000136331 001__ 136331
000136331 005__ 20240731105612.0
000136331 0247_ $$2doi$$a10.1016/j.heliyon.2024.e34840
000136331 0248_ $$2sideral$$a139295
000136331 037__ $$aART-2024-139295
000136331 041__ $$aeng
000136331 100__ $$0(orcid)0000-0001-7293-701X$$aAguilar-Palacio, Isabel$$uUniversidad de Zaragoza
000136331 245__ $$aDifferences in healthcare use and mortality in older adults during the COVID-19 pandemic: Exploring long-term care users' vulnerability
000136331 260__ $$c2024
000136331 5060_ $$aAccess copy available to the general public$$fUnrestricted
000136331 5203_ $$aBackground
The objective of our study is to analyze the health care received by older adults with COVID-19 according to their place of residence (whether or not they live in a long-term care [LTC] facility) and to find out the effect of health care on mortality.
Methods
Retrospective cohort study based in Aragón (Spain) from March 2020 to March 2021 in patients aged 65 years or older with a confirmed COVID-19 infection. The population was classified according to their place of residence (living in a LTC or not). A propensity score was used to match individuals by sex and age. The effect of living in a LTC facility on healthcare delivery and mortality was conducted using adjusted multivariate models. Varimp was used to estimate the best predictors of mortality for both groups.
Results
Healthcare services utilization varied depending on whether the patients lived in a LTC facility or not. The time to diagnosis was shorter in institutionalized patients, but the time to hospital admission was longer. Length of hospital stays, risk of ICU admission and 30-day mortality were also different and remained statistically significant in the adjusted models. The variables that were more important in the association between healthcare utilization and mortality were those associated with greater severity of COVID-19.
Conclusions
There were differences in health care for older adults diagnosed with COVID-19 according to their place of residence. There is a need to strengthen collaboration between professionals in LTC centers and health services to provide equitable health care.
000136331 536__ $$9info:eu-repo/grantAgreement/ES/DGA-GRISSA/B09-23R$$9info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0005
000136331 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000136331 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000136331 700__ $$0(orcid)0000-0003-1647-3462$$aMaldonado, Lina$$uUniversidad de Zaragoza
000136331 700__ $$0(orcid)0000-0002-7194-8275$$aMalo, Sara$$uUniversidad de Zaragoza
000136331 700__ $$0(orcid)0000-0002-5064-3763$$aCastel-Feced, Sara
000136331 700__ $$0(orcid)0000-0002-3312-7759$$aCebollada, Alberto
000136331 700__ $$0(orcid)0000-0003-2683-7346$$aAguilar-Latorre, Alejandra$$uUniversidad de Zaragoza
000136331 700__ $$0(orcid)0000-0002-6671-5661$$aRabanaque, M José$$uUniversidad de Zaragoza
000136331 7102_ $$14014$$2623$$aUniversidad de Zaragoza$$bDpto. Economía Aplicada$$cÁrea Métodos Cuant.Econ.Empres
000136331 7102_ $$14009$$2735$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicolog.Evolut.Educac
000136331 7102_ $$11011$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Ped.Radio.Sal.Pú.$$cÁrea Medic.Prevent.Salud Públ.
000136331 773__ $$g10, 14 (2024), e34840 [9 pp.]$$pHeliyon$$tHeliyon$$x2405-8440
000136331 8564_ $$s1386609$$uhttps://zaguan.unizar.es/record/136331/files/texto_completo.pdf$$yVersión publicada
000136331 8564_ $$s1600583$$uhttps://zaguan.unizar.es/record/136331/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000136331 909CO $$ooai:zaguan.unizar.es:136331$$particulos$$pdriver
000136331 951__ $$a2024-07-31-09:23:07
000136331 980__ $$aARTICLE