Journal of Research in Medical Sciences

SHORT COMMUNICATION
Year
: 2021  |  Volume : 26  |  Issue : 1  |  Page : 40-

Mortality and characteristics of older people dying with COVID-19 in Lombardy nursing homes, Italy: An observational cohort study


Chiara Arienti1, Lorenzo Brambilla1, Silvia Campagnini2, Chiara Fanciullacci3, Fabrizio Giunco1, Andrea Mannini2, Michele Patrini1, Federica Tartarone1, Maria Chiara Carrozza4 
1 IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy
2 IRCCS Fondazione Don Carlo Gnocchi, Florence; The BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy
3 IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy
4 IRCCS Fondazione Don Carlo Gnocchi, Milan; The BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy

Correspondence Address:
Dr. Chiara Arienti
IRCCS Fondazione Don Carlo Gnocchi, Via Alfonso Capecelatro, Milan
Italy

Background: The aim of the study was to describe the epidemiological characteristics of Nursing Homes (NHs) residents infected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and to compute the related case-fatality rate. Materials and Methods: The outcomes were mortality and case-fatality rate with related epidemiological characteristics (age, sex, comorbidity, and frailty). Results: During the COVID-19 outbreak lasted from March 1 to May 7, 2020, 330 residents died in Fondazione Don Gnocchi NHs bringing the mortality rate to 27% with a dramatic increase compared to the same period of 2019, when it was 7.5%. Naso/oropharyngeal swabs resulted positive for COVID-19 in 315 (71%) of the 441of the symptomatic/exposed residents tested. The COVID-19 population was 75% female, with a 17% overall fatality rate and sex-specific fatality rates of 19% and 13% for females and males, respectively. Fifty-six percent of deaths presented SARS-CoV-2-associated pneumonia, 15% cardiovascular, and 29% miscellaneous pathologies. Conclusion: Patients' complexity and frailty might influence SARS-CoV-2 infection case-fatality rate estimates. A COVID-19 register is needed to study COVID-19 frail patients' epidemiology and characteristics.


How to cite this article:
Arienti C, Brambilla L, Campagnini S, Fanciullacci C, Giunco F, Mannini A, Patrini M, Tartarone F, Carrozza MC. Mortality and characteristics of older people dying with COVID-19 in Lombardy nursing homes, Italy: An observational cohort study.J Res Med Sci 2021;26:40-40


How to cite this URL:
Arienti C, Brambilla L, Campagnini S, Fanciullacci C, Giunco F, Mannini A, Patrini M, Tartarone F, Carrozza MC. Mortality and characteristics of older people dying with COVID-19 in Lombardy nursing homes, Italy: An observational cohort study. J Res Med Sci [serial online] 2021 [cited 2021 Jul 25 ];26:40-40
Available from: https://www.jmsjournal.net/article.asp?issn=1735-1995;year=2021;volume=26;issue=1;spage=40;epage=40;aulast=Arienti;type=0