COVID-19 en residencias de mayores: factores estructurales y experiencias que avalan un cambio de modelo en España

Odríguez, Pilar Rodríguez; iménez, Elena Gonzalo

doi:10.1016/j.gaceta.2021.09.005

Cited by 6 publications

(2 citation statements)

References 7 publications

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“…A hypothesis to explain the COVID-19 high mortality in the Spanish NHs is the insufficient resources that cause low staff and functional deficiencies; thus, regional NHs deaths were associated with large sizes, high occupancy rate, and high resident places/staff ratio [36]. This is consistent with the information about low salaries and temporary hiring of NH staff [37].…”

Section: Discussionsupporting

confidence: 76%

Incidence, Mortality, and Risk Factors of COVID-19 in Nursing Homes

Arnedo-Pena

Romeu-Garcia²,

Gascó-Laborda³

et al. 2022

Epidemiologia

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During the period from March 2020 to January 2021, we performed an analysis of incidence, mortality, and risk factors of COVID-19 in nursing homes (NHs) in two health departments (HDs) of Castellon (Spain) 2021 through epidemiological surveillance and an ecological design. Laboratory-confirmed COVID-19 cases, cumulative incidence rate (CIR), and mortality rate (MR) of 27 NHs were collected. Information of residents, staff, and facilities was obtained by questionnaire. Multilevel Poisson regression models were applied. All NHs in the HDs participated with 2229 residents (median: 83 years old, 67.3% women) and 1666 staff. Among residents, 815 cases (CIR: 34.8 per 100) and 202 deaths (MR: 8.7 per 100, case fatality 21.0%) were reported and, among staff, 296 cases (CIR: 19.2 per 100) without deaths. Residents’ CIR and MR increased with staff CIR, age of the building, residents/staff ratios, occupancy rate, and crowding index; CIR increased with private NH ownership, large NH size, large urban area, and the percentage of women residents; and MR was associated with residents’ severe disabilities. In conclusion, several risk factors of COVID-19 incidence and mortality can be prevented by improving infection and quality controls, ameliorating residents/staff ratios, improving structural facilities, and increasing NH public ownership to avoid new outbreaks.

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Section: Discussionsupporting

confidence: 76%

Incidence, Mortality, and Risk Factors of COVID-19 in Nursing Homes

Arnedo-Pena

Romeu-Garcia²,

Gascó-Laborda³

et al. 2022

Epidemiologia

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“…Pese a la escasa financiación, la red de residencias y centros ha crecido a un importante ritmo en los últimos 10 años, pero en condiciones de calidad muy heterogéneas 32 , 33 . Existen otros modelos de atención residencial alternativos al actual sobre los que cabe ir avanzando 37 , 38 . Sin embargo, un incremento progresivo en la dotación de viviendas comunitarias, apartamentos tutelados u otras fórmulas habitacionales no es óbice para que la fórmula principal de cohabitación comunitaria de personas mayores siga siendo durante un plazo, mayor o menor, no muy diferente del actual marco residencial.…”

Section: Lecciones Aprendidasunclassified

Impacto de la COVID-19 en la atención sociosanitaria: el caso de las residencias. Informe SESPAS 2022

Oliva

Peña-Longobardo

2022

Gaceta Sanitaria

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Gesundheitliche und soziodemografische Determinanten der Übersterblichkeit in spanischen Pflegeheimen während der COVID-19-Pandemie: eine 2-jährige prospektive Längsschnittstudie

Escribà-Salvans,

Jerez-Roig,

Farrés-Godayol

et al. 2024

Z Gerontol Geriat

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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. Method Design: A 2-year prospective longitudinal multicentre study was conducted between 2020 and 2022. Setting: This study involved 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, sociodemographic and health data were collected. For the effect on 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 years). 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). Conclusion 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.

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COVID-19 en residencias de mayores: factores estructurales y experiencias que avalan un cambio de modelo en España

Cited by 6 publications

References 7 publications

Incidence, Mortality, and Risk Factors of COVID-19 in Nursing Homes

Incidence, Mortality, and Risk Factors of COVID-19 in Nursing Homes

Impacto de la COVID-19 en la atención sociosanitaria: el caso de las residencias. Informe SESPAS 2022

Gesundheitliche und soziodemografische Determinanten der Übersterblichkeit in spanischen Pflegeheimen während der COVID-19-Pandemie: eine 2-jährige prospektive Längsschnittstudie

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