Health and sociodemographic determinants of excess mortality in Spanish nursing homes during the COVID-19 pandemic : a 2-year prospective longitudinal study
© 2024. The Author(s)..
BACKGROUND: Age, multimorbidity, immunodeficiency and frailty of older people living in nursing homes make them vulnerable to COVID-19 and overall mortality.
OBJECTIVE: To estimate overall and COVID-19 mortality parameters and analyse their predictive factors in older people living in nursing homes over a 2-year period.
METHOD: Design: A 2-year prospective longitudinal multicentre study was conducted between 2020 and 2022.
SETTING: This study involved five nursing homes in Central Catalonia (Spain).
PARTICIPANTS: Residents aged 65 years or older who lived in the nursing homes on a permanent basis.
MEASUREMENTS: Date and causes of deaths were recorded. In addition, sociodemographic and health data were collected. For the effect on mortality, survival curves were performed using the Kaplan-Meier method and multivariate analysis using Cox regression.
RESULTS: The total sample of 125 subjects had a mean age of 85.10 years (standard deviation = 7.3 years). There were 59 (47.2%) deaths at 24 months (95% confidence interval, CI, 38.6-55.9) and 25 (20.0%) were due to COVID-19, mostly in the first 3 months. In multivariate analysis, functional impairment (hazard ratio, HR 2.40; 95% CI 1.33-4.32) was a significant risk factor for mortality independent of age (HR 1.17; 95% CI 0.69-2.00) and risk of sarcopenia (HR 1.40; 95% CI 0.63-3.12).
CONCLUSION: Almost half of this sample of nursing home residents died in the 2‑year period, and one fifth were attributed to COVID-19. Functional impairment was a risk factor for overall mortality and COVID-19 mortality, independent of age and risk of sarcopenia.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Zeitschrift fur Gerontologie und Geriatrie - (2024) vom: 16. Apr. |
| Sprache: |
Englisch |
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| Weiterer Titel: |
Gesundheitliche und soziodemografische Determinanten der Übersterblichkeit in spanischen Pflegeheimen während der COVID-19-Pandemie: eine 2-jährige prospektive Längsschnittstudie |
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| Beteiligte Personen: |
Escribà-Salvans, Anna [VerfasserIn] |
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| Links: |
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| Themen: |
Aged |
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| Anmerkungen: |
Date Revised 16.04.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1007/s00391-024-02294-4 |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM371144965 |
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| 100 | 1 | |a Escribà-Salvans, Anna |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Health and sociodemographic determinants of excess mortality in Spanish nursing homes during the COVID-19 pandemic |b a 2-year prospective longitudinal study |
| 246 | 3 | 3 | |a Gesundheitliche und soziodemografische Determinanten der Übersterblichkeit in spanischen Pflegeheimen während der COVID-19-Pandemie: eine 2-jährige prospektive Längsschnittstudie |
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| 500 | |a Date Revised 16.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a © 2024. The Author(s). | ||
| 520 | |a BACKGROUND: Age, multimorbidity, immunodeficiency and frailty of older people living in nursing homes make them vulnerable to COVID-19 and overall mortality | ||
| 520 | |a OBJECTIVE: To estimate overall and COVID-19 mortality parameters and analyse their predictive factors in older people living in nursing homes over a 2-year period | ||
| 520 | |a METHOD: Design: A 2-year prospective longitudinal multicentre study was conducted between 2020 and 2022 | ||
| 520 | |a SETTING: This study involved five nursing homes in Central Catalonia (Spain) | ||
| 520 | |a PARTICIPANTS: Residents aged 65 years or older who lived in the nursing homes on a permanent basis | ||
| 520 | |a MEASUREMENTS: Date and causes of deaths were recorded. In addition, sociodemographic and health data were collected. For the effect on mortality, survival curves were performed using the Kaplan-Meier method and multivariate analysis using Cox regression | ||
| 520 | |a RESULTS: The total sample of 125 subjects had a mean age of 85.10 years (standard deviation = 7.3 years). There were 59 (47.2%) deaths at 24 months (95% confidence interval, CI, 38.6-55.9) and 25 (20.0%) were due to COVID-19, mostly in the first 3 months. In multivariate analysis, functional impairment (hazard ratio, HR 2.40; 95% CI 1.33-4.32) was a significant risk factor for mortality independent of age (HR 1.17; 95% CI 0.69-2.00) and risk of sarcopenia (HR 1.40; 95% CI 0.63-3.12) | ||
| 520 | |a CONCLUSION: Almost half of this sample of nursing home residents died in the 2‑year period, and one fifth were attributed to COVID-19. Functional impairment was a risk factor for overall mortality and COVID-19 mortality, independent of age and risk of sarcopenia | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Aged | |
| 650 | 4 | |a Long-term care | |
| 650 | 4 | |a Pandemic | |
| 650 | 4 | |a Predictive factors | |
| 650 | 4 | |a Survival | |
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| 700 | 1 | |a Farrés-Godayol, Pau |e verfasserin |4 aut | |
| 700 | 1 | |a Bezerra de Souza, Dyego Leandro |e verfasserin |4 aut | |
| 700 | 1 | |a Skelton, Dawn A |e verfasserin |4 aut | |
| 700 | 1 | |a Minobes-Molina, Eduard |e verfasserin |4 aut | |
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