{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T19:40:21Z","timestamp":1790106021609,"version":"4.0.1"},"reference-count":44,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T00:00:00Z","timestamp":1724630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["jacc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JACC: Advances"],"published-print":{"date-parts":[[2024,10]]},"DOI":"10.1016\/j.jacadv.2024.101274","type":"journal-article","created":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T04:37:18Z","timestamp":1726807038000},"page":"101274","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Impact of Frailty and Delirium Among Older Adults Admitted With Acute Decompensated Heart\u00a0Failure"],"prefix":"10.1016","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6394-2543","authenticated-orcid":false,"given":"Jorge A.","family":"Irizarry-Caro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0424-8858","authenticated-orcid":false,"given":"Manish","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Namit","family":"Rohant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7474-3737","authenticated-orcid":false,"given":"Parag","family":"Goyal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8774-6416","authenticated-orcid":false,"given":"Abdulla A.","family":"Damluji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James N.","family":"Kirkpatrick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min Ji","family":"Kwak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"9","key":"10.1016\/j.jacadv.2024.101274_bib1","doi-asserted-by":"crossref","first-page":"e139","DOI":"10.1161\/CIR.0000000000000757","article-title":"Heart disease and stroke statistics-2020 update: a report from the American heart association","volume":"141","author":"Virani","year":"2020","journal-title":"Circulation"},{"issue":"14","key":"10.1016\/j.jacadv.2024.101274_bib2","doi-asserted-by":"crossref","first-page":"1510","DOI":"10.1016\/j.jacc.2013.01.022","article-title":"Lifetime risk for heart failure among white and black Americans: cardiovascular lifetime risk pooling project","volume":"61","author":"Huffman","year":"2013","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"9","key":"10.1016\/j.jacadv.2024.101274_bib3","first-page":"1140","article-title":"Heart failure in older adults","volume":"32","author":"Butrous","year":"2016","journal-title":"Can J Cardiol"},{"key":"10.1016\/j.jacadv.2024.101274_bib4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ahj.2020.02.004","article-title":"Specificity of administrative coding for older adults with acute heart failure hospitalizations","volume":"223","author":"Cooper","year":"2020","journal-title":"Am Heart J"},{"issue":"1","key":"10.1016\/j.jacadv.2024.101274_bib5","first-page":"74","article-title":"Comorbidities and mortality associated with hospitalized heart failure in Canada","volume":"28","author":"Dai","year":"2012","journal-title":"Can J Cardiol"},{"issue":"12","key":"10.1016\/j.jacadv.2024.101274_bib6","article-title":"National trends in admission and in-hospital mortality of patients with heart failure in the United States (2001-2014)","volume":"6","author":"Akintoye","year":"2017","journal-title":"J\u00a0Am Heart Assoc"},{"issue":"12","key":"10.1016\/j.jacadv.2024.101274_bib7","first-page":"718","article-title":"Heart failure mortality compared between elderly and non-elderly Thai patients","volume":"15","author":"Krittayaphong","year":"2018","journal-title":"J\u00a0Geriatr Cardiol"},{"issue":"3","key":"10.1016\/j.jacadv.2024.101274_bib8","doi-asserted-by":"crossref","first-page":"150","DOI":"10.4235\/agmr.21.0082","article-title":"Delirium in frail older adults","volume":"25","author":"Kwak","year":"2021","journal-title":"Ann Geriatr Med Res"},{"issue":"1","key":"10.1016\/j.jacadv.2024.101274_bib9","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1093\/ageing\/afaa219","article-title":"Prevalence of frailty in 62 countries across the world: a systematic review and meta-analysis of population-level studies","volume":"50","author":"O'Caoimh","year":"2021","journal-title":"Age Ageing"},{"issue":"15","key":"10.1016\/j.jacadv.2024.101274_bib10","doi-asserted-by":"crossref","first-page":"1456","DOI":"10.1056\/NEJMcp1605501","article-title":"Delirium in hospitalized older adults","volume":"377","author":"Marcantonio","year":"2017","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.jacadv.2024.101274_bib11","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.ejim.2016.03.005","article-title":"The geriatric management of frailty as paradigm of \"The end of the disease era\"","volume":"31","author":"Cesari","year":"2016","journal-title":"Eur J Intern Med"},{"issue":"6","key":"10.1016\/j.jacadv.2024.101274_bib12","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/j.jamda.2013.03.022","article-title":"Frailty consensus: a call to action","volume":"14","author":"Morley","year":"2013","journal-title":"J\u00a0Am Med Dir Assoc"},{"key":"10.1016\/j.jacadv.2024.101274_bib13","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.ejim.2019.09.008","article-title":"The relationship among frailty, delirium and attentional tests to detect delirium: a cohort study","volume":"70","author":"Bellelli","year":"2019","journal-title":"Eur J Intern Med"},{"issue":"4","key":"10.1016\/j.jacadv.2024.101274_bib14","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/j.cardfail.2020.12.007","article-title":"Delirium among hospitalized older adults with acute heart failure exacerbation","volume":"27","author":"Kwak","year":"2021","journal-title":"J\u00a0Card Fail"},{"issue":"12","key":"10.1016\/j.jacadv.2024.101274_bib15","doi-asserted-by":"crossref","first-page":"1953","DOI":"10.1016\/j.amjcard.2016.03.046","article-title":"Comparison of frequency of frailty and severely impaired physical function in patients >\/=60 Years hospitalized with acute decompensated heart failure versus chronic stable heart failure with reduced and preserved left ventricular ejection fraction","volume":"117","author":"Reeves","year":"2016","journal-title":"Am J Cardiol"},{"issue":"4","key":"10.1016\/j.jacadv.2024.101274_bib16","doi-asserted-by":"crossref","first-page":"2876","DOI":"10.1002\/ehf2.13363","article-title":"Frailty in patients with acute decompensated heart failure in a super-aged regional Japanese cohort","volume":"8","author":"Hamada","year":"2021","journal-title":"ESC Heart Fail"},{"key":"10.1016\/j.jacadv.2024.101274_bib17","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.h2538","article-title":"Outcome of delirium in critically ill patients: systematic review and meta-analysis","volume":"350","author":"Salluh","year":"2015","journal-title":"BMJ"},{"key":"10.1016\/j.jacadv.2024.101274_bib18","author":"Databases"},{"issue":"10132","key":"10.1016\/j.jacadv.2024.101274_bib19","doi-asserted-by":"crossref","first-page":"1775","DOI":"10.1016\/S0140-6736(18)30668-8","article-title":"Development and validation of a Hospital Frailty Risk Score focusing on older people in acute care settings using electronic hospital records: an observational study","volume":"391","author":"Gilbert","year":"2018","journal-title":"Lancet"},{"key":"10.1016\/j.jacadv.2024.101274_bib20","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2022.1056037","article-title":"Association between frailty and short- and long-term mortality in patients with critical acute myocardial infarction: results from MIMIC-IV","volume":"9","author":"Bai","year":"2022","journal-title":"Front Cardiovasc Med"},{"issue":"9","key":"10.1016\/j.jacadv.2024.101274_bib21","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.30959","article-title":"Comparison of multidimensional frailty instruments for estimation of long-term patient-centered outcomes after cardiac surgery","volume":"5","author":"Sun","year":"2022","journal-title":"JAMA Netw Open"},{"issue":"8","key":"10.1016\/j.jacadv.2024.101274_bib22","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1002\/pds.4226","article-title":"Evaluation of algorithms to identify delirium in administrative claims and drug utilization database","volume":"26","author":"Kim","year":"2017","journal-title":"Pharmacoepidemiol Drug Saf"},{"issue":"7","key":"10.1016\/j.jacadv.2024.101274_bib23","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1093\/gerona\/glx229","article-title":"Measuring frailty in Medicare data: development and validation of a claims-based frailty index","volume":"73","author":"Kim","year":"2018","journal-title":"J\u00a0Gerontol A Biol Sci Med Sci"},{"issue":"3","key":"10.1016\/j.jacadv.2024.101274_bib24","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1093\/ageing\/afs021","article-title":"The impact of frailty and delirium on mortality in older inpatients","volume":"41","author":"Eeles","year":"2012","journal-title":"Age Ageing"},{"issue":"10","key":"10.1016\/j.jacadv.2024.101274_bib25","doi-asserted-by":"crossref","first-page":"1524","DOI":"10.1002\/gps.5561","article-title":"Frailty, post-operative delirium and functional status at discharge in patients with hip fracture","volume":"36","author":"Gandossi","year":"2021","journal-title":"Int J Geriatr Psychiatr"},{"issue":"2","key":"10.1016\/j.jacadv.2024.101274_bib26","doi-asserted-by":"crossref","first-page":"175","DOI":"10.36469\/jheor.2020.17423","article-title":"The association of economic outcome and geriatric syndromes among older adults with transcatheter aortic valve replacement (TAVR)","volume":"7","author":"Kwak","year":"2020","journal-title":"J\u00a0Health Econ Outcomes Res"},{"key":"10.1016\/j.jacadv.2024.101274_bib27","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.ijcard.2017.01.153","article-title":"The prevalence of frailty in heart failure: a systematic review and meta-analysis","volume":"236","author":"Denfeld","year":"2017","journal-title":"Int J Cardiol"},{"issue":"2","key":"10.1016\/j.jacadv.2024.101274_bib28","first-page":"209","article-title":"Heart failure and cognitive impairment: challenges and opportunities","volume":"2","author":"Heckman","year":"2007","journal-title":"Clin Interv Aging"},{"issue":"3","key":"10.1016\/j.jacadv.2024.101274_bib29","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1093\/gerona\/glx214","article-title":"Delirium, frailty, and mortality: interactions in a prospective study of hospitalized older people","volume":"73","author":"Dani","year":"2018","journal-title":"J\u00a0Gerontol A Biol Sci Med Sci"},{"issue":"12","key":"10.1016\/j.jacadv.2024.101274_bib30","doi-asserted-by":"crossref","first-page":"1393","DOI":"10.1093\/gerona\/63.12.1393","article-title":"Performance-based functional assessment in older hospitalized patients: feasibility and clinical correlates","volume":"63","author":"Volpato","year":"2008","journal-title":"J\u00a0Gerontol A Biol Sci Med Sci"},{"issue":"7","key":"10.1016\/j.jacadv.2024.101274_bib31","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1002\/ejhf.518","article-title":"Prevalence and prognostic impact of frailty and its components in non-dependent elderly patients with heart failure","volume":"18","author":"Vidan","year":"2016","journal-title":"Eur J Heart Fail"},{"issue":"17","key":"10.1016\/j.jacadv.2024.101274_bib32","doi-asserted-by":"crossref","first-page":"e263","DOI":"10.1016\/j.jacc.2021.12.012","article-title":"2022 AHA\/ACC\/HFSA guideline for the management of heart failure: a report of the American college of cardiology\/American heart association joint committee on clinical practice guidelines","volume":"79","author":"Heidenreich","year":"2022","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"6","key":"10.1016\/j.jacadv.2024.101274_bib33","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1016\/j.cardfail.2017.04.007","article-title":"Cognitive impairment and heart failure: systematic review and meta-analysis","volume":"23","author":"Cannon","year":"2017","journal-title":"J\u00a0Card Fail"},{"issue":"1","key":"10.1016\/j.jacadv.2024.101274_bib34","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1177\/1474515118800113","article-title":"Social isolation is associated with 90-day rehospitalization due to heart failure","volume":"18","author":"Saito","year":"2019","journal-title":"Eur J Cardiovasc Nurs"},{"issue":"5","key":"10.1016\/j.jacadv.2024.101274_bib35","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1002\/ehf2.12300","article-title":"Prospective assessment of combined handgrip strength and Mini-Cog identifies hospitalized heart failure patients at increased post-hospitalization risk","volume":"5","author":"Joyce","year":"2018","journal-title":"ESC Heart Fail"},{"issue":"4","key":"10.1016\/j.jacadv.2024.101274_bib36","article-title":"Delirium in the cardiac intensive care unit","volume":"7","author":"Ibrahim","year":"2018","journal-title":"J\u00a0Am Heart Assoc"},{"issue":"3","key":"10.1016\/j.jacadv.2024.101274_bib37","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1177\/00912174211028019","article-title":"Impact of delirium on mortality in patients hospitalized for heart failure","volume":"57","author":"Ritchie","year":"2022","journal-title":"Int J Psychiatr Med"},{"issue":"1","key":"10.1016\/j.jacadv.2024.101274_bib38","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1186\/s12877-020-01928-7","article-title":"Delirium is associated with high mortality in older adult patients with acute decompensated heart failure","volume":"20","author":"Pak","year":"2020","journal-title":"BMC Geriatr"},{"issue":"3","key":"10.1016\/j.jacadv.2024.101274_bib39","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1016\/j.amjcard.2011.03.059","article-title":"Usefulness of acute delirium as a predictor of adverse outcomes in patients >65 years of age with acute decompensated heart failure","volume":"108","author":"Uthamalingam","year":"2011","journal-title":"Am J Cardiol"},{"issue":"12","key":"10.1016\/j.jacadv.2024.101274_bib40","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1016\/j.cardfail.2016.10.009","article-title":"Skilled nursing facility care for patients with heart failure: can we make it \"heart failure ready?\"","volume":"22","author":"Orr","year":"2016","journal-title":"J\u00a0Card Fail"},{"issue":"3","key":"10.1016\/j.jacadv.2024.101274_bib41","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.37968","article-title":"Delirium and functional recovery in patients discharged to skilled nursing facilities after hospitalization for heart failure","volume":"4","author":"Madrigal","year":"2021","journal-title":"JAMA Netw Open"},{"issue":"4","key":"10.1016\/j.jacadv.2024.101274_bib42","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1001\/jamainternmed.2014.7779","article-title":"Effectiveness of multicomponent nonpharmacological delirium interventions: a meta-analysis","volume":"175","author":"Hshieh","year":"2015","journal-title":"JAMA Intern Med"},{"issue":"12","key":"10.1016\/j.jacadv.2024.101274_bib43","doi-asserted-by":"crossref","first-page":"941","DOI":"10.7326\/0003-4819-113-12-941","article-title":"Clarifying confusion: the confusion assessment method. A new method for detection of delirium","volume":"113","author":"Inouye","year":"1990","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.jacadv.2024.101274_bib44","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1016\/j.ijcard.2016.07.236","article-title":"Prevalence, determinants, and prognostic significance of delirium in patients with acute heart failure","volume":"222","author":"Honda","year":"2016","journal-title":"Int J Cardiol"}],"container-title":["JACC: Advances"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2772963X24005052?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2772963X24005052?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T23:45:36Z","timestamp":1770335136000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2772963X24005052"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":44,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["S2772963X24005052"],"URL":"https:\/\/doi.org\/10.1016\/j.jacadv.2024.101274","relation":{},"ISSN":["2772-963X"],"issn-type":[{"value":"2772-963X","type":"print"}],"subject":[],"published":{"date-parts":[[2024,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Impact of Frailty and Delirium Among Older Adults Admitted With Acute Decompensated Heart\u00a0Failure","name":"articletitle","label":"Article Title"},{"value":"JACC: Advances","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jacadv.2024.101274","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation.","name":"copyright","label":"Copyright"}],"article-number":"101274"}}