Evidence map›Paper›PMID 33984133›Full record

ArticleAge and ageing2021

Magnitude, change over time, demographic characteristics and geographic distribution of excess deaths among nursing home residents during the first wave of COVID-19 in France: a nationwide cohort study.

Florence Canouï-Poitrine, Antoine Rachas, Martine Thomas, Laure Carcaillon-Bentata, Roméo Fontaine, Gaëtan Gavazzi, Marie Laurent, Jean-Marie Robine

Abstract read
In one paragraph

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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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  13. Managing the Impact of COVID-19 in Nursing Homes and Long-Term Care Facilities: An Update.Journal of the American Medical Directors Association · 2022
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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

8 authors.

Florence Canouï-PoitrineUniv Paris Est Creteil, Inserm, IMRB U955, CEpiA Team, F-94000 Creteil, France.
Antoine RachasDirection de la Stratégie, des Etudes et des Statistiques, CNAM, F-75000 Paris, France.
Martine ThomasDirection de la Stratégie, des Etudes et des Statistiques, CNAM, F-75000 Paris, France.
Laure Carcaillon-BentataSanté Publique France (SpF), F-94410 Saint-Maurice, France.
Roméo FontaineINED, Mortality, Health and Epidemiology (UR5), F-93300 Aubervilliers, France.
Gaëtan GavazziGeriatric Department, Grenoble Alpes University Hospital, F-38000 Grenoble, France.
Marie LaurentUniv Paris Est Creteil, Inserm, IMRB U955, CEpiA Team, F-94000 Creteil, France.
Jean-Marie RobineINED, Mortality, Health and Epidemiology (UR5), F-93300 Aubervilliers, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objectives were to assess the excess deaths among Nursing Home (NH) residents during the first wave of the COVID-19 pandemic, to determine their part in the total excess deaths and whether there was a mortality displacement.

methodsWe studied a cohort of 494,753 adults in 6,515 NHs in France exposed to COVID-19 pandemic (from 1 March to 31 May 2020) and compared with the 2014-2019 cohorts using data from the French National Health Data System. The main outcome was death. Excess deaths and standardized mortality ratios (SMRs) were estimated.

resultThere were 13,505 excess deaths. Mortality increased by 43% (SMR: 1.43). The mortality excess was higher among males than females (SMR: 1.51 and 1.38) and decreased with increasing age (SMRs in females: 1.61 in the 60-74 age group, 1.58 for 75-84, 1.41 for 85-94 and 1.31 for 95 or over; males: SMRs: 1.59 for 60-74, 1.69 for 75-84, 1.47 for 85-94 and 1.41 for 95 or over). No mortality displacement effect was observed up until 30 August 2020. By extrapolating to all NH residents nationally (N = 570,003), we estimated that they accounted for 51% of the general population excess deaths (N = 15,114 out of 29,563).

conclusionNH residents accounted for half of the total excess deaths in France during the first wave of the COVID-19 pandemic. The excess death rate was higher among males than females and among younger than older residents.

Indexed as

COVID-19PandemicsCohort StudiesDemographyFemaleFranceHumansMaleNursing HomesSARS-CoV-2COVID-19excess deathsnursing homeolder adults

Identifiers

PMID33984133
PMCPMC8406878

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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.