KANSAS CITY, Missouri (AP) — Cleveland Guardians manager Terry Francona remained hospitalized overnight for observation after feeling ill before before Tuesday night’s game against the Kansas City Royals.

The 64-year-old Francona was taken to The University of Kansas Health Systems to be evaluated “out of an abundance of caution” given his medical history, the team said. Francona missed much of the 2020 and 2021 seasons due to a variety of physical issues.

Without Francona, the Guardians rallied to beat the Royals 2-1. Afterward, a team spokesman said Francona is being kept for evaluation. The team will not provide any further updates until Wednesday.


Francona handled all his usual pregame media duties and was on the field for batting practice before needing medical attention. He was seen by personnel at Kauffman Stadium before being transported to the hospital.

Bench coach DeMarlo Hale, who has filled in for Francona in the past, managed the Guardians in the opener of the three-game series. Hale managed Cleveland for the final 63 games in 2021.

Hale said Francona called him into his office about 15 minutes before the game and told him he wasn’t feeling well.

The all-time winningest manager in Cleveland history, Francona is in his 11th season with the Guardians. He won two World Series titles with the Boston Red Sox in 2004 and 2007.

Francona has an open-ended contract with the Guardians, who have committed to him as their manager as long as he’s able and willing to keep the job. Cleveland has made the playoffs six times in his tenure, making it to the World Series in 2016.

Francona had several procedures for stomach issues in 2020 before he stepped aside after just 14 games into a season delayed by the COVID-19 pandemic. First-base coach Sandy Alomar took over and guided the Guardians to a postseason berth.

Francona underwent surgery after getting a staph infection in his toe in 2021 and was forced to leave the team.

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