National Center for Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy.
National Center for Drug Research and Evaluation, Italian National Institute of Health, Rome, Italy.
Int J Geriatr Psychiatry. 2021 Jun;36(6):873-882. doi: 10.1002/gps.5487. Epub 2021 Jan 2.
Residents in facilities such as nursing homes (NHs) are particularly vulnerable to Coronavirus disease 2019 (COVID-19). A national survey was carried out to collect information on the spreading and impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in nursing homes, and on how suspected and/or confirmed cases were managed. We carried out a survey between 25 March 2020 and 5 May 2020.
All Italian nursing homes either public or providing services both privately and within the NHS were included in the study. An on-line questionnaire was sent to 3292 nursing homes across all Italian regions. Nursing homes were also contacted by telephone to provide assistance in completing the questionnaire.
A total of 1356 nursing homes voluntarily participated to the survey, hosting a total of 100,806 residents. Overall, 9154 residents died due to any cause from February 1 to the time when the questionnaire was completed (from March 25 to May 5). Of these, 7.4% had COVID-19 and 33.8% had flu-like symptoms, corresponding to a cumulative incidence of 0.7 and 3.1, respectively. Lack of personnel, difficulty in transferring patients to hospital or other facility, isolating residents with COVID-19, number of beds and geographical area were the main factor positively associated to the presence of COVID-19 in nursing homes.
This survey showed the dissemination and impact of SARS-CoV-2 infection in Italian nursing homes and on how older and potentially chronically ill people residing in these long-term care facilities were managed.
养老院（NH）等机构的居民尤其容易感染 2019 年冠状病毒病（COVID-19）。进行了一项全国性调查，以收集有关严重急性呼吸系统综合症冠状病毒 2（SARS-CoV-2）在养老院中的传播和影响的信息，以及如何管理疑似和/或确诊病例。我们在 2020 年 3 月 25 日至 5 月 5 日之间进行了调查。
所有意大利公立或提供私人和 NHS 服务的养老院都包括在研究中。向意大利所有地区的 3292 家养老院发送了在线问卷。还通过电话联系养老院，以协助完成问卷。
共有 1356 家养老院自愿参与了这项调查，共容纳了 100806 名居民。从 2 月 1 日到完成问卷的时间（从 3 月 25 日到 5 月 5 日），共有 9154 名居民因任何原因死亡。其中，7.4%的人患有 COVID-19，33.8%的人有流感样症状，相应的累积发病率分别为 0.7 和 3.1。人员短缺、难以将患者转至医院或其他设施、隔离 COVID-19 患者、床位数量和地理位置是与养老院中 COVID-19 存在正相关的主要因素。
这项调查显示了 SARS-CoV-2 感染在意大利养老院中的传播和影响，以及如何管理居住在这些长期护理设施中的老年人和潜在的慢性病患者。
