Evolución de la COVID-19 en las residencias de personas mayores desde la segunda ola hasta la vacunación: descripción de un programa de coordinación entre atención primaria, geriatría y salud pública
Background: Nursing 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...
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Veröffentlicht in: | Revista española de salud pública 2021 (95) |
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Zusammenfassung: | Background: Nursing 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.
Methods: 2,668 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.
Results: Between 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.
Conclusions: The 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.
Fundamentos: Los centros residenciales han sufrido
de una manera especialmente acusada los efectos de la
COVID-19 por lo que es muy conveniente conocer la evolución
en ellos de la enfermedad y el impacto de la vacunación
frente al SARS-CoV2. El objetivo de este estudio
fue conocer la evolución de la pandemia de COVID-19
desde el comienzo de la segunda ola hasta el final del proceso
de vacunación en las residencias de personas mayores
de un área sanitaria, en la cual se activó un programa
de coordinación entre Atención Primaria y los servicios de
Geriatría y Salud Publica.
Métodos: Se siguió a 2.668 personas mayores en 39
residencias. Se recogieron datos de casos nuevos, activos,
fallecidos y lugar de tratamiento de la COVID-19. Se realizó
un análisis descriptivo con la medición del número
absoluto de casos posi |
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ISSN: | 1135-5727 |