TY - JOUR
AU - Escriba-Salvans, Anna
AU - Jerez-Roig, Javier
AU - Farres-Godayol, Pau
AU - Bezerra de Souza, Dyego Leandro
AU - Skelton, Dawn A.
AU - Minobes-Molina, Eduard
PY - 2024
DA - March
TI - Health and socio-demographic determinants of over-mortality in Spanish nursing homes during the COVID-19 pandemic: a 2-year prospective longitudinal study
JO - Zeitschrift für Gerontologie und Geriatrie
AB - Background: Age, multimorbidity, immunodeficiency and frailty of older people living in nursing homes make them vulnerable to COVID-19 and overall mortality. Objective: To estimate overall and COVID-19 mortality parameters and analyse their predictive factors in older people living in nursing homes over a 2-year period. Design: A 2-year prospective longitudinal multicentre study was conducted between 2020 and 2022. Setting: Five nursing homes in Central Catalonia (Spain). Participants: Residents aged 65 years or older who lived in the nursing homes on a permanent basis. Measurements: Date and causes of deaths were recorded. In addition, socio-demographic and health data were collected. For the effect of mortality, survival curves were performed using the Kaplan-Meier method and multivariate analysis using Cox regression. Results: The total sample of 125 subjects had a mean age of 85.10 years (standard deviation=7.3). There were 59 (47.2%) deaths at 24 months (95% confidence interval [CI], 38.6-55.9) and 25 (20.0%) were due to COVID-19, mostly in the first 3 months. In multivariate analysis, functional impairment (hazard ratio [HR]: 2.40; 95% CI: 1.33-4.32) was a significant risk factor for mortality independent of age (HR: 1.17; 95% CI: 0.69-2.00) and risk of sarcopenia (HR: 1.40; 95% CI, 0.63-3.12). Conclusions: Almost half of this sample of nursing home residents died in the 2-year period, and one fifth were attributed to COVID-19. Functional impairment was a risk factor for overall mortality and COVID-19 mortality, independent of age and risk of sarcopenia.
PB - Springer Nature
UR - https://researchonline.gcu.ac.uk/en/publications/9c89b5e7-8965-48b8-b6d6-3ffc992a38e8
KW - Coronavirus (COVID-19)
KW - Care homes
ER