[COVID-19 in nursing homes A study of diagnosis, symptomatology and disease course].
Identifieur interne : 000064 ( Main/Exploration ); précédent : 000063; suivant : 000065[COVID-19 in nursing homes A study of diagnosis, symptomatology and disease course].
Auteurs : J J S. Rutten ; A M Van Loon ; K J Joling ; M. Smalbrugge ; L W Van Buul ; C M P M. HertoghSource :
- Nederlands tijdschrift voor geneeskunde [ 1876-8784 ] ; 2020.
Descripteurs français
- KwdFr :
- Analyse de survie (MeSH), Betacoronavirus (MeSH), Femelle (MeSH), Humains (MeSH), Infections à coronavirus (diagnostic), Infections à coronavirus (mortalité), Maisons de repos (statistiques et données numériques), Mâle (MeSH), Pandémies (MeSH), Pays-Bas (MeSH), Pneumopathie virale (diagnostic), Pneumopathie virale (mortalité), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Études prospectives (MeSH), Évolution de la maladie (MeSH).
- MESH :
- diagnostic : Infections à coronavirus, Pneumopathie virale.
- mortalité : Infections à coronavirus, Pneumopathie virale.
- statistiques et données numériques : Maisons de repos.
- Analyse de survie, Betacoronavirus, Femelle, Humains, Mâle, Pandémies, Pays-Bas, Sujet âgé, Sujet âgé de 80 ans ou plus, Études prospectives, Évolution de la maladie.
- Wicri :
- geographic : Pays-Bas.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Betacoronavirus (MeSH), Coronavirus Infections (diagnosis), Coronavirus Infections (mortality), Disease Progression (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Netherlands (MeSH), Nursing Homes (statistics & numerical data), Pandemics (MeSH), Pneumonia, Viral (diagnosis), Pneumonia, Viral (mortality), Prospective Studies (MeSH), Survival Analysis (MeSH).
- MESH :
- geographic : Netherlands.
- diagnosis : Coronavirus Infections, Pneumonia, Viral.
- mortality : Coronavirus Infections, Pneumonia, Viral.
- statistics & numerical data : Nursing Homes.
- Aged, Aged, 80 and over, Betacoronavirus, Disease Progression, Female, Humans, Male, Pandemics, Prospective Studies, Survival Analysis.
Abstract
OBJECTIVE
To describe the diagnosis, symptomatology and disease course of COVID-19 in nursing home (NH) residents in the Netherlands.
DESIGN
Prospective cohort study.
METHOD
Data on NH residents with suspected COVID-19 were collected from the electronic patient records. Data were collected on diagnostic status (COVID-19: confirmed/excluded (using the RT-PCR test)), symptomatology (typical/atypical and other symptoms, body temperature and oxygen saturation) and, in the case of confirmed COVID-19, on disease course (recovered/clinically improved/deteriorated, deceased). We described and compared the symptomatology in NH residents with confirmed COVID-19 and NH residents in whom COVID-19 had been excluded. We also analysed mortality risk using survival analysis. We used registrations from the period 18 March to15 April 2020 for this study.
RESULTS
We reported on 1,969 NH residents with suspected COVID-19. The diagnosis was confirmed in 857 patients (43.5%); diagnosis was excluded in 1,112 (56.5%) patients. Among patients with confirmed COVID-19, 65% had coughs, 70% had fever, 33% had shortness of breath, 28% had delirium/confusion and 10% had a sore throat; in patients in whom COVID-19 was excluded these symptoms were experienced in 70%, 47%, 45%, 26% and 13% of patients, respectively. Of the patients with confirmed COVID-19, 48% died within 30 days (95% CI: 36-44%), versus 20% of the patients in whom COVID-19 was excluded (95% CI: 11-15%).
CONCLUSION
There is a lot of overlap in symptomatology between NH residents with COVID-19 and those with other acute diseases. An RT-PCR test is required to be able to make the distinction better. The mortality risk in patients with confirmed COVID-19 is significantly higher than in patients in whom covid-19 is excluded.
PubMed: 32779925
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Ouderengeneeskunde.</nlm:affiliation><wicri:noCountry code="subField">afd</wicri:noCountry></affiliation></author><author><name sortKey="Van Loon, A M" sort="Van Loon, A M" uniqKey="Van Loon A" first="A M" last="Van Loon">A M Van Loon</name><affiliation><nlm:affiliation>Amsterdam UMC, locatie VUmc, Amsterdam, afd. Ouderengeneeskunde.</nlm:affiliation><wicri:noCountry code="subField">afd</wicri:noCountry></affiliation></author><author><name sortKey="Joling, K J" sort="Joling, K J" uniqKey="Joling K" first="K J" last="Joling">K J Joling</name><affiliation><nlm:affiliation>Amsterdam UMC, locatie VUmc, Amsterdam, afd. Ouderengeneeskunde.</nlm:affiliation><wicri:noCountry code="subField">afd</wicri:noCountry></affiliation></author><author><name sortKey="Smalbrugge, M" sort="Smalbrugge, M" uniqKey="Smalbrugge M" first="M" last="Smalbrugge">M. Smalbrugge</name><affiliation><nlm:affiliation>Amsterdam UMC, locatie VUmc, Amsterdam, afd. Ouderengeneeskunde.</nlm:affiliation><wicri:noCountry code="subField">afd</wicri:noCountry></affiliation></author><author><name sortKey="Van Buul, L W" sort="Van Buul, L W" uniqKey="Van Buul L" first="L W" last="Van Buul">L W Van Buul</name><affiliation><nlm:affiliation>Amsterdam UMC, locatie VUmc, Amsterdam, afd. Ouderengeneeskunde.</nlm:affiliation><wicri:noCountry code="subField">afd</wicri:noCountry></affiliation></author><author><name sortKey="Hertogh, C M P M" sort="Hertogh, C M P M" uniqKey="Hertogh C" first="C M P M" last="Hertogh">C M P M. Hertogh</name><affiliation><nlm:affiliation>Amsterdam UMC, locatie VUmc, Amsterdam, afd. Ouderengeneeskunde.</nlm:affiliation><wicri:noCountry code="subField">afd</wicri:noCountry></affiliation></author></analytic><series><title level="j">Nederlands tijdschrift voor geneeskunde</title><idno type="eISSN">1876-8784</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Coronavirus Infections (diagnosis)</term><term>Coronavirus Infections (mortality)</term><term>Disease Progression (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Netherlands (MeSH)</term><term>Nursing Homes (statistics & numerical data)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (diagnosis)</term><term>Pneumonia, Viral (mortality)</term><term>Prospective Studies (MeSH)</term><term>Survival Analysis (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Analyse de survie (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (diagnostic)</term><term>Infections à coronavirus (mortalité)</term><term>Maisons de repos (statistiques et données numériques)</term><term>Mâle (MeSH)</term><term>Pandémies (MeSH)</term><term>Pays-Bas (MeSH)</term><term>Pneumopathie virale (diagnostic)</term><term>Pneumopathie virale (mortalité)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Études prospectives (MeSH)</term><term>Évolution de la maladie (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Netherlands</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Nursing Homes</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Maisons de repos</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Betacoronavirus</term><term>Disease Progression</term><term>Female</term><term>Humans</term><term>Male</term><term>Pandemics</term><term>Prospective Studies</term><term>Survival Analysis</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Analyse de survie</term><term>Betacoronavirus</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Pandémies</term><term>Pays-Bas</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études prospectives</term><term>Évolution de la maladie</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Pays-Bas</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To describe the diagnosis, symptomatology and disease course of COVID-19 in nursing home (NH) residents in the Netherlands.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Prospective cohort study.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>Data on NH residents with suspected COVID-19 were collected from the electronic patient records. Data were collected on diagnostic status (COVID-19: confirmed/excluded (using the RT-PCR test)), symptomatology (typical/atypical and other symptoms, body temperature and oxygen saturation) and, in the case of confirmed COVID-19, on disease course (recovered/clinically improved/deteriorated, deceased). We described and compared the symptomatology in NH residents with confirmed COVID-19 and NH residents in whom COVID-19 had been excluded. We also analysed mortality risk using survival analysis. We used registrations from the period 18 March to15 April 2020 for this study.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>We reported on 1,969 NH residents with suspected COVID-19. The diagnosis was confirmed in 857 patients (43.5%); diagnosis was excluded in 1,112 (56.5%) patients. Among patients with confirmed COVID-19, 65% had coughs, 70% had fever, 33% had shortness of breath, 28% had delirium/confusion and 10% had a sore throat; in patients in whom COVID-19 was excluded these symptoms were experienced in 70%, 47%, 45%, 26% and 13% of patients, respectively. Of the patients with confirmed COVID-19, 48% died within 30 days (95% CI: 36-44%), versus 20% of the patients in whom COVID-19 was excluded (95% CI: 11-15%).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>There is a lot of overlap in symptomatology between NH residents with COVID-19 and those with other acute diseases. An RT-PCR test is required to be able to make the distinction better. The mortality risk in patients with confirmed COVID-19 is significantly higher than in patients in whom covid-19 is excluded.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32779925</PMID><DateCompleted><Year>2020</Year><Month>08</Month><Day>25</Day></DateCompleted><DateRevised><Year>2020</Year><Month>08</Month><Day>25</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1876-8784</ISSN><JournalIssue CitedMedium="Internet"><Volume>164</Volume><PubDate><Year>2020</Year><Month>07</Month><Day>20</Day></PubDate></JournalIssue><Title>Nederlands tijdschrift voor geneeskunde</Title><ISOAbbreviation>Ned Tijdschr Geneeskd</ISOAbbreviation></Journal><ArticleTitle>[COVID-19 in nursing homes A study of diagnosis, symptomatology and disease course].</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">D5173</ELocationID><Abstract><AbstractText Label="OBJECTIVE">To describe the diagnosis, symptomatology and disease course of COVID-19 in nursing home (NH) residents in the Netherlands.</AbstractText><AbstractText Label="DESIGN">Prospective cohort study.</AbstractText><AbstractText Label="METHOD">Data on NH residents with suspected COVID-19 were collected from the electronic patient records. Data were collected on diagnostic status (COVID-19: confirmed/excluded (using the RT-PCR test)), symptomatology (typical/atypical and other symptoms, body temperature and oxygen saturation) and, in the case of confirmed COVID-19, on disease course (recovered/clinically improved/deteriorated, deceased). We described and compared the symptomatology in NH residents with confirmed COVID-19 and NH residents in whom COVID-19 had been excluded. We also analysed mortality risk using survival analysis. We used registrations from the period 18 March to15 April 2020 for this study.</AbstractText><AbstractText Label="RESULTS">We reported on 1,969 NH residents with suspected COVID-19. The diagnosis was confirmed in 857 patients (43.5%); diagnosis was excluded in 1,112 (56.5%) patients. Among patients with confirmed COVID-19, 65% had coughs, 70% had fever, 33% had shortness of breath, 28% had delirium/confusion and 10% had a sore throat; in patients in whom COVID-19 was excluded these symptoms were experienced in 70%, 47%, 45%, 26% and 13% of patients, respectively. Of the patients with confirmed COVID-19, 48% died within 30 days (95% CI: 36-44%), versus 20% of the patients in whom COVID-19 was excluded (95% CI: 11-15%).</AbstractText><AbstractText Label="CONCLUSION">There is a lot of overlap in symptomatology between NH residents with COVID-19 and those with other acute diseases. An RT-PCR test is required to be able to make the distinction better. The mortality risk in patients with confirmed COVID-19 is significantly higher than in patients in whom covid-19 is excluded.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rutten</LastName><ForeName>J J S</ForeName><Initials>JJS</Initials><AffiliationInfo><Affiliation>Amsterdam UMC, locatie VUmc, Amsterdam, afd. Ouderengeneeskunde.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van Loon</LastName><ForeName>A M</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>Amsterdam UMC, locatie VUmc, Amsterdam, afd. Ouderengeneeskunde.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Joling</LastName><ForeName>K J</ForeName><Initials>KJ</Initials><AffiliationInfo><Affiliation>Amsterdam UMC, locatie VUmc, Amsterdam, afd. Ouderengeneeskunde.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smalbrugge</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Amsterdam UMC, locatie VUmc, Amsterdam, afd. Ouderengeneeskunde.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van Buul</LastName><ForeName>L W</ForeName><Initials>LW</Initials><AffiliationInfo><Affiliation>Amsterdam UMC, locatie VUmc, Amsterdam, afd. Ouderengeneeskunde.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hertogh</LastName><ForeName>C M P M</ForeName><Initials>CMPM</Initials><AffiliationInfo><Affiliation>Amsterdam UMC, locatie VUmc, Amsterdam, afd. Ouderengeneeskunde.</Affiliation></AffiliationInfo></Author></AuthorList><Language>dut</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Covid-19 in verpleeghuizen.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Ned Tijdschr Geneeskd</MedlineTA><NlmUniqueID>0400770</NlmUniqueID><ISSNLinking>0028-2162</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018450" MajorTopicYN="N">Disease Progression</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009426" MajorTopicYN="N" Type="Geographic">Netherlands</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009735" MajorTopicYN="N">Nursing Homes</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016019" MajorTopicYN="N">Survival Analysis</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32779925</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Hertogh, C M P M" sort="Hertogh, C M P M" uniqKey="Hertogh C" first="C M P M" last="Hertogh">C M P M. Hertogh</name><name sortKey="Joling, K J" sort="Joling, K J" uniqKey="Joling K" first="K J" last="Joling">K J Joling</name><name sortKey="Rutten, J J S" sort="Rutten, J J S" uniqKey="Rutten J" first="J J S" last="Rutten">J J S. Rutten</name><name sortKey="Smalbrugge, M" sort="Smalbrugge, M" uniqKey="Smalbrugge M" first="M" last="Smalbrugge">M. Smalbrugge</name><name sortKey="Van Buul, L W" sort="Van Buul, L W" uniqKey="Van Buul L" first="L W" last="Van Buul">L W Van Buul</name><name sortKey="Van Loon, A M" sort="Van Loon, A M" uniqKey="Van Loon A" first="A M" last="Van Loon">A M Van Loon</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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