The impact of COVID-19 hospitalizations on nursing home admissions: a regional insight into long-term care and public health
BackgroundTo obtain the rate of admission to nursing homes (NHs) and to evaluate clinical characteristics and mortality rates of patients admitted to NHs after hospitalizations for COVID-19, compared to non-COVID-19 acutely hospitalized patients.MethodsWe analyzed administrative data from Lombardy,...
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Frontiers Media S.A.
2025-07-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1613684/full |
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| author | Alessandra Bandera Alessandra Bandera Marta Colaneri Alessia Antonella Galbussera Marta Canuti Lucia Dall’Olio Alessandro Nobili Massimo Puoti Giulia Carla Marchetti Simone Piva Simone Piva Pierluigi Plebani Mario Raviglione Andrea Gori Danilo Cereda Olivia Leoni Ida Fortino Maria Luisa Ojeda Fernandez Pier Mannuccio Mannucci Pasquale Agosti Pasquale Agosti Fabrizio Tediosi Marta Baviera Mauro Tettamanti |
| author_facet | Alessandra Bandera Alessandra Bandera Marta Colaneri Alessia Antonella Galbussera Marta Canuti Lucia Dall’Olio Alessandro Nobili Massimo Puoti Giulia Carla Marchetti Simone Piva Simone Piva Pierluigi Plebani Mario Raviglione Andrea Gori Danilo Cereda Olivia Leoni Ida Fortino Maria Luisa Ojeda Fernandez Pier Mannuccio Mannucci Pasquale Agosti Pasquale Agosti Fabrizio Tediosi Marta Baviera Mauro Tettamanti |
| author_sort | Alessandra Bandera |
| collection | DOAJ |
| description | BackgroundTo obtain the rate of admission to nursing homes (NHs) and to evaluate clinical characteristics and mortality rates of patients admitted to NHs after hospitalizations for COVID-19, compared to non-COVID-19 acutely hospitalized patients.MethodsWe analyzed administrative data from Lombardy, a Northen Italian region, in individuals aged ≥50 years who were hospitalized and discharged alive in 2018 for acute conditions or, between February 2020 and June 2022, for COVID-19. Outcomes included NH institutionalization rates within 180 post-discharge day and mortality following NH admission. Kaplan–Meier curves and Cox proportional hazard models adjusted for age, sex, and comorbidities were used to assess the risks.ResultsAmong 133,216 COVID-19 hospitalizations in 2020–2022 and 239,099 acute hospitalizations in 2018, institutionalization rates within 180 post-discharge days were similar (3.7% for both cohorts). However, COVID-19 patients had higher adjusted risks of institutionalization (HR 1.70; 95% CI 1.63–1.78) and mortality within 6 months after NH admission (HR 2.08; 95% CI 1.90–2.27). Differences were more pronounced when considering patients hospitalized during the first COVID-19 pandemic wave.ConclusionCOVID-19 hospitalization significantly increases the risks of admission to NHs and early mortality after institutionalization in older individuals compared to hospitalizations due to other acute conditions. |
| format | Article |
| id | doaj-art-81db165970e842faad6d9dfbdb137ff0 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-81db165970e842faad6d9dfbdb137ff02025-08-20T03:27:28ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-07-011310.3389/fpubh.2025.16136841613684The impact of COVID-19 hospitalizations on nursing home admissions: a regional insight into long-term care and public healthAlessandra Bandera0Alessandra Bandera1Marta Colaneri2Alessia Antonella Galbussera3Marta Canuti4Lucia Dall’Olio5Alessandro Nobili6Massimo Puoti7Giulia Carla Marchetti8Simone Piva9Simone Piva10Pierluigi Plebani11Mario Raviglione12Andrea Gori13Danilo Cereda14Olivia Leoni15Ida Fortino16Maria Luisa Ojeda Fernandez17Pier Mannuccio Mannucci18Pasquale Agosti19Pasquale Agosti20Fabrizio Tediosi21Marta Baviera22Mauro Tettamanti23Infectious Diseases Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, ItalyDepartment of Pathophysiology and Transplantation, University of Milan, Milan, ItalyDepartment of Biomedical and Clinical Sciences, Infectious and Tropical Diseases Operational Unit ASST Fatebenefratelli Sacco, “L. Sacco” University Hospital, Milan, ItalyDepartment of Health Policy, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, ItalyDepartment of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, DenmarkCentre for Multidisciplinary Research in Health Science (MACH), University of Milan, Milan, ItalyDepartment of Health Policy, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, ItalyDepartment of Infectious Diseases, ASST Grande Ospedale Metropolitano Niguarda, Milan, ItalyClinic of Infectious Diseases, Department of Health Sciences, ASST Santi Paolo e Carlo, University of Milan, Milan, ItalyDepartment of Emergency, ASST Spedali Civili University Hospital, Brescia, Italy0Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, Università di Brescia, Brescia, Italy1Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, ItalyCentre for Multidisciplinary Research in Health Science (MACH), University of Milan, Milan, ItalyDepartment of Biomedical and Clinical Sciences, Infectious and Tropical Diseases Operational Unit ASST Fatebenefratelli Sacco, “L. Sacco” University Hospital, Milan, Italy2Directorate General for Health, Milan, Italy2Directorate General for Health, Milan, Italy2Directorate General for Health, Milan, ItalyDepartment of Health Policy, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy3Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, Milan, ItalyDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy3Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, Milan, ItalyCentre for Multidisciplinary Research in Health Science (MACH), University of Milan, Milan, ItalyDepartment of Health Policy, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, ItalyDepartment of Health Policy, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, ItalyBackgroundTo obtain the rate of admission to nursing homes (NHs) and to evaluate clinical characteristics and mortality rates of patients admitted to NHs after hospitalizations for COVID-19, compared to non-COVID-19 acutely hospitalized patients.MethodsWe analyzed administrative data from Lombardy, a Northen Italian region, in individuals aged ≥50 years who were hospitalized and discharged alive in 2018 for acute conditions or, between February 2020 and June 2022, for COVID-19. Outcomes included NH institutionalization rates within 180 post-discharge day and mortality following NH admission. Kaplan–Meier curves and Cox proportional hazard models adjusted for age, sex, and comorbidities were used to assess the risks.ResultsAmong 133,216 COVID-19 hospitalizations in 2020–2022 and 239,099 acute hospitalizations in 2018, institutionalization rates within 180 post-discharge days were similar (3.7% for both cohorts). However, COVID-19 patients had higher adjusted risks of institutionalization (HR 1.70; 95% CI 1.63–1.78) and mortality within 6 months after NH admission (HR 2.08; 95% CI 1.90–2.27). Differences were more pronounced when considering patients hospitalized during the first COVID-19 pandemic wave.ConclusionCOVID-19 hospitalization significantly increases the risks of admission to NHs and early mortality after institutionalization in older individuals compared to hospitalizations due to other acute conditions.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1613684/fullCOVID-19administrative databasesinstitutionalizationpost-acute carenursing home |
| spellingShingle | Alessandra Bandera Alessandra Bandera Marta Colaneri Alessia Antonella Galbussera Marta Canuti Lucia Dall’Olio Alessandro Nobili Massimo Puoti Giulia Carla Marchetti Simone Piva Simone Piva Pierluigi Plebani Mario Raviglione Andrea Gori Danilo Cereda Olivia Leoni Ida Fortino Maria Luisa Ojeda Fernandez Pier Mannuccio Mannucci Pasquale Agosti Pasquale Agosti Fabrizio Tediosi Marta Baviera Mauro Tettamanti The impact of COVID-19 hospitalizations on nursing home admissions: a regional insight into long-term care and public health Frontiers in Public Health COVID-19 administrative databases institutionalization post-acute care nursing home |
| title | The impact of COVID-19 hospitalizations on nursing home admissions: a regional insight into long-term care and public health |
| title_full | The impact of COVID-19 hospitalizations on nursing home admissions: a regional insight into long-term care and public health |
| title_fullStr | The impact of COVID-19 hospitalizations on nursing home admissions: a regional insight into long-term care and public health |
| title_full_unstemmed | The impact of COVID-19 hospitalizations on nursing home admissions: a regional insight into long-term care and public health |
| title_short | The impact of COVID-19 hospitalizations on nursing home admissions: a regional insight into long-term care and public health |
| title_sort | impact of covid 19 hospitalizations on nursing home admissions a regional insight into long term care and public health |
| topic | COVID-19 administrative databases institutionalization post-acute care nursing home |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1613684/full |
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