Risk Factors Associated With All-Cause 30-Day Mortality in Nursing Home Residents With COVID-19
In study (n=5256 in US), increased age, male sex, and impaired cognitive and physical function were independently linked to mortality; as were 2 comorbidities: diabetes (OR, 1.21; 95% CI, 1.05-1.40) and chronic kidney disease (1.33; 1.11-1.61], which could aid risk stratification
Source:
JAMA Internal Medicine
SPS commentary:
Commentary suggests health professionals should use this information to support conversations with patients and their families about goals of care and it could also help them when they are required to make quick decisions on the allocation or limitation of medical resources, according to patient-level characteristics, values, and wishes. As the pandemic continues, it stresses it is time to recognize that age alone does not sufficiently explain how older persons respond to COVID-19 and above all, a bad situation must not be made worse by succumbing to ageism when measuring prognosis in nursing home residents with COVID-19.