对长期护理院住户 COVID-19 后死亡率的纵向研究。

IF 2.1 Q3 GERIATRICS & GERONTOLOGY
Gerontology and Geriatric Medicine Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI:10.1177/23337214241291739
Gordana Rajlic, Janice M Sorensen, Akber Mithani
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引用次数: 0

摘要

COVID-19 大流行最不利的后果包括长期护理(LTC)机构居民感染后的高死亡率。有关感染 COVID-19 后较长时间内和不同大流行年份的死亡率的研究十分有限。在本研究中,我们调查了 1596 名长期护理院居民从 COVID-19 检测呈阳性之日起至 2023 年 1 月 31 日的结果。我们报告了感染 COVID-19 后 30 天内的全因死亡率,并在大流行开始后的 35 个月内每月随访一次。我们还检查了同一时期居住在同一 LTC 养老院、无 COVID-19 感染史的 2724 名住院者的死亡率。结果表明,感染后第一个月就有大量患者死亡,30 天死亡率逐年大幅下降--从 2020 年感染 COVID-19 的居民的 28% (95% CI [24.3, 31.8])降至 2022 年队列中的 8.3% (95% CI [7.4, 9.2])。从更长的时间段观察,有 COVID-19 病史的住院患者的月死亡率与无 COVID 住院患者的死亡率相似,没有证据表明 COVID 组患者在感染后第一个月之后的死亡风险会增加。我们讨论了大流行期间 LTC 的死亡率以及降低 COVID-19 急性期死亡率的持续需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Longitudinal Examination of Post-COVID-19 Mortality in Residents in Long-Term Care Homes.

The most adverse outcomes of the COVID-19 pandemic include high post-infection mortality among long-term care (LTC) home residents. Research about mortality over a longer period after contracting COVID-19 and in different pandemic years is limited. In the current study, we examined outcomes for 1,596 LTC residents from the day of a positive COVID-19 test until January 31, 2023. We reported all-cause mortality 30 days after contracting COVID-19 and monthly throughout the follow-up, up to 35 months after the pandemic start. We also examined mortality among 2,724 residents residing in the same LTC homes, with no history of COVID-19 during the same period. The results underscored a large number of deaths in the first month post-infection, with 30-day mortality substantially decreasing over the years-from 28% (95% CI [24.3, 31.8]) among residents contracting COVID-19 in 2020, to 8.3% (95% CI [7.4, 9.2]) in the 2022 cohort. Observed over longer periods, monthly mortality among residents with a COVID-19 history was similar to mortality in the No-COVID residents, and no evidence was found of increased mortality risk in the COVID group beyond the first post-infection month. We discuss mortality in LTC during the pandemic and a continuing need to reduce mortality in the acute phase of COVID-19.

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来源期刊
Gerontology and Geriatric Medicine
Gerontology and Geriatric Medicine Medicine-Geriatrics and Gerontology
CiteScore
2.90
自引率
3.70%
发文量
119
审稿时长
12 weeks
期刊介绍: Gerontology and Geriatric Medicine (GGM) is an interdisciplinary, peer-reviewed open access journal where scholars from a variety of disciplines present their work focusing on the psychological, behavioral, social, and biological aspects of aging, and public health services and research related to aging. The journal addresses a wide variety of topics related to health services research in gerontology and geriatrics. GGM seeks to be one of the world’s premier Open Access outlets for gerontological academic research. As such, GGM does not limit content due to page budgets or thematic significance. Papers will be subjected to rigorous peer review but will be selected solely on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, GGM facilitates the discovery of the connections between papers.
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