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Article

COVID-19 Mortality in Patients Aged 80 and over Residing in Nursing Homes—Six Pandemic Waves: OCTA-COVID Study

1
Department of Preventive Medicine, Hospital Central de la Cruz Roja, 28003 Madrid, Spain
2
Faculty of Medicine, “Alfonso X el Sabio” University, 28691 Madrid, Spain
3
Department of Geriatric Medicine, Hospital Central de la Cruz Roja, 28003 Madrid, Spain
4
Department of Cardiology, Hospital Central de la Cruz Roja, 28003 Madrid, Spain
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Academic Editor: Florian Fischer
Int. J. Environ. Res. Public Health 2022, 19(19), 12019; https://doi.org/10.3390/ijerph191912019
Received: 5 September 2022 / Accepted: 20 September 2022 / Published: 22 September 2022
During the first COVID-19 pandemic wave in Spain, 50% of deaths occurred in nursing homes, making it necessary for some hospitals to support these facilities with the care of infected patients. This study compares origin, characteristics, and mortality of patients admitted with COVID-19 during six pandemic waves in the Hospital Central de la Cruz Roja in Madrid. It is a retrospective observational study of patients ≥80 years old, admitted with an acute SARS-CoV-2 infection, with a total of 546 patients included, whose final outcome was death or discharge. During the first wave, those from nursing homes had a higher risk of death than those from home; during the two successive waves, the risk was higher for those from home; and in the last two waves, the risk equalized and decreased exponentially in both groups. Men had 72% higher risk of death than women. For each year of age, the risk increased by 4% (p = 0.036). For each Charlson index point, the risk increased by 14% (p = 0.019). Individuals in nursing homes, despite being older with higher comorbidity, did not show a higher overall lethality. The mortality decreased progressively in each successive wave due to high vaccination rates and COVID-19 control measures in this population. View Full-Text
Keywords: elderly; nursing homes; COVID-19; hospital; mortality elderly; nursing homes; COVID-19; hospital; mortality
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MDPI and ACS Style

Ruiz-Huerta, C.; Canto, M.V.; Ruiz, C.; González, I.; Lozano-Montoya, I.; Quezada-Feijoo, M.; Gómez-Pavón, F.J. COVID-19 Mortality in Patients Aged 80 and over Residing in Nursing Homes—Six Pandemic Waves: OCTA-COVID Study. Int. J. Environ. Res. Public Health 2022, 19, 12019. https://doi.org/10.3390/ijerph191912019

AMA Style

Ruiz-Huerta C, Canto MV, Ruiz C, González I, Lozano-Montoya I, Quezada-Feijoo M, Gómez-Pavón FJ. COVID-19 Mortality in Patients Aged 80 and over Residing in Nursing Homes—Six Pandemic Waves: OCTA-COVID Study. International Journal of Environmental Research and Public Health. 2022; 19(19):12019. https://doi.org/10.3390/ijerph191912019

Chicago/Turabian Style

Ruiz-Huerta, Claudia, Marcelle V. Canto, Carmen Ruiz, Ildefonso González, Isabel Lozano-Montoya, Maribel Quezada-Feijoo, and Francisco J. Gómez-Pavón. 2022. "COVID-19 Mortality in Patients Aged 80 and over Residing in Nursing Homes—Six Pandemic Waves: OCTA-COVID Study" International Journal of Environmental Research and Public Health 19, no. 19: 12019. https://doi.org/10.3390/ijerph191912019

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