Centenarians in nursing homes during the COVID-19 pandemic.

TitreCentenarians in nursing homes during the COVID-19 pandemic.
Publication TypeJournal Article
Year of Publication2021
AuthorsCouderc A-L, Correard F, Nouguerède E, Berbis J, Rey D, Daumas A, Villani P
JournalAging (Albany NY)
Volume13
Issue5
Pagination6247-6257
Date Published2021 03 02
ISSN1945-4589
Mots-clésAge Factors, Aged, Aged, 80 and over, Comorbidity, COVID-19, Depression, Female, France, Humans, Male, Nursing Homes, Pandemics, Prognosis, Retrospective Studies, SARS-CoV-2
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; = 0.032). Mortality was significantly higher in centenarians than in younger residents (50% vs. 21.3%, respectively; = 0.031). A quarter of the younger residents and only one centenarian were hospitalized. However, 33.3% of the centenarians received treatment within the context of home hospitalization.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.

DOI10.18632/aging.202743
Alternate JournalAging (Albany NY)
PubMed ID33653968
PubMed Central IDPMC7993710