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10.1371/journal.pone.0248009

http://scihub22266oqcxt.onion/10.1371/journal.pone.0248009
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33724987!7963051!33724987
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suck abstract from ncbi


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pmid33724987      PLoS+One 2021 ; 16 (3): e0248009
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  • Predictors of infection, symptoms development, and mortality in people with SARS-CoV-2 living in retirement nursing homes #MMPMID33724987
  • De Vito A; Fiore V; Princic E; Geremia N; Panu Napodano CM; Muredda AA; Maida I; Madeddu G; Babudieri S
  • PLoS One 2021[]; 16 (3): e0248009 PMID33724987show ga
  • INTRODUCTION: Since the start of the pandemic, millions of people have been infected, with thousands of deaths. Many foci worldwide have been identified in retirement nursing homes, with a high number of deaths. Our study aims were to evaluate the spread of SARS-CoV-2 in the retirement nursing homes, the predictors to develop symptoms, and death. METHODS AND FINDINGS: We conducted a retrospective study enrolling all people living in retirement nursing homes (PLRNH), where at least one SARS-CoV-2 infected person was present. Medical and clinical data were collected. Variables were compared with Student's t-test or Pearson chi-square test as appropriate. Uni- and multivariate analyses were conducted to evaluate variables' influence on infection and symptoms development. Cox proportional-hazards model was used to evaluate 30 days mortality predictors, considering death as the dependent variable. We enrolled 382 subjects. The mean age was 81.15+/-10.97 years, and males were 140(36.7%). At the multivariate analysis, mental disorders, malignancies, and angiotensin II receptor blockers were predictors of SARS-CoV-2 infection while having a neurological syndrome was associated with a lower risk. Only half of the people with SARS-CoV-2 infection developed symptoms. Chronic obstructive pulmonary disease and neurological syndrome were correlated with an increased risk of developing SARS-CoV-2 related symptoms. Fifty-six (21.2%) people with SARS-CoV-2 infection died; of these, 53 died in the first 30 days after the swab's positivity. Significant factors associated with 30-days mortality were male gender, hypokinetic disease, and the presence of fever and dyspnea. Patients' autonomy and early heparin treatment were related to lower mortality risk. CONCLUSIONS: We evidenced factors associated with infection's risk and death in a setting with high mortality such as retirement nursing homes, that should be carefully considered in the management of PLRNH.
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Angiotensin Receptor Antagonists/administration & dosage[MESH]
  • |COVID-19/complications/mortality/*pathology/virology[MESH]
  • |Dyspnea/etiology[MESH]
  • |Female[MESH]
  • |Fever/etiology[MESH]
  • |Heparin, Low-Molecular-Weight/therapeutic use[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Mental Disorders/complications/pathology[MESH]
  • |Neoplasms/complications/pathology[MESH]
  • |Nursing Homes[MESH]
  • |Proportional Hazards Models[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2/isolation & purification[MESH]
  • |Sex Factors[MESH]


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