tetano
Editor, Senior Moderator
Geriatr Nurs
. 2022 Feb 21;44:237-244.
doi: 10.1016/j.gerinurse.2022.02.013. Online ahead of print.
A 2-year pandemic period analysis of facility and county-level characteristics of nursing home coronavirus deaths in the United States, January 1, 2020-December 18, 2021
Ayodeji Emmanuel Iyanda[SUP] 1 [/SUP], Kwadwo Adu Boakye[SUP] 2 [/SUP]
Affiliations
Abstract
Nursing home residents are highly susceptible to COVID-19 infection and complications. We used a generalized linear mixed Poisson model and spatial statistics to examine the determinants of COVID-19 deaths in 13,350 nursing homes in the first 2-year pandemic period using the Centers for Medicare and Medicaid Services and county-level related data. The average prevalence of COVID-19 mortality among residents was 9.02 (Interquartile range = 10.18) per 100 nursing home beds in the first 2-year of the pandemic. Fully-adjusted mixed model shows that nursing homes COVID-19 deaths reduced by 5% (Q2 versus Q1: IRR = 0.949, 95% CI 0.901- 0.999), 14.4% (Q3 versus Q1: IRR = 0.815, 95% CI 0.718 - 0.926), and 25% (Q2 versus Q1: IRR = 0.751, 95% CI 0.701- 0.805) of facility ratings. Spatial analysis showed a significant hotspot of nursing home COVID-19 deaths in the Northeast US. This study contributes to nursing home quality assessment for improving residents' health.
Keywords: COVID-19 deaths; Medical geography; Northeast US; Nursing homes; SARS-CoV-2; Spatial analysis.
. 2022 Feb 21;44:237-244.
doi: 10.1016/j.gerinurse.2022.02.013. Online ahead of print.
A 2-year pandemic period analysis of facility and county-level characteristics of nursing home coronavirus deaths in the United States, January 1, 2020-December 18, 2021
Ayodeji Emmanuel Iyanda[SUP] 1 [/SUP], Kwadwo Adu Boakye[SUP] 2 [/SUP]
Affiliations
- PMID: 35248837
- DOI: 10.1016/j.gerinurse.2022.02.013
Abstract
Nursing home residents are highly susceptible to COVID-19 infection and complications. We used a generalized linear mixed Poisson model and spatial statistics to examine the determinants of COVID-19 deaths in 13,350 nursing homes in the first 2-year pandemic period using the Centers for Medicare and Medicaid Services and county-level related data. The average prevalence of COVID-19 mortality among residents was 9.02 (Interquartile range = 10.18) per 100 nursing home beds in the first 2-year of the pandemic. Fully-adjusted mixed model shows that nursing homes COVID-19 deaths reduced by 5% (Q2 versus Q1: IRR = 0.949, 95% CI 0.901- 0.999), 14.4% (Q3 versus Q1: IRR = 0.815, 95% CI 0.718 - 0.926), and 25% (Q2 versus Q1: IRR = 0.751, 95% CI 0.701- 0.805) of facility ratings. Spatial analysis showed a significant hotspot of nursing home COVID-19 deaths in the Northeast US. This study contributes to nursing home quality assessment for improving residents' health.
Keywords: COVID-19 deaths; Medical geography; Northeast US; Nursing homes; SARS-CoV-2; Spatial analysis.