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[新型冠状病毒肺炎与养老院中的老年人:根据居住方式的影响]

[COVID-19 and elderly people in nursing homes: Impact according to the modality of residence].

作者信息

Barrera-Algarín Evaristo, Estepa-Maestre Francisco, Sarasola-Sánchez-Serrano José Luís, Malagón-Siria José Carlos

机构信息

Universidad Pablo de Olavide, Sevilla, España.

Universidad Pablo de Olavide, Sevilla, España.

出版信息

Rev Esp Geriatr Gerontol. 2021 Jul-Aug;56(4):208-217. doi: 10.1016/j.regg.2021.02.003. Epub 2021 Feb 27.

Abstract

PURPOSE

To find out whether elements such as public expenditure, the coverage ratio, public or private ownership, and the size of Nursing homes relate to the number of deaths in residences per COVID-19.

MATERIAL AND METHODS

A total of 15 variables are analyzed in 17 Autonomous Communities (n = 17), where the following stand out: public expenditure per dependent person; incidence of COVID-19 in each Autonomous Community; deaths in Nursing homes by COVID-19; and analysis of places in Nursing homes. Reliability of r = 0.613. Regression analyses are carried out with the different variables, and ANOVA tests.

RESULTS

Percentages of deaths by COVID-19 in Nursing homes, between 40% and 88%, of the total of (p < 0.001, X = 0.975). A relationship is established between the number of deaths from COVID-19 in Nursing homes, and the higher number of private Nursing homes (p < 0.001, X = 0.633). The larger the size of the Nursing home, the more deaths by COVID-19 were recorded (p < 0.001, X = 0.787), with private Nursing homes having +100 places, and public Nursing homes having +100 places (p < 0.001, X = 0.808).

CONCLUSIONS

It was found that there is a relationship between the number of deaths from COVID-19 in Nursing homes, and the fact that there are a greater number of private Nursing homes in that autonomous community. It was detected that the model of Nursing home best prepared to face the COVID-19: public Nursing homes with less than 25 places.

摘要

目的

探究诸如公共支出、覆盖率、公立或私立性质以及养老院规模等因素是否与新冠疫情期间养老院的死亡人数相关。

材料与方法

对17个自治区(n = 17)的15个变量进行分析,其中突出的变量有:每位受抚养人的公共支出;每个自治区的新冠疫情发病率;养老院因新冠疫情导致的死亡人数;以及养老院床位分析。可靠性r = 0.613。对不同变量进行回归分析,并进行方差分析。

结果

养老院中因新冠疫情死亡的人数占总死亡人数的比例在40%至88%之间(p < 0.001,X = 0.975)。养老院中新冠疫情死亡人数与私立养老院数量较多之间存在关联(p < 0.001,X = 0.633)。养老院规模越大,记录的新冠疫情死亡人数越多(p < 0.001,X = 0.787),私立养老院床位超过100张,公立养老院床位超过100张的情况也是如此(p < 0.001,X = 0.808)。

结论

发现养老院中新冠疫情死亡人数与该自治区私立养老院数量较多这一事实之间存在关联。研究发现最有能力应对新冠疫情的养老院模式是:床位少于25张的公立养老院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abd0/7914005/38520892b025/gr2_lrg.jpg

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