The COVID-19 Pandemic and Responses in Nursing Homes: A Cross-Sectional Study in Four European Countries

Fabrice Mbalayen, Valentine Dutheillet- de-Lamothe, Aude Letty, Solenn Le Bruchec, Manon Pondjikli, Gilles Berrut, Lamia Benatia, Biné Mariam Ndiongue, Marie-Anne Fourrier, Didier Armaingaud, Loic Josseran, Elisabeth Delarocque-Astagneau and Sylvain Gautier ()
Additional contact information
Fabrice Mbalayen: UFR Simone Veil–Santé, Université Versailles Saint-Quentin-en-Yvelines, 78180 Montigny-le-Bretonneux, France
Valentine Dutheillet- de-Lamothe: Gérontopôle Autonomie et Longévité des Pays de la Loire, 44000 Nantes, France
Aude Letty: Fondation Korian pour le Bien-Vieillir, 75000 Paris, France
Solenn Le Bruchec: Gérontopôle Autonomie et Longévité des Pays de la Loire, 44000 Nantes, France
Manon Pondjikli: Gérontopôle Autonomie et Longévité des Pays de la Loire, 44000 Nantes, France
Gilles Berrut: Gérontopôle Autonomie et Longévité des Pays de la Loire, 44000 Nantes, France
Lamia Benatia: Fondation Korian pour le Bien-Vieillir, 75000 Paris, France
Biné Mariam Ndiongue: Fondation Korian pour le Bien-Vieillir, 75000 Paris, France
Marie-Anne Fourrier: Fondation Korian pour le Bien-Vieillir, 75000 Paris, France
Didier Armaingaud: Fondation Korian pour le Bien-Vieillir, 75000 Paris, France
Loic Josseran: UFR Simone Veil–Santé, Université Versailles Saint-Quentin-en-Yvelines, 78180 Montigny-le-Bretonneux, France
Elisabeth Delarocque-Astagneau: UFR Simone Veil–Santé, Université Versailles Saint-Quentin-en-Yvelines, 78180 Montigny-le-Bretonneux, France
Sylvain Gautier: UFR Simone Veil–Santé, Université Versailles Saint-Quentin-en-Yvelines, 78180 Montigny-le-Bretonneux, France

IJERPH, 2022, vol. 19, issue 22, 1-8

Abstract: Background: Studies comparing how the European nursing homes (NHs) handled the first wave of the COVID-19 pandemic remain scarce. Methods: A cross-sectional study was conducted during the first wave in a private NHs network in Belgium, France, Germany and Italy. Mortality rates were estimated, and prevention and control measures were described by country. Data from the Oxford governmental response tracker project were used to elaborate a “modified stringency index” measuring the magnitude of the COVID-19 global response. Results: Of the 580 NHs surveyed, 383 responded to the online questionnaire. The COVID-19 mortality rate was similar in France (3.9 deaths per 100 residents) and Belgium (4.5). It was almost four times higher in Italy (11.9) and particularly low in Germany (0.3). Prevention and control measures were diversely implemented: residents’ sectorization was mainly carried out in France and Italy (~90% versus ~30% in Germany and Belgium). The “modified stringency index” followed roughly the same pattern in each country. Conclusion: This study, conducted in a European network of NHs, showed differences in mortality rate which could be explained by the characteristics of the residents, the magnitude of the first wave and the prevention and control measures implemented. These results may inform future European preparedness plans.

Keywords: COVID-19; mortality; nursing home; elderly; first wave (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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