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dc.contributor.authorSchultze, Anna
dc.contributor.authorNightingale, Emily
dc.contributor.authorEvans, David
dc.contributor.authorHulme, William
dc.contributor.authorRosello, Alicia
dc.contributor.authorBates, Chris
dc.contributor.authorCockburn, Jonathan
dc.contributor.authorMacKenna, Brian
dc.contributor.authorCurtis, Helen J
dc.contributor.authorMorton, Caroline E
dc.contributor.authorCroker, Richard
dc.contributor.authorBacon, Seb
dc.contributor.authorMcDonald, Helen I
dc.contributor.authorRentsch, Christopher T
dc.contributor.authorBhaskaran, Krishnan
dc.contributor.authorMathur, Rohini
dc.contributor.authorTomlinson, Laurie A
dc.contributor.authorWilliamson, Elizabeth J
dc.contributor.authorForbes, Harriet
dc.contributor.authorTazare, John
dc.contributor.authorGrint, Daniel
dc.contributor.authorWalker, Alex J
dc.contributor.authorInglesby, Peter
dc.contributor.authorDeVito, Nicholas J
dc.contributor.authorMehrkar, Amir
dc.contributor.authorHickman, George
dc.contributor.authorDavy, Simon
dc.contributor.authorWard, Tom
dc.contributor.authorFisher, Louis
dc.contributor.authorGreen, Amelia CA
dc.contributor.authorWing, Kevin
dc.contributor.authorWong, Angel YS
dc.contributor.authorMcManus, Robert
dc.contributor.authorParry, John
dc.contributor.authorHester, Frank
dc.contributor.authorHarper, Sam
dc.contributor.authorEvans, Stephen JW
dc.contributor.authorDouglas, Ian J
dc.contributor.authorSmeeth, Liam
dc.contributor.authorEggo, Rosalind M
dc.contributor.authorGoldacre, Ben
dc.contributor.authorLeon, David A
dc.date.accessioned2022-08-25T11:12:04Z
dc.date.available2022-08-25T11:12:04Z
dc.date.issued2022-01-10
dc.description.abstractBackground Residents in care homes have been severely impacted by COVID-19. We describe trends in the mortality risk among residents of care homes compared to private homes. Methods On behalf of NHS England we used OpenSAFELY-TPP to calculate monthly age-standardised risks of death due to all causes and COVID-19 among adults aged >=65 years between 1/2/2019 and 31/03/2021. Care home residents were identified using linkage to Care and Quality Commission data. Findings We included 4,340,648 people aged 65 years or older on the 1st of February 2019, 2.2% of whom were classified as residing in a care or nursing home. Age-standardised mortality risks were approximately 10 times higher among care home residents compared to those in private housing in February 2019: comparative mortality figure (CMF) = 10.59 (95%CI = 9.51, 11.81) among women, and 10.87 (9.93, 11.90) among men. By April 2020 these relative differences had increased to more than 17 times with CMFs of 17.57 (16.43, 18.79) among women and 18.17 (17.22, 19.17) among men. CMFs did not increase during the second wave, despite a rise in the absolute age-standardised COVID-19 mortality risks. Interpretation COVID-19 has had a disproportionate impact on the mortality of care home residents in England compared to older residents of private homes, but only in the first wave. This may be explained by a degree of acquired immunity, improved protective measures or changes in the underlying frailty of the populations. The care home population should be prioritised for measures aimed at controlling COVID-19.en_US
dc.identifier.citationSchultze, Nightingale, Evans, Hulme, Rosello, Bates, Cockburn, MacKenna, Curtis, Morton, Croker, Bacon, McDonald, Rentsch, Bhaskaran, Mathur, Tomlinson, Williamson, Forbes, Tazare, Grint, Walker, Inglesby, DeVito, Mehrkar, Hickman, Davy, Ward, Fisher, Green, Wing, Wong, McManus, Parry, Hester, Harper, Evans, Douglas, Smeeth, Eggo, Goldacre, Leon. Mortality among Care Home Residents in England during the first and second waves of the COVID-19 pandemic: an observational study of 4.3 million adults over the age of 65. The Lancet Regional Health - Europe. 2022;14en_US
dc.identifier.cristinIDFRIDAID 2023425
dc.identifier.doi10.1016/j.lanepe.2021.100295
dc.identifier.issn2666-7762
dc.identifier.urihttps://hdl.handle.net/10037/26408
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.journalThe Lancet Regional Health - Europe
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2022 The Author(s)en_US
dc.titleMortality among Care Home Residents in England during the first and second waves of the COVID-19 pandemic: an observational study of 4.3 million adults over the age of 65en_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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