Florence Canouï-Poitrine1,2, Antoine Rachas3, Martine Thomas3, Laure Carcaillon-Bentata4, Roméo Fontaine5, Gaëtan Gavazzi6,7, Marie Laurent1,8, Jean-Marie Robine5,9,10,11. 1. Univ Paris Est Creteil, Inserm, IMRB U955, CEpiA Team, F-94000, Creteil, France. 2. APHP, Henri-Mondor Hospital, Public Health Department, F-94000, Creteil, France. 3. Cnam, Direction de la Stratégie, des Etudes et des Statistiques, F-75000, Paris, France. 4. Santé Publique France (SpF), F-94410, Saint-Maurice, France. 5. INED, Mortality, Health and Epidemiology (UR5), F-93300, Aubervilliers, France. 6. Grenoble Alpes University Hospital, Geriatric Department, F-38000, Grenoble, France. 7. University of Grenoble-Alpes, GREPI TIMC-IMAG, CNRS UMR 552, F-38000, Grenoble, France. 8. APHP, Henri-Mondor Hospital, Geriatric Department, F-94000 Creteil, France. 9. Univ Paris, INSERM, CNRS, EHSS, CERMES3, F-75000, Paris, France. 10. Univ Montpellier, EPHE, INSERM, MMDN, F-34000, Montpellier, France. 11. PSL Research University, F-75000, Paris, France.
Abstract
BACKGROUND: The objectives were to assess the excess deaths among Nursing Home (NH) residents during the first wave of the COVID-19 pandemic, to determine their part in the total excess deaths and whether there was a mortality displacement. METHODS: We studied a cohort of 494,753 adults in 6,515 NHs in France exposed to COVID-19 pandemic (from March 1st to May 31st, 2020) and compared with the 2014-2019 cohorts using data from the French National Health Data System. The main outcome was death. Excess deaths and standardized mortality ratios (SMRs) were estimated. RESULT: There were 13,505 excess deaths. Mortality increased by 43% (SMR: 1.43). The mortality excess was higher among males than females (SMR: 1.51 and 1.38) and decreased with increasing age (SMRs in females: 1.61 in the 60-74 age group, 1.58 for 75-84, 1.41 for 85-94, and 1.31 for 95 or over; Males: SMRs: 1.59 for 60-74, 1.69 for 75-84, 1.47 for 85-94, and 1.41 for 95 or over). No mortality displacement effect was observed up until August 30th,2020. By extrapolating to all NH residents nationally (N = 570,003), we estimated that they accounted for 51% of the general population excess deaths (N = 15,114 out of 29,563). CONCLUSION: NH residents accounted for half of the total excess deaths in France during the first wave of the COVID-19 pandemic. The excess death rate was higher among males than females and among younger than older residents.
BACKGROUND: The objectives were to assess the excess deaths among Nursing Home (NH) residents during the first wave of the COVID-19 pandemic, to determine their part in the total excess deaths and whether there was a mortality displacement. METHODS: We studied a cohort of 494,753 adults in 6,515 NHs in France exposed to COVID-19 pandemic (from March 1st to May 31st, 2020) and compared with the 2014-2019 cohorts using data from the French National Health Data System. The main outcome was death. Excess deaths and standardized mortality ratios (SMRs) were estimated. RESULT: There were 13,505 excess deaths. Mortality increased by 43% (SMR: 1.43). The mortality excess was higher among males than females (SMR: 1.51 and 1.38) and decreased with increasing age (SMRs in females: 1.61 in the 60-74 age group, 1.58 for 75-84, 1.41 for 85-94, and 1.31 for 95 or over; Males: SMRs: 1.59 for 60-74, 1.69 for 75-84, 1.47 for 85-94, and 1.41 for 95 or over). No mortality displacement effect was observed up until August 30th,2020. By extrapolating to all NH residents nationally (N = 570,003), we estimated that they accounted for 51% of the general population excess deaths (N = 15,114 out of 29,563). CONCLUSION: NH residents accounted for half of the total excess deaths in France during the first wave of the COVID-19 pandemic. The excess death rate was higher among males than females and among younger than older residents.
Authors: Adam H Dyer; Aoife Fallon; Claire Noonan; Helena Dolphin; Cliona O'Farrelly; Nollaig M Bourke; Desmond O'Neill; Sean P Kennelly Journal: J Am Med Dir Assoc Date: 2022-07-04 Impact factor: 7.802