Evidence map›Paper›PMID 33957890›Full record

ArticleBMC geriatrics2021

Dying from COVID-19 in nursing homes-sex differences in symptom occurrence.

Lisa Martinsson, Peter Strang, Jonas Bergström, Staffan Lundström

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05341271 (The Effect of Digital Reminiscence Therapy on People With Mild and Moderate Dementia), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05341271 naunknown statusnot on this mapstarted 2022, after this paper: background citation

The Effect of Digital Reminiscence Therapy on People With Mild and Moderate Dementia: A Randomized Controlled Trial.

TypeinterventionalSponsorNational Taipei University of Nursing and Health SciencesRan2022 to 2023Enrolled186ConditionsDementiaArmsExperimental: digital reminiscence group (DRG), Experimental: general reminiscence group (GRG)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Lisa MartinssonDepartment of Radiation Sciences, Umeå University, SE-90187, Umeå, Sweden. lisa.martinsson@umu.se.
Peter StrangDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Jonas BergströmPalliative Care Unit, Stockholms Sjukhem Foundation, Stockholm, Sweden.
Staffan LundströmDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Swedish Foundation for Strategic Research · SEUmeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19), is a disease with diverse presentation. Several studies have shown different occurrence of symptoms for women and men, but no studies have been found examining sex differences in clinical presentation for nursing home residents dying from COVID-19. The objective of this study was to describe sex and age differences and the impact of a dementia diagnosis on symptom occurrence during the last week in life for persons dying from COVID-19 in nursing homes.

methodsThis is a population-based retrospective study based on data from the Swedish Register of Palliative Care. A total of 1994 residents aged 65 or older who died from COVID-19 in nursing homes were identified. The impact of sex, age and a dementia diagnosis on six different symptoms was analysed using chi2-test and multivariate logistic regression.

resultsResidents dying from COVID-19 were more often men (p < .002). Men more often had dyspnoea and death rattles (p < .001). Nausea was more common in women (p < .001). No sex differences in the occurrence of pain, anxiety or confusion were seen. Dyspnoea and nausea were less commonly reported in residents with dementia (p < .001).

conclusionsWe found sex differences in symptom presentation for fatal COVID-19 in nursing home settings which remained after adjusting for age. Residents with a dementia diagnosis had fewer symptoms reported before death compared to those without dementia. Clinical presentation of fatal COVID-19 differs between women and men in nursing homes. Residents with fatal COVID-19 present with more unspecific and less prominent symptoms when also suffering from dementia.

Indexed as

COVID-19Terminal CareAgedFemaleHumansMaleNursing HomesRetrospective StudiesSARS-CoV-2Sex CharacteristicsSwedenCOVID-19DementiaEnd-of-life careHospitalsNursing homesPalliative care

Identifiers

PMID33957890
PMCPMC8100361
OpenAlexW3158934736

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.