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Understanding the Covid-19 Pandemic in Nursing Homes (Aragón, Spain)

Sociodemographic and Clinical Factors Associated With Hospitalization and Mortality

Bibliographic Data

ID22076896
AuthorsIsabel Aguilar‐Palacio (0000-0001-7293-701X, Universidad de Zaragoza, corresponding author), Isabel Aguilar-Palacio, Lina Maldonado (0000-0003-1647-3462, Universidad de Zaragoza), Iván Marcos-Campos (Instituto de Investigación Sanitaria Aragón), Sara Castel-Feced (0000-0002-5064-3763, Universidad de Zaragoza), Sara Malo (0000-0003-3561-0610, Universidad de Zaragoza), Carlos Aibar Remón (0000-0001-9714-8105, Universidad de Zaragoza), Carlos Aibar, MaJosé Rabanaque (Universidad de Zaragoza)
Year2022
Volume10
Pages928174-928174
Publication date2022-07-07
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.928174
PMID35875036
OpenAlexW4284696759
LanguageEN
Citations received2
References cited35

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

Comorbidity · Dementia · Diabetes mellitus · Disease · Environmental health · Logistic regression · Pandemic · Population · Retrospective cohort study · Socioeconomic status · COVID-19 and Mental Health · Frailty in Older Adults · Geriatric Care and Nursing Homes · Medicine · Emergency Medicine · Gerontology · Internal Medicine · Pediatrics

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Citations per year0.5
Citation span2022 - 2024 (3)
Highly citedNo

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