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Causes of deaths in long-term care and hospice care facilities during the first year of COVID-19 pandemic: a snapshot of Italy during 2020.
| Content Provider | Europe PMC |
|---|---|
| Author | Zazzara, Maria Beatrice Colloca, Giuseppe Ferdinando Maraschini, Alice Bellieni, Andrea Dispenza, Sabrina Meloni, Eleonora Ricciotti, Maria Adelaide Penco, Italo Minelli, Giada Onder, Graziano |
| Abstract | BackgroundOlder adults living in long-term care facilities (LTCF) have been severely affected by COVID-19. Hospice care (HC) facilities and palliative care are essential in treating patients dying from COVID-19. In Italy, little is known about the impact of COVID-19 on deaths in LTCF and the care provided in HC to COVID-19 patients.AimTo assess overall and case-specific mortality in 2020 in LTC and HC facilities in comparison to the previous five years (2015–2019).MethodsWe performed a descriptive study using data derived from the Italian national “Cause of Death” registry—managed by the Italian National Institute of Statistics—on deaths occurred in LTC and HC facilities during 2020 and the period 2015–2019.ResultsNumber of deaths significantly increased in 2020 compared with 2015–2019 in LTCF (83,062 deaths vs. 59,200) and slightly decreased in hospices (38,788 vs. 39,652). COVID-19 caused 12.5% of deaths in LTCF and only 2% in hospices. Other than COVID-19, in 2020, cancer accounted for 77% of all deaths that occurred in HC, while cardiovascular diseases (35.6%) and psychotic and behavioral disorders (10%) were the most common causes of death in LTCF. Overall, 22% of the excess mortality registered in Italy during 2020 is represented by the deaths that occurred in LTCF.Discussion and conclusionLTCF were disproportionally affected by COVID-19, while the response to the pandemic in HC was limited. These data can help plan strategies to limit the impact of future epidemics and to better understand residential care response to COVID-19 epidemic.Supplementary InformationThe online version contains supplementary material available at 10.1007/s40520-023-02426-7. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC10175910&blobtype=pdf |
| ISSN | 15940667 |
| Journal | Aging Clinical and Experimental Research [Aging Clin Exp Res] |
| Volume Number | 35 |
| DOI | 10.1007/s40520-023-02426-7 |
| PubMed Central reference number | PMC10175910 |
| Issue Number | 6 |
| PubMed reference number | 37171537 |
| e-ISSN | 17208319 |
| Language | English |
| Publisher | Springer International Publishing |
| Publisher Date | 2023-05-12 |
| Publisher Place | Gewerbestrasse 11, Cham, Ch 6330, Switzerland |
| Access Restriction | Open |
| Rights License | Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. © The Author(s) 2023 |
| Subject Keyword | Palliative care COVID-19 Hospice care Long-term care Nursing homes Geriatrics |
| Content Type | Text |
| Resource Type | Article |
| Subject | Aging Geriatrics and Gerontology |