ArticleBMC public health2025
Health, functioning and social engagement among older people living in long-term care facilities during the COVID-19 lockdown in Finland: a register-based cohort study.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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Who cites it
2 citing papers in PubMed.
- Reporting aged care quality data monthly, quarterly, or annually? A cross-sectional study of 349 613 residents and 2803 long-term care facilities.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Article
- Association between spouse health and cognitive function in older Chinese adults: a moderated mediation of frailty and activity engagement.BMC geriatrics · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a lack of consistent evidence on the effects of the COVID-19 lockdown among older long-term care facility (LTCF) residents. We utilised a versatile and comprehensive register-based data to assess the impact of the lockdown and to explore what kinds of individual-level factors were associated with changes in functioning and wellbeing of the older LTCF residents during the lockdown in 2020.
methodsThis retrospective register-based cohort study (n = 7 260) with a 6-month follow-up utilised Resident Assessment Instrument (RAI) data combined with data on confirmed COVID-19 infections and death records of LTCF residents aged 65-year-old and older. Logistic regression analyses were conducted to detect cohort effects on health stability, cognitive performance, coping with activities of daily living (ADL), and social engagement. Additional subgroup analyses were performed to explore the effect among the oldest (85 years old and older), most severely cognitively impaired individuals (dementia diagnosis and Cognitive Performance Scale score 4-6), and those who experienced the lowest social engagement (Social Engagement Scale score 0-1) at baseline.
resultsWhen all the RAI assessed LTCF residents were included in the analyses, belonging to the lockdown cohort was not observably associated with a decline in health stability, cognitive performance, coping with ADL, or social engagement. According to the subgroup analyses, the health stability of the oldest residents and the cognition of the most severely cognitively impaired residents deteriorated more in the lockdown than in the comparison cohort.
conclusionsThe COVID-19 lockdown was not observably associated with deterioration in health, cognitive or ADL functioning, or social engagement among Finnish LTCF residents. However, subgroup analyses suggested that the effects of the lockdown were the most detrimental among the most severely cognitively impaired and the oldest residents. The vulnerability between different subgroups should be considered more closely in exceptional circumstances due to infectious diseases in the future and provide deliberately older people the opportunity to experience the physical closeness of their loved ones despite possible infections.
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