Clinical Characteristics, Frailty, and Mortality of Residents With COVID-19 in Nursing Homes of a Region of Madrid
MD Rafael Bielza, MD Juan Sanz, MD Francisco Zambrana, MD Estefanía Arias, MD Eduardo Malmierca, MD Laura Portillo, MD Israel J Thuissard, MD Ana Lung, MD Marta Neira, María Moral, PhD a, b , María Moral MD g Cristina Andreu-Vázquez, MD h Ana Esteban, MD i Marcela Irma Ramírez, MD j Laura González, MD k Guillermo Carretero, Ricardo Vicente Moreno, MD l Pilar Martínez, MD Javier López, Mar Esteban-Ortega, MD Isabel García, María Antonia Vaquero, MD Ana Linares, MD Ana Gómez-Santana, Jorge Gómez Cerezo
Journal of the American Medical Directors Association, doi:10.1016/j.jamda.2020.12.003
Objectives: To describe the clinical characteristics, 30-day mortality, and associated factors of patients living in nursing homes (NH) with COVID-19, from March 20 to June 1, 2020. Design: This is a retrospective study. A geriatric hospital-based team acted as a consultant and coordinated the care of older people living in NHs from the hospital. Setting and Participants: A total of 630 patients aged 70 and older with Coronavirus Disease 2019 COVID-19 living in 55 NHs. Methods: A logistic regression was performed to analyze the factors associated with mortality. In addition, Kaplan-Meier curves were applied according to mortality and its associated factors using the logrank Mantel-Cox test. Results: The diagnosis of COVID-19 was mainly made by clinical compatibility (N ¼ 430). Median age was 87 years, 64.6% were women and 45.9% were transferred to be cared for at the hospital. A total of 282 patients died (44.7%) within the 30 days of first attention by the team. A severe form of COVID-19 occurred in 473 patients, and the most frequent symptoms were dyspnea (n ¼ 332) and altered level of consciousness (n ¼ 301). According to multiple logistic regression, male sex (P ¼ .019), the Clinical
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