A 2-year pandemic period analysis of facility and county-level characteristics of nursing home coronavirus deaths in the United States, January 1, 2020–December 18, 2021

Nursing home residents are highly susceptible to COVID-19 infection and complications. We used a generalized linear mixed Poisson model and spatial statistics to examine the determinants of COVID-19 deaths in 13,350 nursing homes in the first 2-year pandemic period using the Centers for Medicare and...

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Detalles Bibliográficos
Autores principales: Iyanda, Ayodeji Emmanuel, Boakye, Kwadwo Adu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2022
Materias:
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8858698/
https://www.ncbi.nlm.nih.gov/pubmed/35248837
http://dx.doi.org/10.1016/j.gerinurse.2022.02.013
Descripción
Sumario:Nursing home residents are highly susceptible to COVID-19 infection and complications. We used a generalized linear mixed Poisson model and spatial statistics to examine the determinants of COVID-19 deaths in 13,350 nursing homes in the first 2-year pandemic period using the Centers for Medicare and Medicaid Services and county-level related data. The average prevalence of COVID-19 mortality among residents was 9.02 (Interquartile range = 10.18) per 100 nursing home beds in the first 2-year of the pandemic. Fully-adjusted mixed model shows that nursing homes COVID-19 deaths reduced by 5% (Q2 versus Q1: IRR = 0.949, 95% CI 0.901– 0.999), 14.4% (Q3 versus Q1: IRR = 0.815, 95% CI 0.718 – 0.926), and 25% (Q2 versus Q1: IRR = 0.751, 95% CI 0.701– 0.805) of facility ratings. Spatial analysis showed a significant hotspot of nursing home COVID-19 deaths in the Northeast US. This study contributes to nursing home quality assessment for improving residents' health.

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