%0 Journal Article
%A Ramos-Rincon, Jose-Manuel
%A Bernabeu-Wittel, Maximo
%A Fiteni-Mera, Isabel
%A Lopez-Sampalo, Almudena
%A Lopez-Rios, Carmen
%A Garcia-Andreu, Maria-Del-Mar
%A Mancebo-Sevilla, Juan-Jose
%A Jimenez-Juan, Carlos
%A Matia-Sanz, Marta
%A Lopez-Quirantes, Pablo
%A Rubio-Rivas, Manuel
%A Paredes-Ruiz, Diana
%A Gonzalez-San-Narciso, Candela
%A Gonzalez-Vega, Rocío
%A Sanz-Espinosa, Pablo
%A Hernandez-Milian, Almudena
%A Gonzalez-Noya, Amara
%A Gil-Sanchez, Ricardo
%A Boixeda, Ramon
%A Alcala-Pedrajas, Jose-Nicolas
%A Palop-Cervera, Marta
%A Cortes-Rodriguez, Begoña
%A Guisado-Espartero, Maria-Esther
%A Mella-Perez, Carmen
%A Gómez-Huelgas, Ricardo
%A SEMI-COVID-19 Network
%T Clinical Features and Risk Factors for Mortality Among Long-term Care Facility Residents Hospitalized Due to COVID-19 in Spain.
%D 2021
%U http://hdl.handle.net/10668/19783
%X COVID-19 severely impacted older adults and long-term care facility (LTCF) residents. Our primary aim was to describe differences in clinical and epidemiological variables, in-hospital management, and outcomes between LTCF residents and community-dwelling older adults hospitalized with COVID-19. The secondary aim was to identify risk factors for mortality due to COVID-19 in hospitalized LTCF residents. This is a cross-sectional analysis within a retrospective cohort of hospitalized patients ≥75 years with confirmed COVID-19 admitted to 160 Spanish hospitals. Differences between groups and factors associated with mortality among LTCF residents were assessed through comparisons and logistic regression analysis. Of 6 189 patients ≥75 years, 1 185 (19.1%) were LTCF residents and 4 548 (73.5%) were community-dwelling. LTCF residents were older (median: 87.4 vs 82.1 years), mostly female (61.6% vs 43.2%), had more severe functional dependence (47.0% vs 7.8%), more comorbidities (Charlson Comorbidity Index: 6 vs 5), had dementia more often (59.1% vs 14.4%), and had shorter duration of symptoms (median: 3 vs 6 days) than community-dwelling patients (all, p  Basal functional status and COVID-19 severity are risk factors of mortality in LTCF residents. The lower adjusted mortality rate in LTCF residents may be explained by earlier identification, treatment, and hospitalization for COVID-19.
%K COVID-19
%K Epidemiology
%K Mortality
%K Nursing homes
%K Risk factors
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