Evidence map›Paper›PMID 35061710›Full record

Observational studyPloS one2022

Pro-active monitoring and social interventions at community level mitigate the impact of coronavirus (COVID-19) epidemic on older adults' mortality in Italy: A retrospective cohort analysis.

Giuseppe Liotta, Leonardo Emberti Gialloreti, Maria Cristina Marazzi, Olga Madaro, Maria Chiara Inzerilli, Margherita D'Amico, Stefano Orlando, Paola Scarcella, Elisa Terracciano, Susanna Gentili and 1 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Giuseppe LiottaBiomedicine and Prevention Dept, University of Rome Tor Vergata, Rome, Italy.ORCID 0000-0002-1990-1816
Leonardo Emberti GialloretiBiomedicine and Prevention Dept, University of Rome Tor Vergata, Rome, Italy.
Maria Cristina MarazziLUMSA University, Rome, Italy.
Olga MadaroCommunity of Sant'Egidio, 'Long Live the Elderly' Program, Rome, Italy.
Maria Chiara InzerilliRoma Capitale, Dipartimento promozione dei Servizi Sociali e della Salute, Roma, Italy.
Margherita D'AmicoSpecialization School for Hygiene and Preventive Medicine, University of Rome Tor Vergata, Rome, Italy.
Stefano OrlandoBiomedicine and Prevention Dept, University of Rome Tor Vergata, Rome, Italy.ORCID 0000-0001-9706-4075
Paola ScarcellaBiomedicine and Prevention Dept, University of Rome Tor Vergata, Rome, Italy.ORCID 0000-0002-3319-7925
Elisa TerraccianoSpecialization School for Hygiene and Preventive Medicine, University of Rome Tor Vergata, Rome, Italy.
Susanna GentiliDoctoral School in Nursing Sciences and Public Health, University of Rome Tor Vergata, Rome, Italy.ORCID 0000-0002-7690-2129
Leonardo PalombiBiomedicine and Prevention Dept, University of Rome Tor Vergata, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 epidemic in Italy has severely affected people aged more than 80, especially socially isolated. Aim of this paper is to assess whether a social and health program reduced mortality associated to the epidemic.

methodsAn observational retrospective cohort analysis of deaths recorded among >80 years in three Italian cities has been carried out to compare death rate of the general population and "Long Live the Elderly!" (LLE) program. Parametric and non-parametric tests have been performed to assess differences of means between the two populations. A multivariable analysis to assess the impact of covariates on weekly mortality has been carried out by setting up a linear mixed model.

resultsThe total number of services delivered to the LLE population (including phone calls and home visits) was 34,528, 1 every 20 day per person on average, one every 15 days during March and April. From January to April 2019, the same population received one service every 41 days on average, without differences between January-February and March-April. The January-April 2020 cumulative crude death rate was 34.8‰ (9,718 deaths out of 279,249 individuals; CI95%: 34.1-35.5) and 28.9‰ (166 deaths out of 5,727 individuals; CI95%:24.7-33.7) for the general population and the LLE sample respectively. The general population weekly death rate increased after the 11th calendar week that was not the case among the LLE program participants (p<0.001). The Standardized Mortality Ratio was 0.83; (CI95%: 0.71-0.97). Mortality adjusted for age, gender, COVID-19 weekly incidence and prevalence of people living in nursing homes was lower in the LLE program than in the general population (p<0.001).

conclusionsLLE program is likely to limit mortality associated with COVID-19. Further studies are needed to establish whether it is due to the impact of social care that allows a better clients' adherence to the recommendations of physical distancing or to an improved surveillance of older adults that prevents negative outcomes associated with COVID-19.

Indexed as

Aged, 80 and overCitiesCommunity Health ServicesCOVID-19FemaleHomes for the AgedHumansIncidenceItalyMaleMonitoring, PhysiologicNursing HomesPhysical DistancingRetrospective StudiesSARS-CoV-2Social Isolation

Identifiers

PMID35061710
PMCPMC8782360

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Registered trials

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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.