COVID-19 infection rate and mortality in a local health authority in Italy: Differences between home-dwelling and residential older adults
Objectives: The health emergency following the COVID-19 pandemic has seen hospital structures collapse and put in crisis nursing homes and other long-term care facilities worldwide. Our study aims to analyze and comparing the data relating to the infection rate and mortality for COVID-19 in the elde...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Public Health in Practice |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666535223000940 |
| _version_ | 1797398513757192192 |
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| author | Stefano Orlando Carolina de Santo Claudia Mosconi Francesca Di Gaspare Pelagia Chatzichristou Leonardo Emberti Gialloreti Fausto Ciccacci Laura Morciano Donatella Varrenti Giuseppe Liotta Leonardo Palombi |
| author_facet | Stefano Orlando Carolina de Santo Claudia Mosconi Francesca Di Gaspare Pelagia Chatzichristou Leonardo Emberti Gialloreti Fausto Ciccacci Laura Morciano Donatella Varrenti Giuseppe Liotta Leonardo Palombi |
| author_sort | Stefano Orlando |
| collection | DOAJ |
| description | Objectives: The health emergency following the COVID-19 pandemic has seen hospital structures collapse and put in crisis nursing homes and other long-term care facilities worldwide. Our study aims to analyze and comparing the data relating to the infection rate and mortality for COVID-19 in the elderly over 75 living in the long-term care facilities and in the home-dwelling population. Study design: The study adopts a retrospective cohort design and was conducted in Italy, in the Lazio region, in the area of the Local Health Authority (LHA) named “Azienda Sanitaria Locale Roma 6”. Methods: Data were extracted from the COVID-19 surveillance system of the Lazio region. The primary outcome is the SARS-CoV-2 incidence rate in the period between 1st September 2020 and 31st May 2021. The secondary outcome is the mortality rate. Results: Living in a residential versus a home-dwelling setting was associated with a higher infection rate (OR 5.03, CI 4.67–5.43; p < 0.001). The mortality rate was higher for individuals living in a residential setting (19.3 %, CI 17.1%–21.7 %) than those living at home (13.0 %, CI 11.7%–14.5 %). Conclusions: These findings confirm the high mortality in Long-Term Care Facilities and provide new information on the infection rate. The containment measures adopted in the Long-Term Care Facilities during the COVID-19 pandemic, show limited correlation with reduced risk of contagion, but could have created unintended harm for the residents by increasing the social isolation and all other causes of mortality. |
| first_indexed | 2024-03-09T01:26:36Z |
| format | Article |
| id | doaj.art-ac96b1f44a4947e4be9fef49650c423c |
| institution | Directory Open Access Journal |
| issn | 2666-5352 |
| language | English |
| last_indexed | 2024-03-09T01:26:36Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Public Health in Practice |
| spelling | doaj.art-ac96b1f44a4947e4be9fef49650c423c2023-12-10T06:18:30ZengElsevierPublic Health in Practice2666-53522023-12-016100448COVID-19 infection rate and mortality in a local health authority in Italy: Differences between home-dwelling and residential older adultsStefano Orlando0Carolina de Santo1Claudia Mosconi2Francesca Di Gaspare3Pelagia Chatzichristou4Leonardo Emberti Gialloreti5Fausto Ciccacci6Laura Morciano7Donatella Varrenti8Giuseppe Liotta9Leonardo Palombi10Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy; Corresponding author. University of Rome Tor Vergata, Department of Biomedicine and Prevention Roma, Italy.Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, ItalyLocal Health Authority - Rome 6, Department of Prevention, Service of Hygiene and Public Health, Rome, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, ItalyUniCamillus, Saint Camillus International University of Health Sciences, Rome, ItalyLocal Health Authority - Rome 6, Department of Prevention, Service of Hygiene and Public Health, Rome, ItalyLocal Health Authority - Rome 6, Department of Prevention, Service of Hygiene and Public Health, Rome, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, ItalyObjectives: The health emergency following the COVID-19 pandemic has seen hospital structures collapse and put in crisis nursing homes and other long-term care facilities worldwide. Our study aims to analyze and comparing the data relating to the infection rate and mortality for COVID-19 in the elderly over 75 living in the long-term care facilities and in the home-dwelling population. Study design: The study adopts a retrospective cohort design and was conducted in Italy, in the Lazio region, in the area of the Local Health Authority (LHA) named “Azienda Sanitaria Locale Roma 6”. Methods: Data were extracted from the COVID-19 surveillance system of the Lazio region. The primary outcome is the SARS-CoV-2 incidence rate in the period between 1st September 2020 and 31st May 2021. The secondary outcome is the mortality rate. Results: Living in a residential versus a home-dwelling setting was associated with a higher infection rate (OR 5.03, CI 4.67–5.43; p < 0.001). The mortality rate was higher for individuals living in a residential setting (19.3 %, CI 17.1%–21.7 %) than those living at home (13.0 %, CI 11.7%–14.5 %). Conclusions: These findings confirm the high mortality in Long-Term Care Facilities and provide new information on the infection rate. The containment measures adopted in the Long-Term Care Facilities during the COVID-19 pandemic, show limited correlation with reduced risk of contagion, but could have created unintended harm for the residents by increasing the social isolation and all other causes of mortality.http://www.sciencedirect.com/science/article/pii/S2666535223000940COVID-19Elderly peopleLong term careMortality rateRisk of infection |
| spellingShingle | Stefano Orlando Carolina de Santo Claudia Mosconi Francesca Di Gaspare Pelagia Chatzichristou Leonardo Emberti Gialloreti Fausto Ciccacci Laura Morciano Donatella Varrenti Giuseppe Liotta Leonardo Palombi COVID-19 infection rate and mortality in a local health authority in Italy: Differences between home-dwelling and residential older adults Public Health in Practice COVID-19 Elderly people Long term care Mortality rate Risk of infection |
| title | COVID-19 infection rate and mortality in a local health authority in Italy: Differences between home-dwelling and residential older adults |
| title_full | COVID-19 infection rate and mortality in a local health authority in Italy: Differences between home-dwelling and residential older adults |
| title_fullStr | COVID-19 infection rate and mortality in a local health authority in Italy: Differences between home-dwelling and residential older adults |
| title_full_unstemmed | COVID-19 infection rate and mortality in a local health authority in Italy: Differences between home-dwelling and residential older adults |
| title_short | COVID-19 infection rate and mortality in a local health authority in Italy: Differences between home-dwelling and residential older adults |
| title_sort | covid 19 infection rate and mortality in a local health authority in italy differences between home dwelling and residential older adults |
| topic | COVID-19 Elderly people Long term care Mortality rate Risk of infection |
| url | http://www.sciencedirect.com/science/article/pii/S2666535223000940 |
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