Impact of COVID-19 on care-home mortality and life expectancy in Scotland.
Impact of COVID-19 on care-home mortality and life expectancy in Scotland.
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DOI：
10.1093/ageing/afab080
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发表时间：
2021-06-28
期刊：
影响因子：
6.7
通讯作者：
McAllister DA
中科院分区：
文献类型：
--
作者：
Burton JK;Reid M;Gribben C;Caldwell D;Clark DN;Hanlon P;Quinn TJ;Fischbacher C;Knight P;Guthrie B;McAllister DA
COVID-19死亡在疗养院居民中较为常见，但死亡负担尚未量化。通过与死亡率数据相关的国家初级保健登记数据库确定了护理之家的居住情况。使用Makeham-Gompertz模型估计预期寿命，以（i）描述2015年11月至2020年10月的年预期寿命（ii）比较护理院居民和更广泛人群的预期寿命（2016-18年期间），以及（iii）将护理院预期寿命估计值应用于COVID-19死亡计数，以估计寿命损失年数（YLL）。在护理院居民中，2015/16至2019/20年度的预期寿命为女性2.7至2.3岁，男性2.3至1.8岁。2016-18年，养老院居民的性别特异性预期寿命低于苏格兰人口（70岁和90岁的人分别为10岁和2.5岁）。将护理之家特定预期寿命应用于COVID-19死亡，护理之家居民的平均YLL分别为女性和男性2.6和2.2。在YLL护理之家居住的妇女总共失去了3 560年，男子失去了2 046年。约一半的死亡人数和四分之一的YLL归因于COVID-19，其中5%为70岁以上的护理院居民。COVID-19感染导致苏格兰70岁及以上的护理院居民失去了大量寿命。优先考虑5%的老年人谁是护理院居民接种疫苗是合理的，不仅在总死亡人数方面，而且在YLL方面。
COVID-19 deaths are commoner among care-home residents, but the mortality burden has not been quantified. Care-home residency was identified via a national primary care registration database linked to mortality data. Life expectancy was estimated using Makeham–Gompertz models to (i) describe yearly life expectancy from November 2015 to October 2020 (ii) compare life expectancy (during 2016–18) between care-home residents and the wider population and (iii) apply care-home life expectancy estimates to COVID-19 death counts to estimate years of life lost (YLL). Among care-home residents, life expectancy in 2015/16 to 2019/20 ranged from 2.7 to 2.3 years for women and 2.3 to 1.8 years for men. Age–sex-specific life expectancy in 2016–18 in care-home residents was lower than in the Scottish population (10 and 2.5 years in those aged 70 and 90, respectively). Applying care home-specific life expectancies to COVID-19 deaths yield mean YLLs for care-home residents of 2.6 and 2.2 for women and men, respectively. In total YLL care-home residents have lost 3,560 years in women and 2,046 years in men. Approximately half of deaths and a quarter of YLL attributed to COVID-19 were accounted for by the 5% of over-70s who were care-home residents. COVID-19 infection has led to the loss of substantial years of life in care-home residents aged 70 years and over in Scotland. Prioritising the 5% of older adults who are care-home residents for vaccination is justified not only in terms of total deaths, but also in terms of YLL.
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影响因子：
6.7
作者：
Shah, Sunil M.;Carey, Iain M.;Cook, Derek G.
通讯作者：
Cook, Derek G.
影响因子：
13.8
作者：
Fisman, David N.;Bogoch, Isaac;Tuite, Ashleigh R.
通讯作者：
Tuite, Ashleigh R.
DOI：
10.1016/s2666-7568(20)30012-x
发表时间：
2020-10
期刊：
The lancet. Healthy longevity
影响因子：
--
作者：
Burton JK;Bayne G;Evans C;Garbe F;Gorman D;Honhold N;McCormick D;Othieno R;Stevenson JE;Swietlik S;Templeton KE;Tranter M;Willocks L;Guthrie B
通讯作者：
Guthrie B
影响因子：
15.8
作者：
McKeigue PM;Weir A;Bishop J;McGurnaghan SJ;Kennedy S;McAllister D;Robertson C;Wood R;Lone N;Murray J;Caparrotta TM;Smith-Palmer A;Goldberg D;McMenamin J;Ramsay C;Hutchinson S;Colhoun HM;Public Health Scotland COVID-19 Health Protection Study Group
通讯作者：
Public Health Scotland COVID-19 Health Protection Study Group
影响因子：
6.7
作者：
Kinley, Julie;Hockley, Jo;Sykes, Nigel
通讯作者：
Sykes, Nigel