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Risk Factors for COVID-19 Morbidity and Mortality in Institutionalised Elderly People

Background: SARS-CoV-2 has caused a high mortality in institutionalised individuals. There are very few studies on the involvement and the real impact of COVID-19 in nursing homes. This study analysed factors related to morbidity and mortality of COVID-19 in institutionalised elderly people. Methods...

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Autores principales: Burgaña Agoües, Ander, Serra Gallego, Marta, Hernández Resa, Raquel, Joven Llorente, Beatriz, Lloret Arabi, Maria, Ortiz Rodriguez, Jessica, Puig Acebal, Helena, Campos Hernández, Mireia, Caballero Ayala, Itziar, Pavón Calero, Pedro, Losilla Calle, Montserrat, Bueno Nieto, Rosario, Oliver Messeguer, Laura, Madridejos Mora, Rosa, Abellana Sangrà, Rosa, Perez-Porcuna, Tomás M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8507792/
https://www.ncbi.nlm.nih.gov/pubmed/34639522
http://dx.doi.org/10.3390/ijerph181910221
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author Burgaña Agoües, Ander
Serra Gallego, Marta
Hernández Resa, Raquel
Joven Llorente, Beatriz
Lloret Arabi, Maria
Ortiz Rodriguez, Jessica
Puig Acebal, Helena
Campos Hernández, Mireia
Caballero Ayala, Itziar
Pavón Calero, Pedro
Losilla Calle, Montserrat
Bueno Nieto, Rosario
Oliver Messeguer, Laura
Madridejos Mora, Rosa
Abellana Sangrà, Rosa
Perez-Porcuna, Tomás M.
author_facet Burgaña Agoües, Ander
Serra Gallego, Marta
Hernández Resa, Raquel
Joven Llorente, Beatriz
Lloret Arabi, Maria
Ortiz Rodriguez, Jessica
Puig Acebal, Helena
Campos Hernández, Mireia
Caballero Ayala, Itziar
Pavón Calero, Pedro
Losilla Calle, Montserrat
Bueno Nieto, Rosario
Oliver Messeguer, Laura
Madridejos Mora, Rosa
Abellana Sangrà, Rosa
Perez-Porcuna, Tomás M.
author_sort Burgaña Agoües, Ander
collection PubMed
description Background: SARS-CoV-2 has caused a high mortality in institutionalised individuals. There are very few studies on the involvement and the real impact of COVID-19 in nursing homes. This study analysed factors related to morbidity and mortality of COVID-19 in institutionalised elderly people. Methods: This cohort study included 842 individuals from 12 nursing homes in Sant Cugat del Vallès (Spain) from 15 March to 15 May 2020. We evaluated individual factors (demographic, dependence, clinical, and therapeutic) and those related to the nursing homes (size and staff) associated with infection and mortality by SARS-CoV-2. Infection was diagnosed by molecular biology test. Results: Of the 842 residents included in the analysis, 784 underwent a Polymerase Chain Reaction (PCR) test; 74.2% were women, the mean age was 87.1 years, and 11.1% died. The PCR test was positive in 44%. A total of 33.4% of the residents presented symptoms compatible with COVID-19 and of these, 80.9% were PCR-positive for SARS-CoV-2. Infection by SARS-CoV-2 among residents was associated with the rate of staff infected in the homes. Mortality by SARS-CoV-2 was related to male sex and a greater grade of dependence measured with the Barthel index. Conclusions: SARS-Cov-2 infection in institutionalised people is associated with the infection rate in nursing home workers and mortality by SARS-Cov-2 with sex and greater dependency according to the Barthel index. Adequate management of nursing home staff and special attention to measures of infection control, especially of individuals with greater dependence, are keys for successful management of future pandemic situations.
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spelling pubmed-85077922021-10-13 Risk Factors for COVID-19 Morbidity and Mortality in Institutionalised Elderly People Burgaña Agoües, Ander Serra Gallego, Marta Hernández Resa, Raquel Joven Llorente, Beatriz Lloret Arabi, Maria Ortiz Rodriguez, Jessica Puig Acebal, Helena Campos Hernández, Mireia Caballero Ayala, Itziar Pavón Calero, Pedro Losilla Calle, Montserrat Bueno Nieto, Rosario Oliver Messeguer, Laura Madridejos Mora, Rosa Abellana Sangrà, Rosa Perez-Porcuna, Tomás M. Int J Environ Res Public Health Article Background: SARS-CoV-2 has caused a high mortality in institutionalised individuals. There are very few studies on the involvement and the real impact of COVID-19 in nursing homes. This study analysed factors related to morbidity and mortality of COVID-19 in institutionalised elderly people. Methods: This cohort study included 842 individuals from 12 nursing homes in Sant Cugat del Vallès (Spain) from 15 March to 15 May 2020. We evaluated individual factors (demographic, dependence, clinical, and therapeutic) and those related to the nursing homes (size and staff) associated with infection and mortality by SARS-CoV-2. Infection was diagnosed by molecular biology test. Results: Of the 842 residents included in the analysis, 784 underwent a Polymerase Chain Reaction (PCR) test; 74.2% were women, the mean age was 87.1 years, and 11.1% died. The PCR test was positive in 44%. A total of 33.4% of the residents presented symptoms compatible with COVID-19 and of these, 80.9% were PCR-positive for SARS-CoV-2. Infection by SARS-CoV-2 among residents was associated with the rate of staff infected in the homes. Mortality by SARS-CoV-2 was related to male sex and a greater grade of dependence measured with the Barthel index. Conclusions: SARS-Cov-2 infection in institutionalised people is associated with the infection rate in nursing home workers and mortality by SARS-Cov-2 with sex and greater dependency according to the Barthel index. Adequate management of nursing home staff and special attention to measures of infection control, especially of individuals with greater dependence, are keys for successful management of future pandemic situations. MDPI 2021-09-28 /pmc/articles/PMC8507792/ /pubmed/34639522 http://dx.doi.org/10.3390/ijerph181910221 Text en © 2021 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
Burgaña Agoües, Ander
Serra Gallego, Marta
Hernández Resa, Raquel
Joven Llorente, Beatriz
Lloret Arabi, Maria
Ortiz Rodriguez, Jessica
Puig Acebal, Helena
Campos Hernández, Mireia
Caballero Ayala, Itziar
Pavón Calero, Pedro
Losilla Calle, Montserrat
Bueno Nieto, Rosario
Oliver Messeguer, Laura
Madridejos Mora, Rosa
Abellana Sangrà, Rosa
Perez-Porcuna, Tomás M.
Risk Factors for COVID-19 Morbidity and Mortality in Institutionalised Elderly People
title Risk Factors for COVID-19 Morbidity and Mortality in Institutionalised Elderly People
title_full Risk Factors for COVID-19 Morbidity and Mortality in Institutionalised Elderly People
title_fullStr Risk Factors for COVID-19 Morbidity and Mortality in Institutionalised Elderly People
title_full_unstemmed Risk Factors for COVID-19 Morbidity and Mortality in Institutionalised Elderly People
title_short Risk Factors for COVID-19 Morbidity and Mortality in Institutionalised Elderly People
title_sort risk factors for covid-19 morbidity and mortality in institutionalised elderly people
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8507792/
https://www.ncbi.nlm.nih.gov/pubmed/34639522
http://dx.doi.org/10.3390/ijerph181910221
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