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Background rates of all-cause mortality, hospitalizations, and emergency department visits among nursing home residents in Ontario, Canada to inform COVID-19 vaccine safety assessments
Maria Sundaram; Sharifa Nasreen; Andrew Calzavara; Siyi He; Hannah Chung; Susan E Bronskill; Sarah A Buchan; Mina Tadrous; Peter Tanuseputro; Kumanan Wilson; Sarah Wilson; Jeff Kwong; - Canadian Immunization Research Network (CIRN) Investigators.
Affiliation
  • Maria Sundaram; ICES; Dalla Lana School of Public Health, University of Toronto
  • Sharifa Nasreen; Dalla Lana School of Public Health, University of Toronto
  • Andrew Calzavara; ICES
  • Siyi He; ICES
  • Hannah Chung; ICES
  • Susan E Bronskill; ICES; Dalla Lana School of Public Health, University of Toronto; Women's College Research Institute, Toronto
  • Sarah A Buchan; Public Health Ontario
  • Mina Tadrous; ICES; Public Health Ontario
  • Peter Tanuseputro; ICES; Department of Medicine, University of Ottawa and Bruyere and Ottawa Hospital Research Institutes, Ottawa
  • Kumanan Wilson; Department of Medicine, University of Ottawa and Bruyere and Ottawa Hospital Research Institutes, Ottawa
  • Sarah Wilson; ICES; Dalla Lana School of Public Health, University of Toronto; Public Health Ontario
  • Jeff Kwong; ICES
  • - Canadian Immunization Research Network (CIRN) Investigators;
Preprint in En | PREPRINT-MEDRXIV | ID: ppmedrxiv-21253290
Journal article
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ABSTRACT
BackgroundNursing home (NH) residents are prioritized for COVID-19 vaccination. We report monthly mortality, hospitalizations, and emergency department (ED) visit incidence rates (IRs) during 2010-2020 to provide context for COVID-19 vaccine safety assessments. MethodsWe observed outcomes among NH residents using administrative databases. IRs were calculated by month, sex, and age group. Comparisons between months were assessed using one-sample t-tests; comparisons by age and sex were assessed using chi-squared tests. ResultsFrom 2010-2019, there were 83,453 (SD 652.4) NH residents per month, with an average of 2.3 (SD 0.28) deaths, 3.1 (SD 0.16) hospitalizations, and 3.6 (SD 0.17) ED visits per 100 residents per month. From March to December 2020, mortality IRs were increased, but hospitalization and ED visit IRs were reduced (p<0.05). ConclusionWe identified consistent monthly mortality, hospitalization, and ED visit IRs during 2010-2019. Marked differences in these rates were observed during 2020, coinciding with the COVID-19 pandemic.
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Full text: 1 Collection: 09-preprints Database: PREPRINT-MEDRXIV Type of study: Observational_studies Language: En Year: 2021 Document type: Preprint
Full text: 1 Collection: 09-preprints Database: PREPRINT-MEDRXIV Type of study: Observational_studies Language: En Year: 2021 Document type: Preprint