tetano
Editor, Senior Moderator
J Am Med Dir Assoc
. 2021 Mar 20;S1525-8610(21)00309-1.
doi: 10.1016/j.jamda.2021.03.013. Online ahead of print.
Coronavirus Disease 2019 in French Residential Care Facilities: A Nationwide Study
Jo?l Belmin[SUP] 1 [/SUP], Scarlett Georges[SUP] 2 [/SUP], Florian Franke[SUP] 2 [/SUP], Come Daniau[SUP] 2 [/SUP], Amandine Cochet[SUP] 2 [/SUP], C?cile Durand[SUP] 2 [/SUP], Ursula Noury[SUP] 2 [/SUP], Maria Eug?nia Gomes do Espirito Santo[SUP] 2 [/SUP], Laure Fonteneau[SUP] 2 [/SUP], Sylvie Pariel[SUP] 3 [/SUP], Carmelo Lafuente-Lafuente[SUP] 4 [/SUP], Kostas Danis[SUP] 2 [/SUP]
Affiliations
Abstract
Objectives: The Coronavirus 2019 (COVID-19) pandemic caused a considerable mortality in long-term care facilities (LTCFs), including residential care setting and nursing homes. This study aimed to estimate COVID-19 incidence and mortality in residential care facilities and to compare them with those recorded in nursing homes.
Design: Nationwide observational study conducted by French health authorities.
Settings and participants: Since March 1, 2020, all LTCFs in France reported all COVID-19 cases and COVID-19-related deaths among their residents.
Methods: Possible cases were those with COVID-19-related symptoms without laboratory confirmation and confirmed cases those with a reverse transcriptase polymerase chain reaction test or serology positive for SARS-CoV-2. We included facilities with at least 1 confirmed case of COVID-19 and estimated the cumulative incidence of COVID-19 cases and mortality due to COVID-19 reported until June 30, 2020, using the maximum bed capacity as a denominator.
Results: Of the 2288 residential care facilities, 310 (14%) and, of the 7688 nursing homes, 3110 (40%) reported COVID-19 cases among residents (P < .001). The cumulative incidence of COVID-19 was significantly lower in residential care facilities as compared with nursing homes (1.10 vs 9.97 per 100 beds, P < .001). Mortality due to COVID-19 was also lower in residential care facilities compared with nursing homes (0.07 vs 1.29 per 100 beds, P < .001). Case fatality was lower in residential care facilities (6.49% vs 12.93%, P < .001).
Conclusion and implications: French residential care facilities experienced a much lower burden from COVID-19 than nursing homes. Our findings may inform the implementation of better infection control practices in these settings.
Keywords: COVID-19; Long-term care facilities; case-fatality ratio; mortality; nursing homes; residential care.
. 2021 Mar 20;S1525-8610(21)00309-1.
doi: 10.1016/j.jamda.2021.03.013. Online ahead of print.
Coronavirus Disease 2019 in French Residential Care Facilities: A Nationwide Study
Jo?l Belmin[SUP] 1 [/SUP], Scarlett Georges[SUP] 2 [/SUP], Florian Franke[SUP] 2 [/SUP], Come Daniau[SUP] 2 [/SUP], Amandine Cochet[SUP] 2 [/SUP], C?cile Durand[SUP] 2 [/SUP], Ursula Noury[SUP] 2 [/SUP], Maria Eug?nia Gomes do Espirito Santo[SUP] 2 [/SUP], Laure Fonteneau[SUP] 2 [/SUP], Sylvie Pariel[SUP] 3 [/SUP], Carmelo Lafuente-Lafuente[SUP] 4 [/SUP], Kostas Danis[SUP] 2 [/SUP]
Affiliations
- PMID: 33865795
- DOI: 10.1016/j.jamda.2021.03.013
Abstract
Objectives: The Coronavirus 2019 (COVID-19) pandemic caused a considerable mortality in long-term care facilities (LTCFs), including residential care setting and nursing homes. This study aimed to estimate COVID-19 incidence and mortality in residential care facilities and to compare them with those recorded in nursing homes.
Design: Nationwide observational study conducted by French health authorities.
Settings and participants: Since March 1, 2020, all LTCFs in France reported all COVID-19 cases and COVID-19-related deaths among their residents.
Methods: Possible cases were those with COVID-19-related symptoms without laboratory confirmation and confirmed cases those with a reverse transcriptase polymerase chain reaction test or serology positive for SARS-CoV-2. We included facilities with at least 1 confirmed case of COVID-19 and estimated the cumulative incidence of COVID-19 cases and mortality due to COVID-19 reported until June 30, 2020, using the maximum bed capacity as a denominator.
Results: Of the 2288 residential care facilities, 310 (14%) and, of the 7688 nursing homes, 3110 (40%) reported COVID-19 cases among residents (P < .001). The cumulative incidence of COVID-19 was significantly lower in residential care facilities as compared with nursing homes (1.10 vs 9.97 per 100 beds, P < .001). Mortality due to COVID-19 was also lower in residential care facilities compared with nursing homes (0.07 vs 1.29 per 100 beds, P < .001). Case fatality was lower in residential care facilities (6.49% vs 12.93%, P < .001).
Conclusion and implications: French residential care facilities experienced a much lower burden from COVID-19 than nursing homes. Our findings may inform the implementation of better infection control practices in these settings.
Keywords: COVID-19; Long-term care facilities; case-fatality ratio; mortality; nursing homes; residential care.