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Incidence, Hospitalization, Mortality and Risk Factors of COVID-19 in Long-Term Care Residential Homes for Patients with Chronic Mental Illness

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 va...

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Main Authors: Alberto Arnedo-Pena (Author), María Angeles Romeu-Garcia (Author), Juan Carlos Gasco-Laborda (Author), Noemi Meseguer-Ferrer (Author), Lourdes Safont-Adsuara (Author), Francisco Guillen-Grima (Author), María Dolores Tirado-Balaguer (Author), Susana Sabater-Vidal (Author), María Gil-Fortuño (Author), Oscar Pérez-Olaso (Author), Noelia Hernández-Pérez (Author), Rosario Moreno-Muñoz (Author), Juan Bellido-Blasco (Author)
Format: Book
Published: MDPI AG, 2022-09-01T00:00:00Z.
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Summary: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.
Item Description:10.3390/epidemiologia3030030
2673-3986

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