Cargando…
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
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 as...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10296840/ https://www.ncbi.nlm.nih.gov/pubmed/37367184 http://dx.doi.org/10.3390/epidemiologia4020019 |
_version_ | 1785063742679023616 |
---|---|
author | Zunzunegui, Maria Victoria Béland, François García López, Fernando J. |
author_facet | Zunzunegui, Maria Victoria Béland, François García López, Fernando J. |
author_sort | Zunzunegui, Maria Victoria |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10296840 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-102968402023-06-28 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 Zunzunegui, Maria Victoria Béland, François García López, Fernando J. Epidemiologia (Basel) Article 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. MDPI 2023-06-06 /pmc/articles/PMC10296840/ /pubmed/37367184 http://dx.doi.org/10.3390/epidemiologia4020019 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Zunzunegui, Maria Victoria Béland, François García López, Fernando J. 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 |
title | 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 |
title_full | 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 |
title_fullStr | 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 |
title_full_unstemmed | 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 |
title_short | 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 |
title_sort | 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 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10296840/ https://www.ncbi.nlm.nih.gov/pubmed/37367184 http://dx.doi.org/10.3390/epidemiologia4020019 |
work_keys_str_mv | AT zunzuneguimariavictoria restrictionsonhospitalreferralsfromlongtermcarehomesinmadridandcovid19mortalityfrommarchtojune2020asystematicreviewofstudiesconductedinspain AT belandfrancois restrictionsonhospitalreferralsfromlongtermcarehomesinmadridandcovid19mortalityfrommarchtojune2020asystematicreviewofstudiesconductedinspain AT garcialopezfernandoj restrictionsonhospitalreferralsfromlongtermcarehomesinmadridandcovid19mortalityfrommarchtojune2020asystematicreviewofstudiesconductedinspain |