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Rev Esp Salud Publica · May 2021
[Evolution of COVID-19 at nursing homes from the second wave to vaccination. Description of a coordination program between Primary Care, Geriatrics and Public Health.]
- Rocío Menéndez Colino, Ana Merello de Miguel, Francesca Argentina, Montserrat Barcons Marqués, Blanca Chaparro Jiménez, Paloma López Hernández, Susana Jiménez Bueno, María Dolores Montero Vega, Julio García Rodríguez, Bernardo Ferrer Simo, María Ángeles Navarro Fernández, Teresa Rincón Del Toro, Teresa Alarcón Alarcón, Francisco Javier Martínez Peromingo, and Juan Ignacio González-Montalvo.
- Servicio de Geriatría. Hospital Universitario La Paz. Madrid. España.
- Rev Esp Salud Publica. 2021 May 11; 95.
ObjectiveNursing homes have suffered in a particularly pronounced way from the effects of COVID-19 so it is very convenient to know the evolution in them of the disease and the impact of SARS-CoV2 vaccination The objective of this study was to analyze COVID-19 pandemic evolution from the start of the second wave to the end of the vaccination campaign at the nursing homes. A coordination program between Primary Care and Geriatrics and Public Health services was activated.Methods2,668 seniors were followed at 39 nursing homes. Data from new cases, active cases, mortality and place of treatment of COVID-19 were collected. A descriptive analysis was performed with the measurement of the absolute number of positive SARS-CoV-2 cases and the frequency distribution.ResultsBetween August 7th 2020 and February 26th 2021, 30 outbreaks occurred at 21 nursing homes. 300 people tested positive for SARS-CoV-2 (11% of total residents). The daily average of active cases was 27,166 were hospitalized (55%). 66 patients died (22% of those infected), 54 of them (78%) at the hospital. 1,984 PCR tests were performed. The temporary profile of new cases did not follow a distribution "in waves" as in the community. Thirty-seven days after the start of the second dose of vaccination, there were no active cases until March 1st, when new cases were under study for possible vaccine leakage.ConclusionsThe incidence of COVID-19 at nursing homes after the first wave of the pandemic has apparently been lower. The transmission in these centers has followed a different distribution than at community. Mass vaccination has achieved the practical disappearance of the disease.
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