ArticleAge and ageing2021
Impact of COVID-19 on care-home mortality and life expectancy in Scotland.
Article in Age and ageing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Dietary nitrate supplementation for preventing and reducing the severity of winter infections, including COVID-19, in care homes (BEET-Winter): a randomised placebo-controlled feasibility trial.European geriatric medicine · 2022Trial
- Bereavement practices within older adult care homes in Scotland: a focus group study.BMJ open · 2026Article
- Mortality in long-term care residents: retrospective national cohort study.BMJ supportive & palliative care · 2025Article
- A scoping review of randomised controlled trials of vaccines that recruited care home residents: lessons for future trials.Age and ageing · 2025Article
- Piloting a minimum data set (MDS) in english care homes: a qualitative study of professional perspectives on implementation and data use.BMC geriatrics · 2025Article
- Article
- Death risk in nursing homes between the prepandemic period and the COVID-19 era: a retrospective cohort study in Murcia Region, Spain.BMJ public health · 2025Article
- Understanding Pathways into Care-homes using Data (UnPiCD study): a two-part model to estimate inpatient and care-home costs using national linked health and social care data.BMC health services research · 2024Article
- Greatest Risk Factor for Death from COVID-19: Older Age, Chronic Disease Burden, or Place of Residence? Descriptive Analysis of Population-Level Canadian Data.International journal of environmental research and public health · 2023Article
- Factors influencing staff attitudes to COVID-19 vaccination in care homes in England: a qualitative study.BMC health services research · 2023Article
- Investigation of hospital discharge cases and SARS-CoV-2 introduction into Lothian care homes.The Journal of hospital infection · 2023Article
- The estimated disease burden of acute COVID-19 in the Netherlands in 2020, in disability-adjusted life-years.European journal of epidemiology · 2022Article
- Years of life lost during the Covid-19 pandemic in Sweden considering variation in life expectancy by level of geriatric care.European journal of epidemiology · 2022Article
- Associations of air pollution with COVID-19 positivity, hospitalisations, and mortality: Observational evidence from UK Biobank.Environmental pollution (Barking, Essex : 1987) · 2022Article
- 'Don't let the trial kill the intervention': how can researchers and care home teams implement complex intervention trials in care homes?Age and ageing · 2022Article
- Estimating US Earnings Loss Associated with COVID-19 Based on Human Capital Calculation.International journal of environmental research and public health · 2022Article
- Are we allowed to visit now? Concerns and issues surrounding vaccination and infection risks in UK care homes during COVID-19.Age and ageing · 2022Article
- Supporting stroke survivors living in care homes: challenges and opportunities for practice development and research.Age and ageing · 2021Article
- Care-home outbreaks of COVID-19 in Scotland March to May 2020: National linked data cohort analysis.Age and ageing · 2021Article
- Impaired Functional T-Cell Response to SARS-CoV-2 After Two Doses of BNT162b2 mRNA Vaccine in Older People.Frontiers in immunology · 2021Article
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Authors and funding
11 authors.
Funding
Abstract
backgroundCOVID-19 deaths are commoner among care-home residents, but the mortality burden has not been quantified.
methodsCare-home residency was identified via a national primary care registration database linked to mortality data. Life expectancy was estimated using Makeham-Gompertz models to (i) describe yearly life expectancy from November 2015 to October 2020 (ii) compare life expectancy (during 2016-18) between care-home residents and the wider population and (iii) apply care-home life expectancy estimates to COVID-19 death counts to estimate years of life lost (YLL).
resultsAmong care-home residents, life expectancy in 2015/16 to 2019/20 ranged from 2.7 to 2.3 years for women and 2.3 to 1.8 years for men. Age-sex-specific life expectancy in 2016-18 in care-home residents was lower than in the Scottish population (10 and 2.5 years in those aged 70 and 90, respectively). Applying care home-specific life expectancies to COVID-19 deaths yield mean YLLs for care-home residents of 2.6 and 2.2 for women and men, respectively. In total YLL care-home residents have lost 3,560 years in women and 2,046 years in men. Approximately half of deaths and a quarter of YLL attributed to COVID-19 were accounted for by the 5% of over-70s who were care-home residents.
conclusionCOVID-19 infection has led to the loss of substantial years of life in care-home residents aged 70 years and over in Scotland. Prioritising the 5% of older adults who are care-home residents for vaccination is justified not only in terms of total deaths, but also in terms of YLL.
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