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Multicenter Study
. 2021 Jun 1;4(6):e2113411.
doi: 10.1001/jamanetworkopen.2021.13411.

Estimation of Excess Mortality Rates Among US Assisted Living Residents During the COVID-19 Pandemic

Kali S Thomas  1   2 , Wenhan Zhang  1 , David M Dosa  1   2 , Paula Carder  3 , Philip Sloane  4 , Sheryl Zimmerman  4
Affiliations
Multicenter Study

Estimation of Excess Mortality Rates Among US Assisted Living Residents During the COVID-19 Pandemic

Kali S Thomas et al. JAMA Netw Open. .

Abstract

This cohort study examines rates of mortality among US assisted living residents during the COVID-19 pandemic in comparison with the same period in 2019.

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Conflict of interest statement

Conflict of Interest Disclosures: None reported.

Figures

Figure 1.
Figure 1.. Weekly Observed Deaths per 1000 Medicare Beneficiaries Residing in Assisted Living, 2019 vs 2020
The calendar week begins on January 1 of each year. Cohorts for 2019 and 2020 were identified as having a 9-digit zip code corresponding to a licensed assisted living setting on January 1, 2019 (425 333 participants), and January 1, 2020 (422 262 participants). Deaths represent all-cause mortality and were obtained from the Centers for Medicare & Medicaid Services Vital Status File. Minnesota was excluded because of its different licensing structure. The adjusted incidence rate ratio, comparing 2019 with 2020 mortality rates, is 1.169 (95% CI, 1.142-1.197). The adjusted incidence rate ratio during the peak week (April 8-14, 2020) is 1.359 (95% CI, 1.207-1.529).
Figure 2.
Figure 2.. Weekly Observed Deaths per 1000 Medicare Beneficiaries Residing in Assisted Living, Among the 10 States With the Highest Rate of COVID-19 Cases
Graph depicts the highest number of COVID-19 confirmed cases per 1 000 000 in the states as of August 11, 2020, as reported by Kaiser Family Foundation’s State Health Facts website. The 10 states include Rhode Island, South Carolina, New Jersey, Georgia, Alabama, New York, Mississippi, Florida, Arizona, and Louisiana. The adjusted incidence rate ratio, comparing 2019 with 2020 mortality rates is 1.241 (95% CI, 1.185-1.299). The adjusted incidence rate ratio during the peak week (April 8-14, 2020) is 1.728 (95% CI, 1.380-2.163).
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References

    1. Chidambaram P, Garfield R, Neuman T. COVID-19 has claimed the lives of 100,000 long-term care residents and staff. Kaiser Family Foundation. Published November 25, 2020. Accessed February 4, 2021. https://www.kff.org/policy-watch/covid-19-has-claimed-the-lives-of-10000...
    1. Panagiotou OA, Kosar CM, White EM, et al. . Risk factors associated with all-cause 30-day mortality in nursing home residents with COVID-19. JAMA Intern Med. 2021;181(4):439-448. doi:10.1001/jamainternmed.2020.7968 - DOI - PMC - PubMed
    1. Zimmerman S, Sloane PD, Katz PR, Kunze M, O’Neil K, Resnick B. The need to include assisted living in responding to the COVID-19 pandemic. J Am Med Dir Assoc. 2020;21(5):572-575. doi:10.1016/j.jamda.2020.03.024 - DOI - PMC - PubMed
    1. Thomas KS, Dosa D, Gozalo PL, et al. . A methodology to identify a cohort of Medicare beneficiaries residing in large assisted living facilities using administrative data. Med Care. 2018;56(2):e10-e15. doi:10.1097/MLR.0000000000000659 - DOI - PMC - PubMed
    1. Kaiser Family Foundation . COVID-19 cases per 1,000,000 population: state health facts, COVID-19 and related state data. Accessed August 12, 2020. https://web.archive.org/web/20200813061202/https://www.kff.org/statedata...

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