Background Elderly people who reside in long-term care facilities form a frail and vulnerable population, with multiple pathologies and high percentages of cognitive and functional disability. Objectives The aims of this study were to assess the safety of vaccination against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in frail nursing home residents and to evaluate its effectiveness 6 months after full vaccination. Design This was an ambispective observational study. Setting Residents of a long-term care facility in Madrid, Spain. Participants One hundred and thirty-seven nursing home residents (81.8% female, mean age 87.77 ± 8.31 years) with high comorbidity (61.3% Charlson Index ≥ 3) and frailty (75% Clinical Frail Scale ≥ 7) who received the BNT162B2 mRNA vaccine. Measurements Safety data were collected to evaluate the type of adverse drug reactions and their duration, severity, and causality. Immunogenicity was tested 6 months after the primary vaccination and effectiveness was evaluated by the incidence of SARS-CoV-2 infection, the number of hospital admissions, and mortality due to coronavirus disease 2019 (COVID-19). Results Safety: Of the residents, 21.9% had some adverse reaction and 5.8% had a severe or more serious adverse reaction. The most frequent adverse reactions were fatigue (13.1%), pyrexia (12.4%), and headache (7.3%). No association was observed between frailty (including a need for palliative care) and clinical, functional or cognitive status of the participants and the occurrence of adverse events. Immunogenicity and Effectiveness : After 6 months of vaccination, only one case of SARS-CoV-2 infection was confirmed in the vaccinated residents. Most of the nursing home residents presented positive serology (95.2%). Loss of immunogenicity was associated with older age (95.12 ± 3.97 vs. 87.24 ± 8.25 years; p = 0.03) and no previous COVID-19 infection (16.6% vs. 70%; p < 0.001). Binary logistic regression models did not reveal this association. Conclusion The BNT162B2 vaccine is well tolerated and effective in nursing home residents, independently of their clinical, functional, cognitive, or frailty characteristics. For the most part, immunogenicity has been maintained over time, regardless of comorbidity, functional status or frailty.

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Resumen Las características personales de los empresarios condicionan el funcionamiento y los resultados de las pequeñas y medianas empresas a nivel microeconómico, determinando junto con otros factores (organizacionales, económicos y del entorno) su calidad emprendedora. A su vez, la calidad emprendedora en un ámbito territorial específico determina la capacidad del tejido empresarial para impulsar el crecimiento y el desarrollo económicos en dicho territorio. Por lo tanto, resulta de gran interés profundizar en el estudio de las características personales de los empresarios de las pymes en un sector como el turístico, que es clave para la economía española y donde la presencia de pymes es abrumadora. Este trabajo presenta resultados empíricos obtenidos a partir de una encuesta dirigida a 1.119 pymes turísticas españolas, de la que se derivan muestras representativas de las tres principales actividades turísticas: hotelería, intermediación turística y restauración. El trabajo proporciona un perfil personal de los pequeños y medianos empresarios turísticos españoles en relación con aspectos como su nivel formativo y experiencia previa, sus motivaciones, actitudes y orientación emprendedora, entre otros aspectos.

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