{
  "abstract": "Background: Home-based telerehabilitation (HBTCR) may address access barriers to center-based cardiac rehabilitation (CBCR) after coronary artery bypass grafting (CABG). However, real-world comparative evidence on objectively verified adherence and functional recovery, with careful confounding control, remains sparse. This observational cohort study compared session completion and 12-week functional outcomes between HBTCR and CBCR in post-CABG patients using routine clinical data.\n\nMethods: This single-center observational cohort screened 288 patients and identified 195 potentially eligible post-CABG patients (February 2024–February 2025). After excluding 28 patients with unresolved rehabilitation exposure, 167 patients (56 HBTCR, 54 CBCR, 57 usual care) formed the propensity-score estimation cohort, adjusted for 25 baseline covariates with generalized propensity scores and overlap weighting. The primary complete-case analysis included 105 patients (35 per group) with complete 12-week follow-up. The primary outcome was objectively verified session completion (% of 36 prescribed sessions). The key clinical outcome was 12-week VO ₂ peak, analyzed via weighted ANCOVA. Results are reported as adjusted differences with 95% CIs.\n\nResults: After weighting, covariates were well balanced (all SMDs <0.10). HBTCR showed significantly higher objectively verified session completion than CBCR (87.7% vs. 78.5%; overlap-weighted difference 9.1 percentage points, 95% CI: 4.4 to 13.7; P < 0.001). The adjusted HBTCR–CBCR difference in 12-week VO ₂ peak was small and not statistically significant (0.17 mL/kg/min, 95% CI: −0.50 to 0.84; P = 0.616). Both active rehabilitation groups showed substantially larger 12-week VO ₂ peak gains than usual care (adjusted differences >4.0 mL/kg/min).\n\nConclusion: Among post-CABG patients who chose HBTCR or CBCR in routine practice, those choosing HBTCR had higher objectively verified session completion and comparable observed 12-week improvement in VO ₂ peak. These findings support HBTCR as a feasible option for patients who prefer or require home-based rehabilitation because of work, travel, or scheduling constraints. Formal equivalence was not tested, and the clinical meaningfulness and cost-effectiveness of this delivery model warrant further evaluation.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Cardiovascular Surgery, The First Hospital of Hebei Medical University",
    "Department of Cardiac Function Rehabilitation, The First Hospital of Hebei Medical University",
    "Department of Otorhinolaryngology Head and Neck Surgery, Shijiazhuang People’s Hospital",
    "Department of Thoracic Surgery, The First Hospital of Hebei Medical University"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Yan Liu"
    },
    {
      "affs": [
        0
      ],
      "name": "Xugang Wang"
    },
    {
      "affs": [
        1
      ],
      "name": "Cuihua Wang"
    },
    {
      "affs": [
        2
      ],
      "name": "Minjuan Zhang"
    },
    {
      "affs": [
        0
      ],
      "name": "Manman Kong"
    },
    {
      "affs": [
        3
      ],
      "name": "Meng Wang"
    },
    {
      "affs": [
        0
      ],
      "name": "Jingjing Ma"
    },
    {
      "affs": [
        0
      ],
      "name": "Huili Liu"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/fxj07vnsr5f1k.bib",
  "cited_by": 0,
  "doi": "10.3389/fcvm.2026.1947232",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13716574/?tool=EBI",
  "id": "fxj07vnsr5f1k",
  "issns": [
    "2297-055X"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fcvm.2026.1947232/full",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "2705|Cardiac Health and Mental Health"
    ]
  ],
  "openalex": "W7222162980",
  "pdf_url": "https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2026.1947232/pdf",
  "pmcid": "PMC13716574",
  "pmid": "42959032",
  "published": "2026-10-15",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/fxj07vnsr5f1k.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:10Z",
      "native_id": "10.3389/fcvm.2026.1947232",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fcvm.2026.1947232/full"
    },
    {
      "first_seen": "2026-10-31T00:20:37Z",
      "native_id": "PMC:PMC13716574",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13716574"
    },
    {
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      "native_id": "MED:42959032",
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      "url": "https://europepmc.org/article/MED/42959032"
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    {
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Cardiac Health and Mental Health",
      "subfield": "cardiovascular"
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  ],
  "title": "Home-based telerehabilitation after CABG: higher objectively verified adherence and 12-week functional outcomes in a single-center observational cohort",
  "title_text": "Home-based telerehabilitation after CABG: higher objectively verified adherence and 12-week functional outcomes in a single-center observational cohort",
  "type": "peer-reviewed",
  "updated_at": "2026-11-02T12:21:04Z",
  "url": "https://research.draconitic.com/paper/fxj07vnsr5f1k",
  "venue": "Frontiers in Cardiovascular Medicine",
  "versions": []
}