美国养老院COVID-19死亡率 2020-202222年
Ling Na1, Minxuan Lan2, Rong Liu3
1Department of Population Health, University of Toledo, Toledo, OH 43606, USA.
概括
从2020年到2022年,养老院COVID-19死亡率显著下降. 护理质量,人员配置和疫苗接种覆盖率等因素影响了结果,突出了针对性干预和资金的需求.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 养老院是COVID-19死亡率高风险的环境.
- 多层次的风险因素 (设施,社区,个人) 导致差异.
研究的目的:
- 在养老院居民中估计COVID-19死亡率 (2020-2022).
- 确定高死亡率的地理区域.
- 评估与死亡率增加相关的因素.
主要方法:
- 队列研究分析了2020-2022年养老院居民数据.
- 检查了与设施特征,社区社会经济地位和疫苗接种有关的死亡率.
- 疫苗接种前后的时间比较.
主要成果:
- 平均每1000人/年的COVID-19死亡率为113.4 (2020年),36.4 (2021年),15.3 (2022年).
- 较低的死亡率与更好的护理质量,医院接入,人员配置,员工疫苗接种和更高的社区收入有关.
- 在疫苗接种前和疫苗接种后的时代,关联因设施种族,社区收入和医院护理质量而异.
结论:
- 养老院COVID-19死亡率呈现下降趋势,受护理质量,人员配置和疫苗接种的影响.
- 包括改善护理,人员配置,感染控制和资金在内的有针对性的战略至关重要.
- 持续监测跨多个领域的时间趋势对于有效的缓解至关重要.
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