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Comparing the Clinical Characteristics and Mortality of Residential and Non-Residential Older People with COVID-19: Retrospective Observational Study

Author

Listed:
  • Francesc X. Marin-Gomez

    (Health Promotion in Rural Areas Research Group, Gerència Territorial de la Catalunya Central, Institut Català de la Salut, 08772 St. Fruitós de Bages, Spain
    Unitat de Suport a la Recerca de la Catalunya Central, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina, 08772 St. Fruitós de Bages, Spain
    Faculty of Medicine, University of Vic-Central University of Catalonia (UVIC-UCC), 08500 Vic, Spain)

  • Jacobo Mendioroz-Peña

    (Health Promotion in Rural Areas Research Group, Gerència Territorial de la Catalunya Central, Institut Català de la Salut, 08772 St. Fruitós de Bages, Spain
    COVID-19 Response Unit, Department of Health, Generalitat de Catalunya, 08005 Barcelona, Spain)

  • Miguel-Angel Mayer

    (Research Programme on Biomedical Informatics (GRIB), Hospital del Mar Medical Research Institute (IMIM), Universitat Pompeu Fabra, 08003 Barcelona, Spain)

  • Leonardo Méndez-Boo

    (Sistemes d’Informació dels Serveis d’Atenció Primària (SISAP), Institut Català de la Salut (ICS), 08007 Barcelona, Spain)

  • Núria Mora

    (Sistemes d’Informació dels Serveis d’Atenció Primària (SISAP), Institut Català de la Salut (ICS), 08007 Barcelona, Spain
    Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), 08007 Barcelona, Spain)

  • Eduardo Hermosilla

    (Sistemes d’Informació dels Serveis d’Atenció Primària (SISAP), Institut Català de la Salut (ICS), 08007 Barcelona, Spain
    Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), 08007 Barcelona, Spain)

  • Ermengol Coma

    (Sistemes d’Informació dels Serveis d’Atenció Primària (SISAP), Institut Català de la Salut (ICS), 08007 Barcelona, Spain)

  • Josep-Maria Vilaseca

    (Faculty of Medicine, University of Vic-Central University of Catalonia (UVIC-UCC), 08500 Vic, Spain)

  • Angela Leis

    (Research Programme on Biomedical Informatics (GRIB), Hospital del Mar Medical Research Institute (IMIM), Universitat Pompeu Fabra, 08003 Barcelona, Spain)

  • Manolo Medina

    (Sistemes d’Informació dels Serveis d’Atenció Primària (SISAP), Institut Català de la Salut (ICS), 08007 Barcelona, Spain)

  • Queralt Miró Catalina

    (Unitat de Suport a la Recerca de la Catalunya Central, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina, 08772 St. Fruitós de Bages, Spain)

  • Josep Vidal-Alaball

    (Health Promotion in Rural Areas Research Group, Gerència Territorial de la Catalunya Central, Institut Català de la Salut, 08772 St. Fruitós de Bages, Spain
    Unitat de Suport a la Recerca de la Catalunya Central, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina, 08772 St. Fruitós de Bages, Spain
    Faculty of Medicine, University of Vic-Central University of Catalonia (UVIC-UCC), 08500 Vic, Spain)

Abstract

Nursing homes have accounted for a significant part of SARS-CoV-2 mortality, causing great social alarm. Using data collected from electronic medical records of 1,319,839 institutionalised and non-institutionalised persons ≥ 65 years, the present study investigated the epidemiology and differential characteristics between these two population groups. Our results showed that the form of presentation of the epidemic outbreak, as well as some risk factors, are different among the elderly institutionalised population with respect to those who are not. In addition to a twenty-fold increase in the rate of adjusted mortality among institutionalised individuals, the peak incidence was delayed by approximately three weeks. Having dementia was shown to be a risk factor for death, and, unlike the non-institutionalised group, neither obesity nor age were shown to be significantly associated with the risk of death among the institutionalised. These differential characteristics should be able to guide the actions to be taken by the health administration in the event of a similar infectious situation among institutionalised elderly people.

Suggested Citation

  • Francesc X. Marin-Gomez & Jacobo Mendioroz-Peña & Miguel-Angel Mayer & Leonardo Méndez-Boo & Núria Mora & Eduardo Hermosilla & Ermengol Coma & Josep-Maria Vilaseca & Angela Leis & Manolo Medina & Quer, 2022. "Comparing the Clinical Characteristics and Mortality of Residential and Non-Residential Older People with COVID-19: Retrospective Observational Study," IJERPH, MDPI, vol. 19(1), pages 1-18, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:1:p:483-:d:716366
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    References listed on IDEAS

    as
    1. Joanna Broad & Merryn Gott & Hongsoo Kim & Michal Boyd & He Chen & Martin Connolly, 2013. "Erratum to: Where do people die? An international comparison of the percentage of deaths occurring in hospital and residential aged care settings in 45 populations, using published and available stati," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(2), pages 327-327, April.
    2. Jiaoli Cai & Hongzhong Zhao & Peter C. Coyte, 2017. "Socioeconomic Differences and Trends in the Place of Death among Elderly People in China," IJERPH, MDPI, vol. 14(10), pages 1-16, October.
    3. Joanna Broad & Merryn Gott & Hongsoo Kim & Michal Boyd & He Chen & Martin Connolly, 2013. "Where do people die? An international comparison of the percentage of deaths occurring in hospital and residential aged care settings in 45 populations, using published and available statistics," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(2), pages 257-267, April.
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    Cited by:

    1. Şengül Akdeniz & Mustafa Çoban & Orhan Koç & Mehtap Pekesen & Nilufer Korkmaz Yaylagul & Seda Sönmez & Filiz Yetiz & Gülüşan Özgün Başıbüyük & Mehmet Efe & Ayşe Dericioğulları Ergun & Özlem Özgür & Me, 2022. "Determination of Workload, Work Stress and Related Factors in Nursing Home Workers during the COVID-19 Pandemic in Turkey," IJERPH, MDPI, vol. 20(1), pages 1-13, December.

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