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Understanding the COVID-19 Pandemic in Nursing Homes (Aragón, Spain): Sociodemographic and Clinical Factors Associated With Hospitalization and Mortality

Old people residing in nursing homes have been a vulnerable group to the coronavirus disease 2019 (COVID-19) pandemic, with high rates of infection and death. Our objective was to describe the profile of institutionalized patients with a confirmed COVID-19 infection and the socioeconomic and morbidi...

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Autores principales: Aguilar-Palacio, Isabel, Maldonado, Lina, Marcos-Campos, Iván, Castel-Feced, Sara, Malo, Sara, Aibar, Carlos, Rabanaque, MªJosé
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9301241/
https://www.ncbi.nlm.nih.gov/pubmed/35875036
http://dx.doi.org/10.3389/fpubh.2022.928174
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author Aguilar-Palacio, Isabel
Maldonado, Lina
Marcos-Campos, Iván
Castel-Feced, Sara
Malo, Sara
Aibar, Carlos
Rabanaque, MªJosé
author_facet Aguilar-Palacio, Isabel
Maldonado, Lina
Marcos-Campos, Iván
Castel-Feced, Sara
Malo, Sara
Aibar, Carlos
Rabanaque, MªJosé
author_sort Aguilar-Palacio, Isabel
collection PubMed
description Old people residing in nursing homes have been a vulnerable group to the coronavirus disease 2019 (COVID-19) pandemic, with high rates of infection and death. Our objective was to describe the profile of institutionalized patients with a confirmed COVID-19 infection and the socioeconomic and morbidity factors associated with hospitalization and death. We conducted a retrospective cohort study including data from subjects aged 65 years or older residing in a nursing home with a confirmed COVID-19 infection from March 2020 to March 2021 (4,632 individuals) in Aragón (Spain). We analyzed their sociodemographic and clinical profiles and factors related to hospitalization and mortality at 7, 30, and 90 days of COVID-19 diagnosis using logistic regression analyses. We found that the risk of hospitalization and mortality varied according to sociodemographic and morbidity profile. There were inequalities in hospitalization by socioeconomic status and gender. Patients with low contributory pensions and women had a lower risk of hospitalization. Diabetes mellitus, heart failure, and chronic kidney disease were associated with a higher risk of hospitalization. On the contrary, people with dementia showed the highest risk of mortality with no hospitalization. Patient-specific factors must be considered to develop equitable and effective measures in nursing homes to be prepared for future health threats.
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spelling pubmed-93012412022-07-22 Understanding the COVID-19 Pandemic in Nursing Homes (Aragón, Spain): Sociodemographic and Clinical Factors Associated With Hospitalization and Mortality Aguilar-Palacio, Isabel Maldonado, Lina Marcos-Campos, Iván Castel-Feced, Sara Malo, Sara Aibar, Carlos Rabanaque, MªJosé Front Public Health Public Health Old people residing in nursing homes have been a vulnerable group to the coronavirus disease 2019 (COVID-19) pandemic, with high rates of infection and death. Our objective was to describe the profile of institutionalized patients with a confirmed COVID-19 infection and the socioeconomic and morbidity factors associated with hospitalization and death. We conducted a retrospective cohort study including data from subjects aged 65 years or older residing in a nursing home with a confirmed COVID-19 infection from March 2020 to March 2021 (4,632 individuals) in Aragón (Spain). We analyzed their sociodemographic and clinical profiles and factors related to hospitalization and mortality at 7, 30, and 90 days of COVID-19 diagnosis using logistic regression analyses. We found that the risk of hospitalization and mortality varied according to sociodemographic and morbidity profile. There were inequalities in hospitalization by socioeconomic status and gender. Patients with low contributory pensions and women had a lower risk of hospitalization. Diabetes mellitus, heart failure, and chronic kidney disease were associated with a higher risk of hospitalization. On the contrary, people with dementia showed the highest risk of mortality with no hospitalization. Patient-specific factors must be considered to develop equitable and effective measures in nursing homes to be prepared for future health threats. Frontiers Media S.A. 2022-07-07 /pmc/articles/PMC9301241/ /pubmed/35875036 http://dx.doi.org/10.3389/fpubh.2022.928174 Text en Copyright © 2022 Aguilar-Palacio, Maldonado, Marcos-Campos, Castel-Feced, Malo, Aibar and Rabanaque. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Aguilar-Palacio, Isabel
Maldonado, Lina
Marcos-Campos, Iván
Castel-Feced, Sara
Malo, Sara
Aibar, Carlos
Rabanaque, MªJosé
Understanding the COVID-19 Pandemic in Nursing Homes (Aragón, Spain): Sociodemographic and Clinical Factors Associated With Hospitalization and Mortality
title Understanding the COVID-19 Pandemic in Nursing Homes (Aragón, Spain): Sociodemographic and Clinical Factors Associated With Hospitalization and Mortality
title_full Understanding the COVID-19 Pandemic in Nursing Homes (Aragón, Spain): Sociodemographic and Clinical Factors Associated With Hospitalization and Mortality
title_fullStr Understanding the COVID-19 Pandemic in Nursing Homes (Aragón, Spain): Sociodemographic and Clinical Factors Associated With Hospitalization and Mortality
title_full_unstemmed Understanding the COVID-19 Pandemic in Nursing Homes (Aragón, Spain): Sociodemographic and Clinical Factors Associated With Hospitalization and Mortality
title_short Understanding the COVID-19 Pandemic in Nursing Homes (Aragón, Spain): Sociodemographic and Clinical Factors Associated With Hospitalization and Mortality
title_sort understanding the covid-19 pandemic in nursing homes (aragón, spain): sociodemographic and clinical factors associated with hospitalization and mortality
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9301241/
https://www.ncbi.nlm.nih.gov/pubmed/35875036
http://dx.doi.org/10.3389/fpubh.2022.928174
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