative Sciences, London, Ontario, ON N6A 5W9, Canada"},{"name":"Department of Epidemiology and Biostatistics, Western University, London, Ontario, ON N6A 5C1, Canada"},{"name":"Department of Medicine, Division of Nephrology, Western University, London, Ontario, ON N6A 5W9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Reid","sequence":"additional","affiliation":[{"name":"Institute for Clinical Evaluative Sciences, London, Ontario, ON N6A 5W9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Unsworth","sequence":"additional","affiliation":[{"name":"St. Josephs Health Care, London, Ontario, ON N6A 4V2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0806-7966","authenticated-orcid":false,"given":"Peter L.","family":"Prior","sequence":"additional","affiliation":[{"name":"Lawson Heath Research Institute; Department of Psychology, Western University, London, Ontario, ON N6A 4V2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Alter","sequence":"additional","affiliation":[{"name":"Institute for Clinical Evaluative Sciences, London, Ontario, ON N6A 5W9, Canada"},{"name":"University Health Network, Toronto Rehabilitation Institute, Cardiovascular Prevention &amp; Rehabilitation Program, Toronto, Ontario, ON M4G 2V6, Canada"},{"name":"Department of Medicine and Institute of Health Policy, Management and Evaluation Health Policy Management &amp; Evaluation, University of Toronto, Toronto, Ontario, ON M5T 3M6, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2019,2,28]]},"reference":[{"key":"ref_1","first-page":"E1","article-title":"2013 ACCF\/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: Executive Summary: A Report of the American College of Cardiology Foundation\/American Heart Association Task Force on Practice Guidelines","volume":"82","author":"Kushner","year":"2013","journal-title":"Catheter. 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