Centenarians in nursing homes during the COVID-19 pandemic.


Journal

Aging
ISSN: 1945-4589
Titre abrégé: Aging (Albany NY)
Pays: United States
ID NLM: 101508617

Informations de publication

Date de publication:
02 03 2021
Historique:
received: 02 12 2020
accepted: 16 02 2021
pubmed: 4 3 2021
medline: 7 4 2021
entrez: 3 3 2021
Statut: ppublish

Résumé

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

Sections du résumé

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;
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.

Identifiants

pubmed: 33653968
pii: 202743
doi: 10.18632/aging.202743
pmc: PMC7993710
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

6247-6257

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Auteurs

Anne-Laure Couderc (AL)

Internal Medicine, Geriatry and Therapeutic Unit, AP-HM, Marseille, France.
Aix-Marseille University, CNRS, EFS, ADES, Marseille, France.

Florian Correard (F)

Pharmacy Department, AP-HM, Marseille, France.
Aix-Marseille University, Marseille, France.

Emilie Nouguerède (E)

Internal Medicine, Geriatry and Therapeutic Unit, AP-HM, Marseille, France.

Julie Berbis (J)

Aix-Marseille University, Marseille, France.
Public Health Department, AP-HM, Marseille, France.

Dominique Rey (D)

Internal Medicine, Geriatry and Therapeutic Unit, AP-HM, Marseille, France.

Aurélie Daumas (A)

Internal Medicine, Geriatry and Therapeutic Unit, AP-HM, Marseille, France.
Aix-Marseille University, Marseille, France.

Patrick Villani (P)

Internal Medicine, Geriatry and Therapeutic Unit, AP-HM, Marseille, France.
Aix-Marseille University, CNRS, EFS, ADES, Marseille, France.

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