Mortality risk factors in nursing homes

Among symptomatic nursing home residents with COVID-19, independent risk factors for all-cause mortality at 30 days include male sex, older age, and impaired cognition and physical function, according to a JAMA Internal Medicine study. The analysis included nearly 5300 adults with confirmed SARS-CoV-2 infection at 350 nursing homes across the U.S.; one fifth died within 30 days of their first positive SARS-CoV-2 result. Compared with residents aged 75-79, those aged 80-84 were 46% more likely to die, and those aged 85-89 were 59% more likely. Women were 31% less likely than men to die. In addition, those with moderate or severe cognitive impairment were over twice as likely to die as those with normal cognition. Mortality risk also increased as the ability to accomplish activities of daily living decreased. Commentators say the findings “offer a more comprehensive picture of COVID-19 prognosis in nursing home residents that might help clinicians care for this population.”

JAMA Internal Medicine article on mortality in nursing homes 

JAMA Internal Medicine commentary on mortality in nursing homes