Evidence map›Paper›PMID 37171537›Full record

ArticleAging clinical and experimental research2023

Causes of deaths in long-term care and hospice care facilities during the first year of COVID-19 pandemic: a snapshot of Italy during 2020.

Maria Beatrice Zazzara, Giuseppe Ferdinando Colloca, Alice Maraschini, Andrea Bellieni, Sabrina Dispenza, Eleonora Meloni, Maria Adelaide Ricciotti, Italo Penco, Giada Minelli, Graziano Onder

Abstract read
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Article in Aging clinical and experimental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

10 authors.

Maria Beatrice Zazzara *Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Largo Agostino Gemelli 8, 00168, Rome, Italy. mariabeatrice.zazzara@policlinicogemelli.it.ORCID http://orcid.org/0000-0001-9155-3388
Giuseppe Ferdinando Colloca *Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Largo Agostino Gemelli 8, 00168, Rome, Italy.
Alice MaraschiniStatistical Service, Istituto Superiore di Sanità, Viale Regina Elena, 299, 00161, Rome, Italy.
Andrea BellieniFondazione Policlinico Universitario Agostino Gemelli IRCSS, Largo Agostino Gemelli 8, 00168, Rome, Italy.
Sabrina DispenzaFondazione Policlinico Universitario Agostino Gemelli IRCSS, Largo Agostino Gemelli 8, 00168, Rome, Italy.
Eleonora MeloniFondazione Policlinico Universitario Agostino Gemelli IRCSS, Largo Agostino Gemelli 8, 00168, Rome, Italy.
Maria Adelaide RicciottiFondazione Policlinico Universitario Agostino Gemelli IRCSS, Largo Agostino Gemelli 8, 00168, Rome, Italy.
Italo PencoFondazione Sanità e Ricerca, Via Alessandro Poerio, 100, 00152, Rome, Italy.
Giada Minelli *Statistical Service, Istituto Superiore di Sanità, Viale Regina Elena, 299, 00161, Rome, Italy.
Graziano Onder *Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Largo Agostino Gemelli 8, 00168, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder adults living in long-term care facilities (LTCF) have been severely affected by COVID-19. Hospice care (HC) facilities and palliative care are essential in treating patients dying from COVID-19. In Italy, little is known about the impact of COVID-19 on deaths in LTCF and the care provided in HC to COVID-19 patients.

aimTo assess overall and case-specific mortality in 2020 in LTC and HC facilities in comparison to the previous five years (2015-2019).

methodsWe performed a descriptive study using data derived from the Italian national "Cause of Death" registry-managed by the Italian National Institute of Statistics-on deaths occurred in LTC and HC facilities during 2020 and the period 2015-2019.

resultsNumber of deaths significantly increased in 2020 compared with 2015-2019 in LTCF (83,062 deaths vs. 59,200) and slightly decreased in hospices (38,788 vs. 39,652). COVID-19 caused 12.5% of deaths in LTCF and only 2% in hospices. Other than COVID-19, in 2020, cancer accounted for 77% of all deaths that occurred in HC, while cardiovascular diseases (35.6%) and psychotic and behavioral disorders (10%) were the most common causes of death in LTCF. Overall, 22% of the excess mortality registered in Italy during 2020 is represented by the deaths that occurred in LTCF. DISCUSSION AND

conclusionLTCF were disproportionally affected by COVID-19, while the response to the pandemic in HC was limited. These data can help plan strategies to limit the impact of future epidemics and to better understand residential care response to COVID-19 epidemic.

Indexed as

COVID-19Hospice CareHospicesAgedHumansItalyLong-Term CarePandemicsCOVID-19GeriatricsHospice careLong-term careNursing homesPalliative care

Identifiers

PMID37171537
PMCPMC10175910

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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.