{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T06:44:47Z","timestamp":1773989087347,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K76AG057023"],"award-info":[{"award-number":["K76AG057023"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K76AG059987"],"award-info":[{"award-number":["K76AG059987"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30AG021342"],"award-info":[{"award-number":["P30AG021342"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30AG021342\u201018S1"],"award-info":[{"award-number":["P30AG021342\u201018S1"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR002014"],"award-info":[{"award-number":["UL1TR002014"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Little is known about functional trajectories among older adults who survive hospitalization for coronavirus disease 2019 (COVID\u201019). We characterized these trajectories over 6\u2009months following discharge and evaluated the associations of potential risk factors with trajectory membership.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were community\u2010dwelling adults \u2265\u200960\u2009years of age hospitalized for COVID\u201019 from June 2020 to June 2021. Interviews completed at 1, 3, and 6\u2009months after discharge included assessments for disability in 15 functional activities. Functional trajectories were identified using latent class analysis. Factors associated with trajectory membership were evaluated using multinomial regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>311 participants (mean age 71.3\u2009years) were included. Four different functional trajectories were identified: no (43%), mild (16%), moderate (23%), and severe (18%) disability. The pre\u2010admission count of disabilities was independently associated with membership in each non\u2010reference trajectory. Additional factors independently associated with the moderate trajectory included in\u2010hospital delirium (OR 4.12 [95% CI 1.11\u201315.4]), frailty (OR 1.67 [95% CI 1.12\u20132.50]) and number of comorbidities (OR 1.41 [95% CI 1.12\u20131.79]) and with the severe trajectory included in\u2010hospital delirium (OR 12.4 [95% CI 1.93\u201379.4]), frailty (OR 2.01 [95% CI 1.11\u20133.62]), number of comorbidities (OR 1.59 [95% 1.11\u20132.28]), severity of illness (OR 1.46 [95% CI 1.09\u20131.95]), and age (OR 1.10 [95% CI 1.02\u20131.18]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Older survivors of COVID\u201019 hospitalization experience distinct functional trajectories. Our findings may help inform shared medical decision\u2010making during and after hospitalization and stimulate further research into modifiable risk factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.19420","type":"journal-article","created":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T13:40:00Z","timestamp":1742218800000},"page":"1733-1741","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Functional Trajectories After\n                    <scp>COVID<\/scp>\n                    \u201019 Hospitalization Among Older Adults"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8343-1310","authenticated-orcid":false,"given":"Jim Q.","family":"Ho","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gail 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