2020
DOI: 10.21203/rs.2.22586/v1
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What Lies Beneath: Clinical and Resource-use Characteristics of Institutionalized Older People. A Retrospective, Population-based Cohort Study in Catalonia

Abstract: BackgroundPlanning population care in a specific health care setting requires deep knowledge of the clinical characteristics of the target care recipients, which tend to be country specific. Our area virtually lacks any descriptive, far-reaching publications about institutionalized older people (IOP). We aimed to investigate the demographic and clinical characteristics of institutionalized older people (IOP) ≥65 years old and compare them with those of the rest of the population of the same age.MethodsRetrospe… Show more

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Cited by 4 publications
(4 citation statements)
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“…It is estimated that the mortality rate is four times higher than for non-institutionalized individuals. The institutionalized population must be a priority for preventive actions due to their vulnerability to respiratory diseases and the coexistence of several people in small, common spaces [34]. Another population at risk includes health professionals.…”
Section: Plos Onementioning
confidence: 99%
“…It is estimated that the mortality rate is four times higher than for non-institutionalized individuals. The institutionalized population must be a priority for preventive actions due to their vulnerability to respiratory diseases and the coexistence of several people in small, common spaces [34]. Another population at risk includes health professionals.…”
Section: Plos Onementioning
confidence: 99%
“…Unfortunately, there is a lack of official data on the causes and characteristics of their deaths. According to a population-based cohort study before the COVID-19 pandemic, the profile of individuals living in NHs in Catalonia is made up of 72% women and 28% men, with a mean age of 86 years and an annual mortality of 20% (Amblàs-Novellas et al, 2020a). NH residents present high multimorbidity, with a 46% prevalence of dementia and high complexity, and 51% have high risk-adjusted morbidity, based on the Adjusted Morbidity Groups (AMG) classification.…”
Section: Introductionmentioning
confidence: 99%
“…There were restrictions on visits and involvement in decision-making processes, leading to social isolation and loneliness (Ickert et al, 2021). The combination of multiple factors had systemic and individual effects (Amblàs-Novellas et al, 2020a;Aronson, 2020;Hand et al, 2018;Lansbury et al, 2017). These measures had a significant impact that could be as devastating as the primary disease itself, or even greater (Aronson, 2020;Galea et al, 2020;Pfefferbaum & North, 2020;Thompson et al, 2006), especially in end-of-life situations (Simard & Volicer, 2020;Verbeek et al, 2020).…”
Section: Introductionmentioning
confidence: 99%
“…La actual pandemia por coronavirus SARS-CoV-2 (causante de la enfermedad COVID-19) se ha ensañado especialmente con las personas mayores, grupo en el que se han concentrado más del 85% de casos de muerte por esta enfermedad 1 . En este contexto, la COVID-19 ha irrumpido de forma severa en las residencias geriátricas, donde viven y se concentran un gran número de personas de edad avanzada (87 años de edad media), con gran multimorbilidad (46% de personas con demencia), complejidad (51% de grupos de morbilidad ajustados [GMA] de alto riesgo), y una alta prevalencia de situación de final de vida (54%), con una mortalidad anual global superior al 20% 2,3 .…”
Section: Introductionunclassified