ArticleAnales del sistema sanitario de Navarra2026
[Unequal impact of COVID-19 on mortality in long-term care homes across health areas of Castilla-La Mancha (Spain)].
Article in Anales del sistema sanitario de Navarra, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundTo assess whether inequalities existed across the eight health areas of Castilla-La Mancha (Spain) in all-cause and COVID-19 mortality in long-term care homes during 2020, and whether these differences were explained by COVID-19 incidence in the corresponding health areas.
methodsData were obtained from the Castilla-La Mancha Transparency Portal. Care homes were classified by health area, size, ownership, and COVID-19 incidence at the health-area level. Poisson regression models were used to estimate risk ratios for all-cause and COVID-19 mortality in each health area, using Toledo as the reference, and adjusting for size, ownership, and health-area COVID-19 incidence.
resultsAmong 310 care homes (25,150 places), 4,460 deaths were recorded, including 2,821 attributed to COVID-19. All-cause mortality ranged from 7% in care homes in Talavera to 26% in those in Ciudad Real, while COVID-19 mortality ranged from 4% in care homes in Puertollano to 17% in care homes in Ciudad Real. In adjusted analyses, care homes in Ciudad Real, Guadalajara, Albacete, and Puertollano had higher all-cause mortality risk than those in Toledo, whereas those in Talavera showed lower risk. Only care homes in Albacete showed higher risk of COVID-19 mortality compared with those in Toledo.
conclusionsSubstantial territorial inequalities in mortality risk are observed in long-term care homes in Castilla-La Mancha for 2020. These inequalities were only partially explained by the community incidence of COVID-19.
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