Health, functioning and social engagement among older people living in long-term care facilities during the COVID-19 lockdown in Finland: a register-based cohort study
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View abstract on PubMed
Summary
This summary is machine-generated.The COVID-19 lockdown did not significantly impact overall functioning for long-term care facility residents. However, the oldest and most cognitively impaired individuals experienced greater declines in health and cognition during this period.
Area Of Science
- Gerontology
- Public Health
- Epidemiology
Background
- Limited evidence exists on COVID-19 lockdown effects on long-term care facility (LTCF) residents.
- Assessing individual factors linked to changes in functioning and well-being during the 2020 lockdown is crucial.
Purpose Of The Study
- To evaluate the impact of the COVID-19 lockdown on older LTCF residents.
- To identify individual-level factors associated with changes in functioning and well-being.
Main Methods
- Retrospective register-based cohort study of 7,260 LTCF residents (aged 65+).
- Utilized Resident Assessment Instrument (RAI) data, COVID-19 infection records, and death records.
- Logistic regression analyses examined effects on health stability, cognition, activities of daily living (ADL), and social engagement.
Main Results
- Overall, lockdown was not associated with declines in health, cognition, ADL, or social engagement among LTCF residents.
- Subgroup analyses revealed significant deterioration in health stability for the oldest residents (85+).
- Cognitive performance declined more in the most severely cognitively impaired residents during the lockdown.
Conclusions
- The COVID-19 lockdown did not broadly affect health, cognitive, or ADL functioning in Finnish LTCF residents.
- The oldest and most cognitively impaired residents were most negatively impacted by lockdown measures.
- Future pandemic preparedness should consider subgroup vulnerabilities and prioritize maintaining social connections for older adults.
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