117664 20240319081026.0 doi 10.3389/fpubh.2022.928174 sideral 129256 ART-2022-129256 eng Aguilar Palacio, Isabel Universidad de Zaragoza (orcid)0000-0001-7293-701X Understanding the COVID-19 pandemic in nursing homes (Aragón, Spain): sociodemographic and clinical factors associated with hospitalization and mortality 2022 Access copy available to the general public Unrestricted Old people residing in nursing homes have been a vulnerable group to the coronavirus disease 2019 (COVID-19) pandemic, with high rates of infection and death. Our objective was to describe the profile of institutionalized patients with a confirmed COVID-19 infection and the socioeconomic and morbidity factors associated with hospitalization and death. We conducted a retrospective cohort study including data from subjects aged 65 years or older residing in a nursing home with a confirmed COVID-19 infection from March 2020 to March 2021 (4,632 individuals) in Aragón (Spain). We analyzed their sociodemographic and clinical profiles and factors related to hospitalization and mortality at 7, 30, and 90 days of COVID-19 diagnosis using logistic regression analyses. We found that the risk of hospitalization and mortality varied according to sociodemographic and morbidity profile. There were inequalities in hospitalization by socioeconomic status and gender. Patients with low contributory pensions and women had a lower risk of hospitalization. Diabetes mellitus, heart failure, and chronic kidney disease were associated with a higher risk of hospitalization. On the contrary, people with dementia showed the highest risk of mortality with no hospitalization. Patient-specific factors must be considered to develop equitable and effective measures in nursing homes to be prepared for future health threats. info:eu-repo/grantAgreement/ES/DGA-GRISSA/B09-20R info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 5.2 2022 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 25 / 180 = 0.139 2022 Q1 T1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 43 / 207 = 0.208 2022 Q1 T1 1.125 2022 Public Health, Environmental and Occupational Health 2022 Q1 3.8 2022 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Maldonado, Lina Universidad de Zaragoza (orcid)0000-0003-1647-3462 Marcos Campos, Iván Castel Feced, Sara Universidad de Zaragoza (orcid)0000-0002-5064-3763 Malo, Sara Universidad de Zaragoza (orcid)0000-0002-7194-8275 Aibar, Carlos Rabanaque, MªJosé Universidad de Zaragoza (orcid)0000-0002-6671-5661 4014 623 Universidad de Zaragoza Dpto. Economía Aplicada Área Métodos Cuant.Econ.Empres 1011 615 Universidad de Zaragoza Dpto. Microb.Ped.Radio.Sal.Pú. Área Medic.Prevent.Salud Públ. 10 (2022), 928174 [12 pp] Front. public health. Frontiers in public health 2296-2565 2997967 http://zaguan.unizar.es/record/117664/files/texto_completo.pdf Versión publicada 2283328 http://zaguan.unizar.es/record/117664/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:117664 articulos driver 2024-03-18-16:45:35 ARTICLE