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DC Field | Value | Language |
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dc.contributor.author | Hollinghurst, J | - |
dc.contributor.author | Lyons, J | - |
dc.contributor.author | Fry, R | - |
dc.contributor.author | Akbari, A | - |
dc.contributor.author | Gravenor, M | - |
dc.contributor.author | Watkins, A | - |
dc.contributor.author | Verity, F | - |
dc.contributor.author | Lyons, RA | - |
dc.date.accessioned | 2023-12-18T18:49:11Z | - |
dc.date.available | 2023-12-18T18:49:11Z | - |
dc.date.issued | 2020-09-19 | - |
dc.identifier | ORCID iD: Fiona Verity https://orcid.org/0000-0002-7354-4397 | - |
dc.identifier.citation | Hollinghurst, J. et al. (2021) 'The impact of COVID-19 on adjusted mortality risk in care homes for older adults inWales, UK: A retrospective population-based cohort study for mortality in 2016-2020', Age and Ageing, 50 (1), pp. 25 - 31. doi: 10.1093/ageing/afaa207. | en_US |
dc.identifier.issn | 0002-0729 | - |
dc.identifier.uri | https://bura.brunel.ac.uk/handle/2438/27879 | - |
dc.description | Supplementary data are available online at: https://academic.oup.com/ageing/article/50/1/25/5908996#supplementary-data . | en_US |
dc.description.abstract | Copyright © The Author(s) 2020. Background: mortality in care homes has had a prominent focus during the COVID-19 outbreak. Care homes are particularly vulnerable to the spread of infectious diseases, which may lead to increased mortality risk. Multiple and interconnected challenges face the care home sector in the prevention and management of outbreaks of COVID-19, including adequate supply of personal protective equipment, staff shortages and insufficient or lack of timely COVID-19 testing. Aim: to analyse the mortality of older care home residents in Wales during COVID-19 lockdown and compare this across the population of Wales and the previous 4 years. Study Design and Setting: we used anonymised electronic health records and administrative data from the secure anonymised information linkage databank to create a cross-sectional cohort study. We anonymously linked data for Welsh residents to mortality data up to the 14th June 2020. Methods: we calculated survival curves and adjusted Cox proportional hazards models to estimate hazard ratios (HRs) for the risk of mortality. We adjusted HRs for age, gender, social economic status and prior health conditions. Results: survival curves show an increased proportion of deaths between 23rd March and 14th June 2020 in care homes for older people, with an adjusted HR of 1.72 (1.55, 1.90) compared with 2016. Compared with the general population in 2016–2019, adjusted care home mortality HRs for older adults rose from 2.15 (2.11, 2.20) in 2016–2019 to 2.94 (2.81, 3.08) in 2020. Conclusions: the survival curves and increased HRs show a significantly increased risk of death in the 2020 study periods. | en_US |
dc.description.sponsorship | This work was supported by Health and Care research Wales [Project: SCF-18-1,504]; and Health Data Research UK [NIWA1] which receives its funding from HDR UK Ltd funded by the UK Medical Research Council, Engineering and Physical Sciences Research Council, Economic and Social Research Council, Department of Health and Social Care (England), Chief Scientist Office of the Scottish Government Health and Social Care Directorates, Health and Social Care Research and Development Division (Welsh Government), Public Health Agency (Northern Ireland), British Heart Foundation (BHF) and the Wellcome Trust. This research has also been supported by the ADR Wales programme of work. The ADR Wales programme of work is aligned to the priority themes as identified in the Welsh Government’s national strategy: Prosperity for All. ADR Wales brings together data science experts at Swansea University Medical School, staff from the Wales Institute of Social and Economic Research, Data and Methods (WISERD) at Cardiff University and specialist teams within the Welsh Government to develop new evidence which supports Prosperity for All by using the SAIL Databank at Swansea University, to link and analyse anonymised data. ADR Wales is part of the Economic and Social Research Council (part of UK Research and Innovation) funded ADR UK (grant ES/S007393/1). | en_US |
dc.format.extent | 25 - 31 | - |
dc.format.medium | Print-Electronic | - |
dc.language | English | - |
dc.language.iso | en_US | en_US |
dc.publisher | Oxford University Press on behalf of the British Geriatrics Society | en_US |
dc.rights | Copyright © The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. | - |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | - |
dc.subject | COVID-19 | en_US |
dc.subject | care homes | en_US |
dc.subject | mortality | en_US |
dc.subject | frailty | en_US |
dc.subject | older people | en_US |
dc.title | The impact of COVID-19 on adjusted mortality risk in care homes for older adults inWales, UK: A retrospective population-based cohort study for mortality in 2016-2020 | en_US |
dc.type | Article | en_US |
dc.identifier.doi | https://doi.org/10.1093/ageing/afaa207 | - |
dc.relation.isPartOf | Age and Ageing | - |
pubs.issue | 1 | - |
pubs.publication-status | Published | - |
pubs.volume | 50 | - |
dc.identifier.eissn | 1468-2834 | - |
dc.rights.holder | The Author(s) | - |
Appears in Collections: | Dept of Health Sciences Research Papers |
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FullText.pdf | Copyright © The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. | 173.67 kB | Adobe PDF | View/Open |
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