Evidence map›Paper›PMID 34165775›Full record

ArticleEuropean geriatric medicine2021

Functional, cognitive, and nutritional decline in 435 elderly nursing home residents after the first wave of the COVID-19 Pandemic.

Patricia Pérez-Rodríguez, Macarena Díaz de Bustamante, Salvador Aparicio Mollá, María Caridad Arenas, Susana Jiménez-Armero, Pilar Lacosta Esclapez, Liliana González-Espinoza, Cristina Bermejo Boixareu

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In one paragraph

Article in European geriatric medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
6.1field-weighted citation impact, top 2% 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.

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

29 citing papers in PubMed, 56 citations in OpenAlex.

  1. Observational
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  4. [Recommendations on prevention and treatment of respiratory infections in institutionalised older people].Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025
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  16. Editorial: COVID in Older People: Some Answers, New Questions.The journal of nutrition, health & aging · 2023
    Article
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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 at 1 institution in 1 country.

Patricia Pérez-RodríguezGeriatrics Department, Hospital Universitario Puerta de Hierro Majadahonda, C/ Joaquín Rodrigo, 2, Majadahonda, 28220, Madrid, Spain. ppr.patriciaperez@gmail.com.
Macarena Díaz de BustamanteGeriatrics Department, Hospital Universitario Puerta de Hierro Majadahonda, C/ Joaquín Rodrigo, 2, Majadahonda, 28220, Madrid, Spain.
Salvador Aparicio MolláGeriatrics Department, Hospital Universitario Puerta de Hierro Majadahonda, C/ Joaquín Rodrigo, 2, Majadahonda, 28220, Madrid, Spain.
María Caridad ArenasGeriatrics Department, Hospital Universitario Puerta de Hierro Majadahonda, C/ Joaquín Rodrigo, 2, Majadahonda, 28220, Madrid, Spain.
Susana Jiménez-ArmeroGeriatrics Department, Hospital Universitario Puerta de Hierro Majadahonda, C/ Joaquín Rodrigo, 2, Majadahonda, 28220, Madrid, Spain.
Pilar Lacosta EsclapezGrupo Sergesa, Madrid, Spain.
Liliana González-EspinozaGrupo Albertia, Madrid, Spain.
Cristina Bermejo BoixareuGeriatrics Department, Hospital Universitario Puerta de Hierro Majadahonda, C/ Joaquín Rodrigo, 2, Majadahonda, 28220, Madrid, Spain.
Hospital Universitario Puerta de Hierro Majadahonda · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMany institutionalized older people have died during the first wave of COVID-19. Other related consequences have not yet been described objectively. The aim of this study was to compare functional, cognitive, and nutritional status before and after the first wave among nursing home residents, in both COVID-19 and non-COVID-19 patients.

methodsOlder adults institutionalized in four nursing homes were assessed from May to June 2020, by a geriatric multidisciplinary team in collaboration with the nursing homes staff. Comprehensive geriatric assessment was performed including functional, cognitive, and nutritional variables before and after the first wave of the pandemic. Data from residents with positive results for microbiological testing for SARS-CoV-2 were compared with those who did not.

results435 nursing home residents were included. The median age was 86.77 ± 8.5 years, 78.4% were women. 190 (43.9%) tested positive for coronavirus. Functional decline after the first wave was detected in 20.2% according to the Barthel Index and in 18.5% according to functional ambulation categories, p < 0.001. Cognitive status worsened by 22 and 25.9% according to the global deterioration scale (p < 0.001) and Lobo's Mini-Examen Cognoscitivo (p 0.01), respectively. Onset of depressive symptoms was found in 48% (p < 0.001). The prevalence of malnutrition increased by 36.8 and 38.4% lost weight. When comparing the functional, cognitive, and nutritional decline between COVID-19 and non-COVID-19 patients no clinical or statistically significant differences were found except for the presence of prior malnutrition, higher in the COVID-19 group.

conclusionWe observed a significative functional, cognitive, and nutritional decline in institutionalized elderly after the first wave of COVID-19. These results may be caused by the lockdown itself, since no differences have been found between COVID-19 and non-COVID-19 patients. According to these results, interventions are necessary during social isolation or confinement to prevent systemic decline in the elderly.

Indexed as

COVID-19PandemicsAgedAged, 80 and overCognitionCommunicable Disease ControlFemaleHumansNursing HomesSARS-CoV-2COVIDDeclineElderlyMalnutritionNursing homes

Identifiers

PMID34165775
PMCPMC8222945
OpenAlexW3174137215

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.