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Centenarians in nursing homes during the COVID-19 pandemic.
Couderc, Anne-Laure; Correard, Florian; Nouguerède, Emilie; Berbis, Julie; Rey, Dominique; Daumas, Aurélie; Villani, Patrick.
  • Couderc AL; Internal Medicine, Geriatry and Therapeutic Unit, AP-HM, Marseille, France.
  • Correard F; Aix-Marseille University, CNRS, EFS, ADES, Marseille, France.
  • Nouguerède E; Pharmacy Department, AP-HM, Marseille, France.
  • Berbis J; Aix-Marseille University, Marseille, France.
  • Rey D; Internal Medicine, Geriatry and Therapeutic Unit, AP-HM, Marseille, France.
  • Daumas A; Aix-Marseille University, Marseille, France.
  • Villani P; Public Health Department, AP-HM, Marseille, France.
Aging (Albany NY) ; 13(5): 6247-6257, 2021 03 02.
Article in English | MEDLINE | ID: covidwho-1154951
Semantic information from SemMedBD (by NLM)
1. Nursing Homes LOCATION_OF Study
Subject
Nursing Homes
Predicate
LOCATION_OF
Object
Study
2. Symptoms PROCESS_OF Centenarians
Subject
Symptoms
Predicate
PROCESS_OF
Object
Centenarians
3. Worse PROCESS_OF Centenarians
Subject
Worse
Predicate
PROCESS_OF
Object
Centenarians
4. Disease PROCESS_OF Centenarians
Subject
Disease
Predicate
PROCESS_OF
Object
Centenarians
5. Depressive disorder PROCESS_OF Centenarians
Subject
Depressive disorder
Predicate
PROCESS_OF
Object
Centenarians
6. Nursing Homes LOCATION_OF Study
Subject
Nursing Homes
Predicate
LOCATION_OF
Object
Study
7. Symptoms PROCESS_OF Centenarians
Subject
Symptoms
Predicate
PROCESS_OF
Object
Centenarians
8. Worse PROCESS_OF Centenarians
Subject
Worse
Predicate
PROCESS_OF
Object
Centenarians
9. Disease PROCESS_OF Centenarians
Subject
Disease
Predicate
PROCESS_OF
Object
Centenarians
10. Depressive disorder PROCESS_OF Centenarians
Subject
Depressive disorder
Predicate
PROCESS_OF
Object
Centenarians
ABSTRACT

BACKGROUND:

Centenarians are known to be successful agers compared to other older adults.

OBJECTIVE:

The objective of the present study was to compare coronavirus disease (COVID-19) symptoms and outcomes in centenarians and other residents living in nursing homes. Design-Setting-Subjects-

Methods:

A retrospective multicenter cohort study was conducted using data from 15 nursing homes in the Marseille area. Older residents with confirmed COVID-19 between March and June 2020 were enrolled. The clinical and biological characteristics, the treatment measures, and the outcomes in residents living in these nursing homes were collected from the medical records.

RESULTS:

A total of 321 residents were diagnosed with COVID-19 including 12 centenarians. The median age was 101 years in centenarians and 89 years in other residents. The most common symptoms were asthenia and fever. Three centenarians (25%) experienced a worsening of pre-existing depression (vs. 5.5% of younger residents; p = 0.032). Mortality was significantly higher in centenarians than in younger residents (50% vs. 21.3%, respectively; p = 0.031). A quarter of the younger residents and only one centenarian were hospitalized. However, 33.3% of the centenarians received treatment within the context of home hospitalization.

CONCLUSION:

Worsening of pre-existing depression seems to be more frequent in centenarians with COVID-19 in nursing homes. This population had a higher mortality rate but a lower hospitalization rate than younger residents.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Controlled clinical trial / Diagnostic study / Observational study / Prognostic study / Risk factors Limits: Aged / Female / Humans / Male Country/Region as subject: Europa Language: English Journal: Aging (Albany NY) Journal subject: Geriatrics Year: 2021 Document Type: Article Affiliation country: Aging.202743

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Controlled clinical trial / Diagnostic study / Observational study / Prognostic study / Risk factors Limits: Aged / Female / Humans / Male Country/Region as subject: Europa Language: English Journal: Aging (Albany NY) Journal subject: Geriatrics Year: 2021 Document Type: Article Affiliation country: Aging.202743