Evidence map›Paper›PMID 34639522›Full record

ArticleInternational journal of environmental research and public health2021

Risk Factors for COVID-19 Morbidity and Mortality in Institutionalised Elderly People.

Ander Burgaña Agoües, Marta Serra Gallego, Raquel Hernández Resa, Beatriz Joven Llorente, Maria Lloret Arabi, Jessica Ortiz Rodriguez, Helena Puig Acebal, Mireia Campos Hernández, Itziar Caballero Ayala, Pedro Pavón Calero and 6 more

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Structural and Managerial Risk Factors for COVID-19 Occurrence in French Nursing Homes.International journal of health policy and management · 2022
    Article
  8. Article
  9. Article
  10. Managing the Impact of COVID-19 in Nursing Homes and Long-Term Care Facilities: An Update.Journal of the American Medical Directors Association · 2022
    Article
  11. Article
  12. Article
  13. Article
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

16 authors at 2 institutions in 1 country.

Ander Burgaña AgoüesAtenció Primària, Fundació Assitencial Mútua Terrassa, 08221 Terrassa, Spain.ORCID 0000-0003-0590-604X
Marta Serra GallegoAtenció Primària, Fundació Assitencial Mútua Terrassa, 08221 Terrassa, Spain.
Raquel Hernández ResaAtenció Primària, Fundació Assitencial Mútua Terrassa, 08221 Terrassa, Spain.
Beatriz Joven LlorenteAtenció Primària, Fundació Assitencial Mútua Terrassa, 08221 Terrassa, Spain.
Maria Lloret ArabiAtenció Primària, Fundació Assitencial Mútua Terrassa, 08221 Terrassa, Spain.
Jessica Ortiz RodriguezAtenció Primària, Fundació Assitencial Mútua Terrassa, 08221 Terrassa, Spain.
Helena Puig AcebalAtenció Primària, Fundació Assitencial Mútua Terrassa, 08221 Terrassa, Spain.
Mireia Campos HernándezAtenció Primària, Fundació Assitencial Mútua Terrassa, 08221 Terrassa, Spain.
Itziar Caballero AyalaAtenció Primària, Fundació Assitencial Mútua Terrassa, 08221 Terrassa, Spain.
Pedro Pavón CaleroAtenció Primària, Fundació Assitencial Mútua Terrassa, 08221 Terrassa, Spain.
Montserrat Losilla CalleAtenció Primària, Fundació Assitencial Mútua Terrassa, 08221 Terrassa, Spain.
Rosario Bueno NietoAtenció Primària, Fundació Assitencial Mútua Terrassa, 08221 Terrassa, Spain.
Laura Oliver MesseguerAtenció Primària, Fundació Assitencial Mútua Terrassa, 08221 Terrassa, Spain.
Rosa Madridejos MoraAtenció Primària, Fundació Assitencial Mútua Terrassa, 08221 Terrassa, Spain.
Rosa Abellana SangràDepartament Fonaments Clínics, Universitat de Barcelona, 08036 Barcelona, Spain.
Tomás M Perez-PorcunaAtenció Primària, Fundació Assitencial Mútua Terrassa, 08221 Terrassa, Spain.ORCID 0000-0002-9951-7768
Mútua Terrassa · ESUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSARS-CoV-2 has caused a high mortality in institutionalised individuals. There are very few studies on the involvement and the real impact of COVID-19 in nursing homes. This study analysed factors related to morbidity and mortality of COVID-19 in institutionalised elderly people.

methodsThis cohort study included 842 individuals from 12 nursing homes in Sant Cugat del Vallès (Spain) from 15 March to 15 May 2020. We evaluated individual factors (demographic, dependence, clinical, and therapeutic) and those related to the nursing homes (size and staff) associated with infection and mortality by SARS-CoV-2. Infection was diagnosed by molecular biology test.

resultsOf the 842 residents included in the analysis, 784 underwent a Polymerase Chain Reaction (PCR) test; 74.2% were women, the mean age was 87.1 years, and 11.1% died. The PCR test was positive in 44%. A total of 33.4% of the residents presented symptoms compatible with COVID-19 and of these, 80.9% were PCR-positive for SARS-CoV-2. Infection by SARS-CoV-2 among residents was associated with the rate of staff infected in the homes. Mortality by SARS-CoV-2 was related to male sex and a greater grade of dependence measured with the Barthel index.

conclusionsSARS-Cov-2 infection in institutionalised people is associated with the infection rate in nursing home workers and mortality by SARS-Cov-2 with sex and greater dependency according to the Barthel index. Adequate management of nursing home staff and special attention to measures of infection control, especially of individuals with greater dependence, are keys for successful management of future pandemic situations.

Indexed as

COVID-19AgedAged, 80 and overCohort StudiesFemaleHumansMaleMorbidityRisk FactorsSARS-CoV-2comorbidityCOVID-19frail elderlyfrailtylong-term carenursing homes

Identifiers

PMID34639522
PMCPMC8507792
OpenAlexW3202668695

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.