Coronary disease & ACSCohort study

Cardiac Rehabilitation Utilization Among Veterans

JACC AdvPublished

  • retrospective cohort study
  • national electronic health record database

Authors' conclusion

CR participation among U.S. Veterans remains low, far below that of the Medicare population (10.4% vs 28%), with no significant differences in initiation by sex. However, low socioeconomic status is associated with decreased uptake. Further research is needed to explore innovative, Veteran-specific CR delivery models.

Study context

Population
Cardiac rehabilitation (CR)-eligible Veterans within 1 year of myocardial infarction, percutaneous coronary intervention, or coronary artery bypass surgery, January 1, 2021, to December 31, 2023CR-eligible Veterans (3.6% women)
Participants
82,496 veterans
Exposure
CR participation by sex and socioeconomic status
Outcome
participation in at least 1 CR session
Follow-up
Within 1 year of myocardial infarction, percutaneous coronary intervention, or coronary artery bypass surgery

Main finding

As reported in the abstract

Adjusted odds ratio (95% CI)P value
Women Veterans vs men Veteransadjusted for patient-level and community-level characteristics
0.90(0.79–1.03)
P = 0.121
most deprived ADI quartile vs least deprived quartile
0.82(0.75–0.89)
P < 0.001
Overall CR participation
10.4%

Observational data: associations, not effects.

Original publication

Cardiac Rehabilitation Utilization Among Veterans. JACC Adv. Published 18 February 2026. doi:10.1016/j.jacadv.2026.102615

Summarised from the published abstract; every number is checked against it