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Risk factors for developing symptomatic COVID-19 in older residents of nursing homes: A hypothesis-generating observational study.


ABSTRACT:

Objectives

To identify which risk factors were associated with developing Coronavirus Disease-19 (COVID-19) infection, with symptoms, in institutionalized older people.

Methods

A 1-year longitudinal multi-center study was conducted in 5 nursing homes (NHs) over the period December 2019 to March 2021. Inclusion criteria included being a permanent resident in the NH, aged 65 years or older, and a positive diagnosis of COVID-19 objectively confirmed by a diagnostic test. A descriptive and bivariate analysis was performed, calculating relative risk (RR) with 95% confidence intervals and statistical significance at p<0.05.

Results

Of the total sample of 78 individuals who tested positive for COVID-19, the mean age was 84.6 years (SD=±7.8), 62 (79.5%) were female; 40 (51.3%) participants presented with COVID-19 symptoms. Living in a private NH (RR=3.6, 95% CI [1.2-11.0], p=0.023) and having suffered a stroke (RR=4.1, 95% CI [1.1-14.7], p=0.033) were positively associated with developing COVID-19 infection with symptoms.

Conclusions

Having suffered a stroke and living permanently in a private NH were positively associated with symptomatic COVID-19 in this sample of institutionalized older people.Clinical Trials ID: NCT04297904.

SUBMITTER: Escriba-Salvans A 

PROVIDER: S-EPMC10233324 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature

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Publications

Risk factors for developing symptomatic COVID-19 in older residents of nursing homes: A hypothesis-generating observational study.

Escribà-Salvans Anna A   Rierola-Fochs Sandra S   Farrés-Godayol Pau P   Molas-Tuneu Miriam M   de Souza Dyego Leandro Bezerra DLB   Skelton Dawn A DA   Goutan-Roura Ester E   Minobes-Molina Eduard E   Jerez-Roig Javier J  

Journal of frailty, sarcopenia and falls 20230601 2


<h4>Objectives</h4>To identify which risk factors were associated with developing Coronavirus Disease-19 (COVID-19) infection, with symptoms, in institutionalized older people.<h4>Methods</h4>A 1-year longitudinal multi-center study was conducted in 5 nursing homes (NHs) over the period December 2019 to March 2021. Inclusion criteria included being a permanent resident in the NH, aged 65 years or older, and a positive diagnosis of COVID-19 objectively confirmed by a diagnostic test. A descriptiv  ...[more]

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