COVID-19 in French nursing homes during the second pandemic wave: a mixed-methods cross-sectional study COVID-19 en residencias de ancianos francesas durante la segunda oleada de la pandemia: un estudio transversal mixto Le COVID-19 dans les EHPAD français durant la deuxième vague pandémique : une étude mixte et transversale COVID-19 u francuskim domovima za umirovljenike tijekom drugog vala pandemije: kvantitativno-kvalitativno i transverzalno istraživanje
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2022
- handle: 10670/1.zpc1ec
- halshs: halshs-04516442
- doi: 10.1136/bmjopen-2021-060276
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/doi/10.1136/bmjopen-2021-060276
http://creativecommons.org/licenses/by-nc-nd/ , info:eu-repo/semantics/OpenAccess
Mots-clés
-bio]/Human health and pathology/Emerging diseases -bio]/Human health and pathology/Infectious diseases -bio]/Santé publique et épidémiologieSujets proches
Tsʻeu Tzʻu Ci Tse Skilled nursing facilities Long-term skilled nursing facilities Skilled care facilities Nursing facilities, SkilledCiter ce document
Morgane Dujmovic et al., « Le COVID-19 dans les EHPAD français durant la deuxième vague pandémique : une étude mixte et transversale », HAL-SHS : géographie, ID : 10.1136/bmjopen-2021-060276
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Introduction. French nursing homes were deeply affected by the first wave of the COVID-19 pandemic, with 38% of all residents infected and 5% dying. Yet, little was done to prepare these facilities for the second pandemic wave, and subsequent outbreak response strategies largely duplicated what had been done in the spring of 2020, regardless of the unique needs of the care home environment. Methods. A cross-sectional, mixed-methods study using a retrospective, quantitative data from residents of 14 nursing homes between November 2020 and mid-January 2021. Four facilities were purposively selected as qualitative study sites for additional in-person, in-depth interviews in January and February 2021.Results. The average attack rate in the 14 participating nursing facilities was 39% among staff and 61% among residents. One-fifth (20) of infected residents ultimately died from COVID-19 and its complications. Failure to thrive syndrome (FTTS) was diagnosed in 23% of COVID-19-positive residents. Those at highest risk of death were men (HR=1.78; 95% CI: 1.18 to 2.70; p=0.006), with FTTS (HR=4.04; 95% CI: 1.93 to 8.48; p