ArticlePloS one2022
COVID-19 excess mortality among long-term care residents in Ontario, Canada.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed.
- It is Not Only About Staying Alive: A Living Systematic Review of Social Care Strategies for Older Adults in Residential Care Facilities During the COVID-19 Pandemic.Journal of social work (London, England) · 2026Article
- [Unequal impact of COVID-19 on mortality in long-term care homes across health areas of Castilla-La Mancha (Spain)].Anales del sistema sanitario de Navarra · 2026Article
- Healthcare resource utilization and cost burden of COVID-19 according to vaccination status in adults in Ontario, Canada, 2021-2023.PloS one · 2026Article
- Risk factors for 30-day COVID-19 mortality among people living with dementia in Alberta, Canada: a retrospective cohort study.BMC geriatrics · 2025Article
- Spatial Mobility Change Among Older Chinese Immigrants During the COVID-19 Pandemic: The Role of Physical, Social, and Virtual Environmental Factors.International journal of environmental research and public health · 2025Article
- 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
- Post-acute sequelae of COVID-19 in residents in long-term care homes: Examining symptoms and recovery over time.PloS one · 2025Article
- All-cause mortality and hospital admissions for nursing home residents during the COVID-19 pandemic: a Norwegian register-based cohort study.BMC medicine · 2024Article
- Commentary: Critical to Care - The Problem of Profit in Ontario's Long-Term Care Home Sector.Healthcare policy = Politiques de sante · 2024Article
- Long term care facilities in England during the COVID-19 pandemic-a scoping review of guidelines, policy and recommendations.BMC geriatrics · 2024Article
- Drivers of COVID-19 Outcomes in Long-Term Care Facilities Using Multi-Level Analysis: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Factors associated with pressure ulcer and dehydration in long-term care settings in Ontario, Canada.PloS one · 2024Article
- Excess death estimates from multiverse analysis in 2009-2021.European journal of epidemiology · 2023Article
- Consequences of contact restrictions for long-term care residents during the first months of COVID-19 pandemic: a scoping review.European journal of ageing · 2023Article
- Barriers to infection prevention and control in long-term care/assisted living settings in British Columbia during the COVID-19 pandemic: a cross-sectional survey.Antimicrobial resistance and infection control · 2023Article
- Canadian COVID-19 Outbreak Surveillance System: implementation of national surveillance during a global pandemic.Canadian journal of public health = Revue canadienne de sante publique · 2023Article
- Healthcare utilization and adverse outcomes stratified by sex, age and long-term care residency using the Alberta COVID-19 Analytics and Research Database (ACARD): a population-based descriptive study.BMC infectious diseases · 2023Article
- Focus on Liability of Residences for Elderly and Sick People: A Case Series and Medico-Legal Issues.Healthcare (Basel, Switzerland) · 2023Article
- Factors associated with timely COVID-19 vaccination in a population-based cohort of patients with cancer.Journal of the National Cancer Institute · 2023Article
- Excess mortality among older adults institutionalized in long-term care facilities during the COVID-19 pandemic: a population-based analysis in Catalonia.Frontiers in public health · 2023Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The coronavirus disease 2019 (COVID-19) has had devastating consequences worldwide, including a spike in global mortality. Residents of long-term care homes have been disproportionately affected. We conducted a retrospective cohort study to determine the scale of pandemic-related deaths of long-term care residents in the province of Ontario, Canada, and to estimate excess mortality due to a positive COVID-19 test adjusted for demographics and regional variations. Crude mortality rates for 2019 and 2020 were compared, as were predictors of mortality among residents with positive and negative tests from March 2020 to December 2020. We found the crude mortality rates were higher from April 2020 to June 2020 and from November 2020 to December 2020, corresponding to Wave 1 and Wave 2 of the pandemic in Ontario. There were also substantial increases in mortality among residents with a positive COVID-19 test. The significant differences in excess mortality observed in relation to long-term care home ownership category and geographic region may indicate gaps in the healthcare system that warrant attention from policymakers. Further investigation is needed to identify the most relevant factors in explaining these differences.
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