Publication:
Incidence, hospitalization, mortality and risk factors of COVID-19 in long-term care residential homes for patients with chronic mental illness

Date

2022

Authors

Arnedo Pena, Alberto
Romeu García, María Ángeles
Gasco-Laborda, Juan Carlos
Meseguer-Ferrer, Noemí
Safont-Adsuara, Lourdes
Tirado-Balaguer, María Dolores
Sabater-Vidal, Susana
Gil-Fortuño, María
Pérez-Olaso, Óscar

Director

Publisher

MDPI
Acceso abierto / Sarbide irekia
Artículo / Artikulua
Versión publicada / Argitaratu den bertsioa

Project identifier

Abstract

Long-term care residential homes (LTCRH) for patients with chronic mental illness have suffered the enormous impact of COVID-19. This study aimed to estimate incidence, hospitalization, mortality, and risk factors of COVID-19 to prevent future epidemics. From March 2020 to January 2021 and before vaccination anti-SARS-CoV-2 begins, cumulate incidence rate (CIR), hospitalization rate (HR), mortality rate (MR), and risk factors of COVID-19 in the 11 LTCRH of two Health Departments of Castellon (Spain) were studied by epidemiological surveillance and an ecological design. Laboratory tests confirmed COVID-19 cases, and multilevel Poisson regression models were employed. All LTCRH participated and comprised 346 residents and 482 staff. Residents had a mean age of 47 years, 40% women, and suffered 75 cases of COVID-19 (CIR = 21.7%), five hospitalizations (HR = 1.4%), and two deaths (MR = 0.6%) with 2.5% fatality-case. Staff suffered 74 cases of the disease (CIR = 15.4%), one hospitalization (HR = 0.2%), and no deaths were reported. Risk factors associated with COVID-19 incidence in residents were private ownership, severe disability, residents be younger, CIR in municipalities where LTCRH was located, CIR in staff, and older age of the facilities. Conclusion: COVID-19 incidence could be prevented by improving infection control in residents and staff and modernizing facilities with increased public ownership.

Description

Keywords

COVID-19, Ecologic design, Epidemiological surveillance, Incidence hospitalization, Intellectual disability, Long-term care residential homes, Mental illness, Mortality, Risk factors

Department

Ciencias de la Salud / Osasun Zientziak

Faculty/School

Degree

Doctorate program

item.page.cita

Arnedo-Pena, A., Romeu-Garcia, M., Gasco-Laborda, J., Meseguer-Ferrer, N., Safont-Adsuara, L., Guillen-Grima, F., Tirado-Balaguer, M., Sabater-Vidal, S., Gil-Fortuño, M., Pérez-Olaso, O., Hernández-Pérez, N., Moreno-Muñoz, R., & Bellido-Blasco, J. (2022). Incidence, Hospitalization, Mortality and Risk Factors of COVID-19 in Long-Term Care Residential Homes for Patients with Chronic Mental Illness. Epidemiologia, 3(3), 391–401. https://doi.org/10.3390/epidemiologia3030030

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© 2023 by the authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.

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