{"doi":"10.1111/jgs.19420","title":"Functional Trajectories After <scp>COVID</scp> ‐19 Hospitalization Among Older Adults","abstract":"BACKGROUND: Little is known about functional trajectories among older adults who survive hospitalization for coronavirus disease 2019 (COVID-19). We characterized these trajectories over 6 months following discharge and evaluated the associations of potential risk factors with trajectory membership. METHODS: Participants were community-dwelling adults ≥ 60 years of age hospitalized for COVID-19 from June 2020 to June 2021. Interviews completed at 1, 3, and 6 months 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. RESULTS: 311 participants (mean age 71.3 years) were included. Four different functional trajectories were identified: no (43%), mild (16%), moderate (23%), and severe (18%) disability. The pre-admission count of disabilities was independently associated with membership in each non-reference trajectory. Additional factors independently associated with the moderate trajectory included in-hospital delirium (OR 4.12 [95% CI 1.11-15.4]), frailty (OR 1.67 [95% CI 1.12-2.50]) and number of comorbidities (OR 1.41 [95% CI 1.12-1.79]) and with the severe trajectory included in-hospital delirium (OR 12.4 [95% CI 1.93-79.4]), frailty (OR 2.01 [95% CI 1.11-3.62]), number of comorbidities (OR 1.59 [95% 1.11-2.28]), severity of illness (OR 1.46 [95% CI 1.09-1.95]), and age (OR 1.10 [95% CI 1.02-1.18]). CONCLUSIONS: Older survivors of COVID-19 hospitalization experience distinct functional trajectories. Our findings may help inform shared medical decision-making during and after hospitalization and stimulate further research into modifiable risk factors.","journal":"Journal of the American Geriatrics Society","year":2025,"id":550318,"datarank":0.16479184330021646,"base_score":1.0986122886681096,"endowment":1.0986122886681096,"self_citation_contribution":0.16479184330021646,"citation_network_contribution":0.0,"self_endowment_contribution":0.16479184330021646,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.665,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":514945,"name":"Gail McAvay","orcid":"0000-0002-1442-6294","position":1,"is_corresponding":false},{"id":513335,"name":"Terrence E. Murphy","orcid":"0000-0002-9649-517X","position":2,"is_corresponding":false},{"id":1445937,"name":"Denise Acampora","orcid":null,"position":3,"is_corresponding":false},{"id":243943,"name":"Katy Araujo","orcid":null,"position":4,"is_corresponding":false},{"id":536559,"name":"Mary Geda","orcid":"0000-0002-9129-4432","position":5,"is_corresponding":false},{"id":242022,"name":"Thomas M. Gill","orcid":"0000-0002-6450-0368","position":6,"is_corresponding":false},{"id":376142,"name":"Alexandra M. Hajduk","orcid":"0000-0002-5800-347X","position":7,"is_corresponding":false},{"id":517372,"name":"Andrew Cohen","orcid":"0000-0001-9161-8436","position":8,"is_corresponding":false},{"id":302429,"name":"Lauren E. Ferrante","orcid":"0000-0003-1345-1225","position":9,"is_corresponding":false},{"id":975625,"name":"Jim Q. Ho","orcid":"0009-0001-8343-1310","position":0,"is_corresponding":true}],"reference_count":26,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T02:54:16.596730Z","pmid":"40096163","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}