{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T07:54:49Z","timestamp":1791273289341,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Frailty scores should support, not replace, individualized critical care decisions, as the COVID\u201019 pandemic exposed the ethical limitations of rigid frailty\u2010based triage, particularly among older adults and individuals with chronic disability. Meaningful recovery may occur despite severe illness, reinforcing the importance of patient autonomy, multidisciplinary assessment, and holistic clinical judgment.<\/jats:p>","DOI":"10.1002\/ccr3.73448","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:10:02Z","timestamp":1788412202000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Frailty Scores and Ethical Decision\u2010Making in Critical Care: Lessons From the\n                    <scp>COVID<\/scp>\n                    \u201019 Pandemic"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0249-1865","authenticated-orcid":false,"given":"Chukwuka","family":"Elendu","sequence":"first","affiliation":[{"name":"Federal University Teaching Hospital  Owerri Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chidera A.","family":"Okezie\u2010Okoye","sequence":"additional","affiliation":[{"name":"Federal Medical Center, Jabi  Abuja Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed I.","family":"Ali","sequence":"additional","affiliation":[{"name":"Medical Academy Named After S.I. Georgievsky of Vernadsky  Simferopol Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9848-048X","authenticated-orcid":false,"given":"Emeka H.","family":"Okolo","sequence":"additional","affiliation":[{"name":"The Park Hospital  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirabel A.","family":"Bell\u2010Gam","sequence":"additional","affiliation":[{"name":"CUNY Bronx Community College  Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiranraj","family":"Ravikumar","sequence":"additional","affiliation":[{"name":"Belarusian State Medical University  Minsk Belarus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6686-780X","authenticated-orcid":false,"given":"Favour K.","family":"Mbakwe","sequence":"additional","affiliation":[{"name":"Obafemi Awolowo University Teaching Hospitals Complex  Ile\u2010Ife Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"key":"e_1_2_1_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.7710"},{"key":"e_1_2_1_11_3_1","unstructured":"WHO \u201cWHO Director\u2010General's Opening Remarks at the Media Briefing on COVID19\u201311 \u201d(2020) https:\/\/www.who.int\/director\u2010general\/speeches\/detail\/who\u2010director\u2010genera."},{"key":"e_1_2_1_11_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsb2005114"},{"key":"e_1_2_1_11_5_1","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2021\/e2191"},{"key":"e_1_2_1_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054\u2010017\u20101749\u20103"},{"key":"e_1_2_1_11_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2005689"},{"key":"e_1_2_1_11_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.5046"},{"key":"e_1_2_1_11_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010021\u201002138\u20105"},{"key":"e_1_2_1_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(20)30566\u20103"},{"key":"e_1_2_1_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00391\u2010019\u201001584\u20106"},{"key":"e_1_2_1_11_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0963180122000494"},{"key":"e_1_2_1_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000001024"},{"key":"e_1_2_1_11_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.180"},{"key":"e_1_2_1_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.2000.tb03131.x"},{"key":"e_1_2_1_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010006\u20100169\u20107"},{"key":"e_1_2_1_11_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab026"},{"key":"e_1_2_1_11_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000079607.87009.3A"},{"key":"e_1_2_1_11_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ccm.0000155990.35290.03"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.73448","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.73448","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.73448","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T07:38:50Z","timestamp":1791272330000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.73448"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":18,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/ccr3.73448"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.73448","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-05-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e73448"}}