{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T20:33:47Z","timestamp":1777149227596,"version":"3.51.4"},"reference-count":44,"publisher":"Elsevier BV","issue":"11","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2027,3,24]],"date-time":"2027-03-24T00:00:00Z","timestamp":1805846400000},"content-version":"am","delay-in-days":388,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jacc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JACC"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.jacc.2025.11.033","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T15:12:31Z","timestamp":1769008351000},"page":"1313-1323","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Hospitalizations and Mortality Among Medicare Beneficiaries at Cardiovascular Risk"],"prefix":"10.1016","volume":"87","author":[{"given":"Rishi K.","family":"Wadhera","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.J.","family":"Waken","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fengxian","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose F.","family":"Figueroa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khavya C.","family":"Avula","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. John","family":"Orav","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnold M.","family":"Epstein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3779-8653","authenticated-orcid":false,"given":"Karen E.","family":"Joynt Maddox","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.jacc.2025.11.033_bib1","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1001\/jama.2020.9972","article-title":"Admissions to Veterans Affairs hospitals for emergency conditions during the Covid-19 pandemic","volume":"324","author":"Baum","year":"2020","journal-title":"JAMA"},{"issue":"3","key":"10.1016\/j.jacc.2025.11.033_bib2","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1016\/j.jacc.2020.05.038","article-title":"Fewer hospitalizations for acute cardiovascular conditions during the Covid-19 pandemic","volume":"76","author":"Bhatt","year":"2020","journal-title":"J Am Coll Cardiol"},{"issue":"12","key":"10.1016\/j.jacc.2025.11.033_bib3","doi-asserted-by":"crossref","first-page":"1419","DOI":"10.1001\/jamacardio.2020.3629","article-title":"Case rates, treatment approaches, and outcomes in acute myocardial infarction during the coronavirus disease 2019 pandemic","volume":"5","author":"Gluckman","year":"2020","journal-title":"JAMA Cardiol"},{"issue":"7","key":"10.1016\/j.jacc.2025.11.033_bib4","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1056\/NEJMc2015630","article-title":"The Covid-19 pandemic and the incidence of acute myocardial infarction","volume":"383","author":"Solomon","year":"2020","journal-title":"N Engl J Med"},{"issue":"17","key":"10.1016\/j.jacc.2025.11.033_bib5","doi-asserted-by":"crossref","first-page":"1786","DOI":"10.1001\/jama.2021.5199","article-title":"Excess deaths from Covid-19 and other causes in the US, March 1, 2020, to January 2, 2021","volume":"325","author":"Woolf","year":"2021","journal-title":"JAMA"},{"issue":"2","key":"10.1016\/j.jacc.2025.11.033_bib6","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.jacc.2020.10.055","article-title":"Cardiovascular deaths during the Covid-19 pandemic in the United States","volume":"77","author":"Wadhera","year":"2021","journal-title":"J Am Coll Cardiol"},{"issue":"24","key":"10.1016\/j.jacc.2025.11.033_bib7","doi-asserted-by":"crossref","first-page":"2346","DOI":"10.1161\/CIRCULATIONAHA.121.054378","article-title":"Racial and ethnic disparities in heart and cerebrovascular disease deaths during the Covid-19 pandemic in the United States","volume":"143","author":"Wadhera","year":"2021","journal-title":"Circulation"},{"issue":"4","key":"10.1016\/j.jacc.2025.11.033_bib8","first-page":"367","article-title":"Has the first year of the Covid-19 pandemic reversed the trends in CV mortality between 1999 and 2019 in the United States?","volume":"9","author":"Kobo","year":"2023","journal-title":"Eur Heart J Qual Care Clin Outcomes"},{"issue":"2","key":"10.1016\/j.jacc.2025.11.033_bib9","doi-asserted-by":"crossref","DOI":"10.1001\/jamahealthforum.2023.5058","article-title":"Changes in health care access and preventive health screenings by race and ethnicity","volume":"5","author":"Alba","year":"2024","journal-title":"JAMA Health Forum"},{"issue":"8","key":"10.1016\/j.jacc.2025.11.033_bib10","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCOUTCOMES.121.008612","article-title":"County-level social vulnerability is associated with in-hospital death and major adverse cardiovascular events in patients hospitalized with Covid-19: an analysis of the American Heart Association Covid-19 Cardiovascular Disease Registry","volume":"15","author":"Islam","year":"2022","journal-title":"Circ Cardiovasc Qual Outcomes"},{"issue":"5","key":"10.1016\/j.jacc.2025.11.033_bib12","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1007\/s11606-022-07406-7","article-title":"Racial\/ethnic disparities in delaying or not receiving medical care during the Covid-19 pandemic","volume":"37","author":"Ahmed","year":"2022","journal-title":"J Gen Intern Med"},{"issue":"36","key":"10.1016\/j.jacc.2025.11.033_bib13","doi-asserted-by":"crossref","first-page":"1250","DOI":"10.15585\/mmwr.mm6936a4","article-title":"Delay or avoidance of medical care because of Covid-19\u2013related concerns\u2014United States, June 2020","volume":"69","author":"Czeisler","year":"2020","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"13","key":"10.1016\/j.jacc.2025.11.033_bib15","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1001\/jama.2018.2055","article-title":"Association of a negative wealth shock with all-cause mortality in middle-aged and older adults in the United States","volume":"319","author":"Pool","year":"2018","journal-title":"JAMA"},{"issue":"3","key":"10.1016\/j.jacc.2025.11.033_bib16","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1016\/S0006-3223(03)00568-7","article-title":"Depression and cardiovascular disease: mechanisms of interaction","volume":"54","author":"Joynt","year":"2003","journal-title":"Biol Psychiatry"},{"issue":"15","key":"10.1016\/j.jacc.2025.11.033_bib17","doi-asserted-by":"crossref","first-page":"1794","DOI":"10.1001\/jama.298.15.1794","article-title":"Severe mental illness and risk of cardiovascular disease","volume":"298","author":"Newcomer","year":"2007","journal-title":"JAMA"},{"issue":"4","key":"10.1016\/j.jacc.2025.11.033_bib18","doi-asserted-by":"crossref","first-page":"e232","DOI":"10.1016\/S2468-2667(20)30291-7","article-title":"Social isolation and risk of heart disease and stroke: analysis of two large UK prospective studies","volume":"6","author":"Smith","year":"2021","journal-title":"Lancet Public Health"},{"key":"10.1016\/j.jacc.2025.11.033_bib20","author":"Corum"},{"issue":"5","key":"10.1016\/j.jacc.2025.11.033_bib22","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1111\/1475-6773.14197","article-title":"Assessing the validity of race and ethnicity coding in administrative Medicare data for reporting outcomes among Medicare Advantage beneficiaries from 2015 to 2017","volume":"58","author":"Huang","year":"2023","journal-title":"Health Serv Res"},{"issue":"4","key":"10.1016\/j.jacc.2025.11.033_bib24","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCOUTCOMES.123.010090","article-title":"Community socioeconomic status, acute cardiovascular hospitalizations, and mortality in Medicare, 2003 to 2019","volume":"17","author":"Wadhera","year":"2024","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"10.1016\/j.jacc.2025.11.033_bib25","doi-asserted-by":"crossref","DOI":"10.1016\/j.sste.2019.100301","article-title":"Bayesian hierarchical spatial models: implementing the Besag York Molli\u00e9 model in stan","volume":"31","author":"Morris","year":"2019","journal-title":"Spat Spatiotemporal Epidemiol"},{"issue":"12","key":"10.1016\/j.jacc.2025.11.033_bib26","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCOUTCOMES.123.010516","article-title":"Health care access and cardiovascular risk factor management among working-age US adults during the pandemic","volume":"16","author":"Marinacci","year":"2023","journal-title":"Circ Cardiovasc Qual Outcomes"},{"issue":"6","key":"10.1016\/j.jacc.2025.11.033_bib29","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1093\/jamia\/ocaa067","article-title":"Telehealth transformation: Covid-19 and the rise of virtual care","volume":"27","author":"Wosik","year":"2020","journal-title":"J Am Med Inform Assoc"},{"issue":"9","key":"10.1016\/j.jacc.2025.11.033_bib30","first-page":"1330","article-title":"Systematic review and meta-analysis of respiratory viral triggers for acute myocardial infarction and stroke","volume":"121","author":"Nguyen","year":"2025","journal-title":"Cardiovasc Res"},{"issue":"7862","key":"10.1016\/j.jacc.2025.11.033_bib31","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1038\/s41586-021-03553-9","article-title":"High-dimensional characterization of post-acute sequelae of Covid-19","volume":"594","author":"Al-Aly","year":"2021","journal-title":"Nature"},{"issue":"9","key":"10.1016\/j.jacc.2025.11.033_bib32","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1038\/s41569-020-0413-9","article-title":"Covid-19 and cardiovascular disease: from basic mechanisms to clinical perspectives","volume":"17","author":"Nishiga","year":"2020","journal-title":"Nat Rev Cardiol"},{"issue":"3","key":"10.1016\/j.jacc.2025.11.033_bib33","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1038\/s41591-022-01689-3","article-title":"Long-term cardiovascular outcomes of Covid-19","volume":"28","author":"Xie","year":"2022","journal-title":"Nat Med"},{"issue":"2","key":"10.1016\/j.jacc.2025.11.033_bib34","doi-asserted-by":"crossref","first-page":"260","DOI":"10.7326\/M23-2282","article-title":"Food insecurity among low-income U.S. adults during the Covid-19 pandemic","volume":"177","author":"Troy","year":"2024","journal-title":"Ann Intern Med"},{"issue":"9","key":"10.1016\/j.jacc.2025.11.033_bib35","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1001\/jamapsychiatry.2023.2195","article-title":"Trends in acute care use for mental health conditions among youth during the Covid-19 pandemic","volume":"80","author":"Overhage","year":"2023","journal-title":"JAMA Psychiatry"},{"key":"10.1016\/j.jacc.2025.11.033_bib36","series-title":"The implications of Covid-19 for mental health and substance use","author":"Panchal","year":"2023"},{"issue":"8","key":"10.1016\/j.jacc.2025.11.033_bib37","doi-asserted-by":"crossref","first-page":"1894","DOI":"10.1007\/s11606-021-07090-z","article-title":"Neighborhood socioeconomic disadvantage and mortality among medicare beneficiaries hospitalized for acute myocardial infarction, heart failure, and pneumonia","volume":"37","author":"Hermes","year":"2022","journal-title":"J Gen Intern Med"},{"issue":"2","key":"10.1016\/j.jacc.2025.11.033_bib38","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1001\/jamacardio.2023.4680","article-title":"Neighborhood environmental burden and cardiovascular health in the US","volume":"9","author":"Liu","year":"2024","journal-title":"JAMA Cardiol"},{"issue":"6","key":"10.1016\/j.jacc.2025.11.033_bib39","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.121.022625","article-title":"Impact of the Covid-19 pandemic on patients without Covid-19 with acute myocardial infarction and heart failure","volume":"11","author":"Fox","year":"2022","journal-title":"J Am Heart Assoc"},{"issue":"6","key":"10.1016\/j.jacc.2025.11.033_bib40","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1377\/hlthaff.2020.02464","article-title":"Changes in non\u2013Covid-19 emergency department visits by acuity and insurance status during the Covid-19 pandemic","volume":"40","author":"Yu","year":"2021","journal-title":"Health Aff (Millwood)"},{"issue":"10","key":"10.1016\/j.jacc.2025.11.033_bib41","doi-asserted-by":"crossref","first-page":"e615","DOI":"10.1161\/CIR.0000000000000753","article-title":"Call to action: rural health: a Presidential Advisory from the American Heart Association and American Stroke Association","volume":"141","author":"Harrington","year":"2020","journal-title":"Circulation"},{"issue":"21","key":"10.1016\/j.jacc.2025.11.033_bib42","doi-asserted-by":"crossref","first-page":"2192","DOI":"10.1001\/jama.2020.7197","article-title":"Variation in Covid-19 hospitalizations and deaths across New York City boroughs","volume":"323","author":"Wadhera","year":"2020","journal-title":"JAMA"},{"issue":"10","key":"10.1016\/j.jacc.2025.11.033_bib43","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1001\/jama.2020.14978","article-title":"Allocation of Covid-19 relief funding to disproportionately Black counties","volume":"324","author":"Kakani","year":"2020","journal-title":"JAMA"},{"issue":"9","key":"10.1016\/j.jacc.2025.11.033_bib44","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1377\/hlthaff.2023.00224","article-title":"Medicare switching: patterns of enrollment growth in Medicare Advantage, 2006-22","volume":"42","author":"Xu","year":"2023","journal-title":"Health Aff (Millwood)"},{"issue":"7","key":"10.1016\/j.jacc.2025.11.033_bib45","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1377\/hlthaff.2023.01153","article-title":"Emergency department visits and hospital capacity in the US: trends in the Medicare population during the Covid-19 pandemic","volume":"43","author":"Smulowitz","year":"2024","journal-title":"Health Aff (Millwood)"},{"issue":"1","key":"10.1016\/j.jacc.2025.11.033_bib46","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.jacc.2024.09.1215","article-title":"Rural-urban differences in cardiovascular mortality in the United States, 2010-2022","volume":"85","author":"Marinacci","year":"2025","journal-title":"J Am Coll Cardiol"},{"issue":"2","key":"10.1016\/j.jacc.2025.11.033_bib47","doi-asserted-by":"crossref","first-page":"127","DOI":"10.12788\/jhm.3583","article-title":"Healthcare system stress due to Covid-19: evading an evolving crisis","volume":"16","author":"Karan","year":"2021","journal-title":"J Hosp Med"},{"issue":"2","key":"10.1016\/j.jacc.2025.11.033_bib48","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1001\/jama.2025.6010","article-title":"Changes in physical and mental health after the end of SNAP emergency allotments","volume":"334","author":"Liu","year":"2025","journal-title":"JAMA"},{"issue":"6","key":"10.1016\/j.jacc.2025.11.033_bib49","article-title":"Changes in health care and prescription medication affordability in the US during the Covid-19 pandemic","volume":"5","author":"Mein","year":"2024","journal-title":"JAMA Health Forum"},{"issue":"4","key":"10.1016\/j.jacc.2025.11.033_bib50","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCOUTCOMES.119.005977","article-title":"Association of outpatient practice-level socioeconomic disadvantage with quality of care and outcomes among older adults with coronary artery disease: implications for value-based payment","volume":"13","author":"Wadhera","year":"2020","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"10.1016\/j.jacc.2025.11.033_bib51","doi-asserted-by":"crossref","DOI":"10.1136\/bmj-2023-076222","article-title":"Long term risk of death and readmission after hospital admission with Covid-19 among older adults: retrospective cohort study","volume":"382","author":"Oseran","year":"2023","journal-title":"BMJ"}],"container-title":["JACC"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735109725103380?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735109725103380?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T14:50:03Z","timestamp":1774363803000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0735109725103380"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":44,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["S0735109725103380"],"URL":"https:\/\/doi.org\/10.1016\/j.jacc.2025.11.033","relation":{},"ISSN":["0735-1097"],"issn-type":[{"value":"0735-1097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Hospitalizations and Mortality Among Medicare Beneficiaries at Cardiovascular Risk","name":"articletitle","label":"Article Title"},{"value":"JACC","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jacc.2025.11.033","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 by the American College of Cardiology Foundation. Published by Elsevier.","name":"copyright","label":"Copyright"}]}}