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Timeline of COVID-19 Incidence and Mortality among Residents and Staff of South Carolina Long-term Care Facilities

The COVID-19 pandemic has disproportionately impacted older adults living in long-term care facilities (LTCFs), but little research has described parallel infection rates and mortality among LTCF residents and staff in relation to state-level mitigation measures. This study used comprehensive COVID-...

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Autores principales: Lohman, Matthew, Resciniti, Nicholas, Fuller, Morgan, Sellner, Joshua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8681547/
http://dx.doi.org/10.1093/geroni/igab046.2713
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author Lohman, Matthew
Resciniti, Nicholas
Fuller, Morgan
Sellner, Joshua
author_facet Lohman, Matthew
Resciniti, Nicholas
Fuller, Morgan
Sellner, Joshua
author_sort Lohman, Matthew
collection PubMed
description The COVID-19 pandemic has disproportionately impacted older adults living in long-term care facilities (LTCFs), but little research has described parallel infection rates and mortality among LTCF residents and staff in relation to state-level mitigation measures. This study used comprehensive COVID-19 tracking data from the South Carolina Department of Health and Environmental Control (SCDHEC), including case report information on demographics, symptoms, comorbidities, and employment. We included all confirmed or probable COVID-19 cases and deaths among adult SC residents reported between 3/15/2020 and 1/2/2021. Residence or employment in LTCF, including nursing homes, assisted living, or skilled nursing facilities, were confirmed by SCDHEC. Cox proportional hazards models were used to compare mortality between residents/staff and counterparts in the community. Overall, 54,514 cases of COVID-19 were identified among older adults in SC. Of these, 13.5% (n = 7,366) resided in a LTCF. LTCF residents with COVID-19 were more likely to be hospitalized compared to older adults in the community and 74% more likely to die (HR= 1.74, 95% CI: 1.59-1.90), after controlling for age, gender, race, and chronic health conditions. LTCF staff had greater infection rates but lower risk of mortality (HR=0.58; 95% CI: 0.39-0.88) compared to the general population. Differences in COVID-19 incidence and mortality between residents/staff and the community decreased after statewide mitigation policies. This study indicates that LTCF residents are at increased risk of COVID infection and mortality, even accounting for pre-existing health conditions. LTCF settings are key sites for prioritizing prevention, vaccination, and training plans to prepare for future pandemics.
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spelling pubmed-86815472021-12-17 Timeline of COVID-19 Incidence and Mortality among Residents and Staff of South Carolina Long-term Care Facilities Lohman, Matthew Resciniti, Nicholas Fuller, Morgan Sellner, Joshua Innov Aging Abstracts The COVID-19 pandemic has disproportionately impacted older adults living in long-term care facilities (LTCFs), but little research has described parallel infection rates and mortality among LTCF residents and staff in relation to state-level mitigation measures. This study used comprehensive COVID-19 tracking data from the South Carolina Department of Health and Environmental Control (SCDHEC), including case report information on demographics, symptoms, comorbidities, and employment. We included all confirmed or probable COVID-19 cases and deaths among adult SC residents reported between 3/15/2020 and 1/2/2021. Residence or employment in LTCF, including nursing homes, assisted living, or skilled nursing facilities, were confirmed by SCDHEC. Cox proportional hazards models were used to compare mortality between residents/staff and counterparts in the community. Overall, 54,514 cases of COVID-19 were identified among older adults in SC. Of these, 13.5% (n = 7,366) resided in a LTCF. LTCF residents with COVID-19 were more likely to be hospitalized compared to older adults in the community and 74% more likely to die (HR= 1.74, 95% CI: 1.59-1.90), after controlling for age, gender, race, and chronic health conditions. LTCF staff had greater infection rates but lower risk of mortality (HR=0.58; 95% CI: 0.39-0.88) compared to the general population. Differences in COVID-19 incidence and mortality between residents/staff and the community decreased after statewide mitigation policies. This study indicates that LTCF residents are at increased risk of COVID infection and mortality, even accounting for pre-existing health conditions. LTCF settings are key sites for prioritizing prevention, vaccination, and training plans to prepare for future pandemics. Oxford University Press 2021-12-17 /pmc/articles/PMC8681547/ http://dx.doi.org/10.1093/geroni/igab046.2713 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Lohman, Matthew
Resciniti, Nicholas
Fuller, Morgan
Sellner, Joshua
Timeline of COVID-19 Incidence and Mortality among Residents and Staff of South Carolina Long-term Care Facilities
title Timeline of COVID-19 Incidence and Mortality among Residents and Staff of South Carolina Long-term Care Facilities
title_full Timeline of COVID-19 Incidence and Mortality among Residents and Staff of South Carolina Long-term Care Facilities
title_fullStr Timeline of COVID-19 Incidence and Mortality among Residents and Staff of South Carolina Long-term Care Facilities
title_full_unstemmed Timeline of COVID-19 Incidence and Mortality among Residents and Staff of South Carolina Long-term Care Facilities
title_short Timeline of COVID-19 Incidence and Mortality among Residents and Staff of South Carolina Long-term Care Facilities
title_sort timeline of covid-19 incidence and mortality among residents and staff of south carolina long-term care facilities
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8681547/
http://dx.doi.org/10.1093/geroni/igab046.2713
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