Risk factors associated with COVID-19 infection and mortality in nursing homes

Telleria, Idoia Beobide; Ferro-Uriguen, Alexander; Lucas, Esther Laso; Menicucci, Cinzia Sannino; Barroso, Maria Enriquez; Arregui, Adolfo López de Munaín

doi:10.1016/j.aprim.2022.102463

Cited by 5 publications

(5 citation statements)

References 20 publications

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“…The environmental factors frequently associated with mortality include occupancy, levels of crowding [2,25,56,64,93,97,103,116], the larger size of the facility or the number of beds in the LTCF [2,32,33,62,63,65], the location of the LTCF [2,21,24,62,86], higher community or county incidences [60,77,80,103,112], and structural design of the rooms or number of beds in a room [21,25,66,112].…”

Section: Discussionmentioning

confidence: 99%

“…Several factors frequently linked to mortality include male sex [20,24,29,32,46,51,52,54,55,[58][59][60]62,68,98,101,103], age [24,29,32,33,46,51,53,55,[58][59][60]66,68,75,98,[101][102][103]115], dependency and level of care needed, [2,20,32,44,46,54,56,63,101,103,110,113,116], cognitive deterioration [20,29,…”

Section: Individual Factors Related To Covid-19-related Deathsmentioning

confidence: 99%

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Drivers of COVID-19 Outcomes in Long-Term Care Facilities Using Multi-Level Analysis: A Systematic Review

Karimi-Dehkordi,

Hanson,

Silvius

et al. 2024

Healthcare

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This study aimed to identify the individual, organizational, and environmental factors which contributed to COVID-19-related outcomes in long-term care facilities (LTCFs). A systematic review was conducted to summarize and synthesize empirical studies using a multi-level analysis approach to address the identified influential factors. Five databases were searched on 23 May 2023. To be included in the review, studies had to be published in peer-reviewed journals or as grey literature containing relevant statistical data. The Joanna Briggs Institute critical appraisal tool was employed to assess the methodological quality of each article included in this study. Of 2137 citations identified after exclusions, 99 records met the inclusion criteria. The predominant individual, organizational, and environmental factors that were most frequently found associated with the COVID-19 outbreak comprised older age, higher dependency level; lower staffing levels and lower star and subset domain ratings for the facility; and occupancy metrics and co-occurrences of outbreaks in counties and communities where the LTCFs were located, respectively. The primary individual, organizational, and environmental factors frequently linked to COVID-19-related deaths comprised age, and male sex; higher percentages of racial and ethnic minorities in LTCFs, as well as ownership types (including private, for-profit, and chain membership); and higher occupancy metrics and LTCF’s size and bed capacity, respectively. Unfolding the risk factors collectively may mitigate the risk of outbreaks and pandemic-related mortality in LTCFs during future endemic and pandemics through developing and improving interventions that address those significant factors.

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Section: Discussionmentioning

confidence: 99%

Section: Individual Factors Related To Covid-19-related Deathsmentioning

confidence: 99%

Drivers of COVID-19 Outcomes in Long-Term Care Facilities Using Multi-Level Analysis: A Systematic Review

Karimi-Dehkordi,

Hanson,

Silvius

et al. 2024

Healthcare

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“…Finally, 11 studies were included. Their characteristics are shown in Table 2 [ 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ].…”

Section: Methodsmentioning

confidence: 99%

“…Finally, 11 studies were included. Their characteristics are shown in Table 2 [8][9][10][11][12][13][14][15][16][17][18][19][20]. An active search of official epidemiological publications for each of the 17 regions of Spain was undertaken.…”

Section: Methodsmentioning

confidence: 99%

“…During the third week of March, COVID-19 patients occupied almost 50% of acute hospital beds, and by the end of March occupancy was over 100%. On 12 March 2020, the Ministry of Health of the Government of the CoM made their "Plan of Action Against Coronavirus" public [3]. This included the intention to medicalize LTCHs and established that residents infected by SARS-CoV-2 would be treated at LTCHs.…”

Section: Com Health Policy On Ltchs During the First Two Months Of Th...mentioning

confidence: 99%

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Restrictions on Hospital Referrals from Long-Term Care Homes in Madrid and COVID-19 Mortality from March to June 2020: A Systematic Review of Studies Conducted in Spain

2023

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In March 2020, a ministerial directive issued by the Government of the Community of Madrid (CoM) in Spain included disability-based exclusion criteria and recommendations against hospital referral of patients with respiratory conditions living in long-term care homes (LTCHs). Our objective was to assess whether the hospitalization mortality ratio (HMR) is greater than unity, as would be expected had the more severe COVID-19 cases been hospitalized. Thirteen research publications were identified in this systematic review of mortality by place of death of COVID-19-diagnosed LTCH residents in Spain. In the two CoM studies, the HMRs were 0.9 (95%CI 0.8;1.1) and 0.7 (95%CI 0.5;0.9), respectively. Outside of the CoM, in 9 out of 11 studies, the reported HMRs were between 1.7 and 5, with lower 95% CI limits over one. Evaluation of the disability-based triage of LTCH residents during March–April 2020 in public hospitals in the CoM should be conducted.

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Electronic health records reveal that COVID-19 impacted health resources and survival of Basque population

Cruces-Salguero,

Larrañaga,

Mar

et al. 2024

Aging Clin Exp Res

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Background The COVID-19 pandemic impacted worldwide. The Basque Country was one of the regions in Spain most affected by the virus. Methods In this retrospective study, we took advantage of the Basque Health Service electronic health records data lake of over 20,000 deceased individuals, including 5000 positives for COVID-19, between 2020 and 2022 in Gipuzkoa (Basque Country, Spain). Results Comparison between COVID-19-positive and negative individuals’ showed that the prevalence of infections was higher inside nursing homes and COVID-19 promoted a significant rise in hospitalizations, emergency entrances, and ICU admissions. No differences were observed between genders in terms of infections or survival but were detected in health resources and vaccination showed a strong protective effect against the disease. Conclusions Our results provided a complete characterization of the impact of COVID-19 on the Basque population, which expands the knowledge of the pandemic on older individuals and the health system. Our study also highlights the benefit of the use of Electronic Health Records in studying human diseases.

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Risk factors associated with COVID-19 infection and mortality in nursing homes

Cited by 5 publications

References 20 publications

Drivers of COVID-19 Outcomes in Long-Term Care Facilities Using Multi-Level Analysis: A Systematic Review

Drivers of COVID-19 Outcomes in Long-Term Care Facilities Using Multi-Level Analysis: A Systematic Review

Restrictions on Hospital Referrals from Long-Term Care Homes in Madrid and COVID-19 Mortality from March to June 2020: A Systematic Review of Studies Conducted in Spain

Electronic health records reveal that COVID-19 impacted health resources and survival of Basque population

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