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This paper finds nursing home residents comprise 57% of all COVID-19 deaths in Spain, 53% in Italy, and 45% in France.
https://ltccovid.org/wp-content/uploads/2020/04/Mortality-associated-with-COVID-12-April-3.pdf
https://ltccovid.org/wp-content/uploads/2020/04/Mortality-associated-with-COVID-12-April-3.pdf
Same paper also quotes a U.S. study finding factors leading to nursing home outbreaks.
Protect the vulnerable!
Protect the vulnerable!
"Nursing homes and other long term care facilities house some of our sickest patients in and it is apparent we have no cogent strategy to protect them."
@anish_koka https://thehealthcareblog.com/blog/2020/04/15/covid-19-the-nursing-home-tragedy/
@anish_koka https://thehealthcareblog.com/blog/2020/04/15/covid-19-the-nursing-home-tragedy/
As of 4/14 (most recent posted) New York State had 3060 COVID-19 deaths of nursing home residents, about 28% of of state death total through that date.
Massachusetts reports 530 COVID-19 deaths of nursing home residents, 47.8% of the state's total reported 1108 deaths.
Pennsylvania reports 365 COVID-19 deaths of nursing home residents, 51.6% of the state's total reported 707 deaths.
I missed this. New Jersey finally released nursing home totals Friday, when they had 1530 deaths; 40% of the state death total. https://www.northjersey.com/story/news/coronavirus/2020/04/17/coronavirus-nj-nursing-home-deaths-account-40-percent-njs-fatalities/5155332002/
Tremendously helpful from KFF. Compilation of all state data that has been released. https://twitter.com/preetabread/status/1253434597779451905
Pennsylvania revised their death count up considerably today, mostly nursing home deaths.
They now report 2,195 deaths total, including 1,428 nursing home deaths. Nursing homes account for 65% of all Pa deaths.
Deaths are backdated. Pa still post peak. https://www.health.pa.gov/topics/disease/coronavirus/Pages/Cases.aspx
They now report 2,195 deaths total, including 1,428 nursing home deaths. Nursing homes account for 65% of all Pa deaths.
Deaths are backdated. Pa still post peak. https://www.health.pa.gov/topics/disease/coronavirus/Pages/Cases.aspx
338 of Minnesota's 419 deaths are residents of nursing homes. 80.7%
https://www.health.state.mn.us/diseases/coronavirus/situation.html#death1
https://www.health.state.mn.us/diseases/coronavirus/situation.html#death1
I want to quote some of @anish_koka's horrifying tale for some insight into what went wrong in Philadelphia, and likely many other places.
"As one of the medical caretakers at a nursing home, I thought it was obvious that patients who became infected needed to be rapidly removed from the nursing home... What I found was a local Department Of Health (DOH) that was laser-focused on keeping patients at nursing homes."
"Philadelphia hospitals had been emptied waiting for a New York-style surge that never came. But at this point the nursing homes unfortunately had started to see their first infections probably seeded from the nursing home staff."
"We looked for help. We asked the DOH to allow us to test everyone at the nursing home in order to effectively cluster everyone with COVID in one unit. They refused because the guidelines didn’t recommend this for those that were asymptomatic."
"We asked to utilize a large room to cohort patients with COVID. Nursing home administration and the DOH said this wasn’t possible."
"I spoke to a nice hospitalist at another large health system who was very receptive to the idea of boarding COVID positive patients from the nursing home in the half-empty hospital to avoid the entire nursing home eventually being infected...
...An email chain followed to get permission from administrative units. Absolutely not was the answer."
"I was told the more fruitful endeavor was to discuss advance directives with the residents. Did they really want to be resuscitated if they got too sick? And if they didn’t want to be resuscitated did they really want to go to the hospital?"
"The implicit message: Keep the residents away from the pristine hospital. If they get too sick, hopefully they don’t need to be resuscitated." https://thehealthcareblog.com/blog/2020/05/02/covid-19-physicians-in-shackles/
And now Medicare is paying nursing homes four times more ($800 per day) to take COVID patients. What are we incentivizing? https://www.latimes.com/california/story/2020-05-03/coronavirus-nursing-homes-financial-profits
New Jersey COVID death are now over 50% nursing home. As of today, 7,910 total deaths with 4,010 among nursing home residents. https://covid19.nj.gov/#live-updates
New York's updated report shows 4,968 nursing home deaths as of May 3. That's 25% of all deaths. Expect more revisions.
https://www.health.ny.gov/statistics/diseases/covid-19/fatalities_nursing_home_acf.pdf
Compare to Pennsylvania 1,646 (67%), Massachusetts 2,428 (59%), and New Jersey 4,010 (51%).
https://www.health.ny.gov/statistics/diseases/covid-19/fatalities_nursing_home_acf.pdf
Compare to Pennsylvania 1,646 (67%), Massachusetts 2,428 (59%), and New Jersey 4,010 (51%).
New York
This explains it.
"Exactly how many nursing home residents have died remains uncertain despite the state’s latest disclosure, as the list doesn’t include nursing home residents who were transferred to hospitals before dying." https://www.foxnews.com/us/new-york-1700-undisclosed-coronavirus-deaths-nursing-homes
"Exactly how many nursing home residents have died remains uncertain despite the state’s latest disclosure, as the list doesn’t include nursing home residents who were transferred to hospitals before dying." https://www.foxnews.com/us/new-york-1700-undisclosed-coronavirus-deaths-nursing-homes
Some important perspective. Not sure if this has changed but a study of nursing home deaths from 1992 to 2006 found:
65% died within 1 year of nursing home admission
53% died within 6 months of nursing home admission
https://www.geripal.org/2010/08/length-of-stay-in-nursing-homes-at-end.html
65% died within 1 year of nursing home admission
53% died within 6 months of nursing home admission
https://www.geripal.org/2010/08/length-of-stay-in-nursing-homes-at-end.html
Pennsylvania cleared another big backlog of previously unreported deaths today, taking the state total up to 3012 and the nursing home total up to 2029.
Massachusetts is now at 60% nursing home deaths: 2,520 of 4,212.
New Jersey is right at 50% still: 4,151 of 8,244.
Maryland has posted their weekly update.
Nursing home deaths are now 804 of the state's 1,338 total deaths, which is 60%.
In the past week, they were 288 of 353 total, which is 82%.
Maryland had just 65 non-nursing home COVID deaths in the past week. https://coronavirus.maryland.gov/pages/hcf-resources
Nursing home deaths are now 804 of the state's 1,338 total deaths, which is 60%.
In the past week, they were 288 of 353 total, which is 82%.
Maryland had just 65 non-nursing home COVID deaths in the past week. https://coronavirus.maryland.gov/pages/hcf-resources
Virginia now reports 405 nursing home deaths of the state's total 713 deaths, 57%.
One week ago, they reported just 111 nursing home deaths of 522 total, 21%.
Non-nursing home deaths fell by 103 in the past week.
https://public.tableau.com/views/VirginiaCOVID-19Dashboard/VirginiaCOVID-19Dashboard?:embed=yes&:display_count=yes&:showVizHome=no&:toolbar=no
One week ago, they reported just 111 nursing home deaths of 522 total, 21%.
Non-nursing home deaths fell by 103 in the past week.
https://public.tableau.com/views/VirginiaCOVID-19Dashboard/VirginiaCOVID-19Dashboard?:embed=yes&:display_count=yes&:showVizHome=no&:toolbar=no
To be clear, people didn't undie. A lot of Virginia deaths not previously identified as nursing home deaths now are so identified.
DC only at 25% nursing homes -- like NY, and unlike everywhere else at 50%+ including Maryland (60%) and Virginia (57%). Seems likely that DC is, like NY, excluding nursing home residents who die at the hospital. https://twitter.com/SegravesNBC4/status/1257397630981865474
Even so, DC reported 15 care home deaths on 4/22 of 127 total deaths (12%). Between 4/22 and 5/4 DC reported 57 nursing home deaths and 131 total deaths (44%).
North Carolina's newest report (May 5) shows nursing homes and residential care facilities account for 269 of the state's total 452 deaths, 60%.
In the week from Apr 28 to May 5, 82 of the state's 110 reported deaths are nursing home/RCF, 75%.
https://www.ncdhhs.gov/divisions/public-health/covid19/covid-19-nc-case-count#by-congregate-living
In the week from Apr 28 to May 5, 82 of the state's 110 reported deaths are nursing home/RCF, 75%.
https://www.ncdhhs.gov/divisions/public-health/covid19/covid-19-nc-case-count#by-congregate-living
For my local friends, added these up and here's a strange but true fact.
Maryland and Virginia combined reported more nursing homes deaths in the past week (582) than total deaths (544).
Maryland and Virginia combined reported more nursing homes deaths in the past week (582) than total deaths (544).
Current nursing home death percentages (and rising):
Pennsylvania 67%
Massachusetts 60%
Maryland 60%
North Carolina 60%
Virginia 57%
New Jersey 50%
Pennsylvania 67%
Massachusetts 60%
Maryland 60%
North Carolina 60%
Virginia 57%
New Jersey 50%
Updated international data.
https://ltccovid.org/wp-content/uploads/2020/05/Mortality-associated-with-COVID-3-May-final-6.pdf
https://ltccovid.org/wp-content/uploads/2020/05/Mortality-associated-with-COVID-3-May-final-6.pdf
More via @nosmhnmh, doing yeoman's work on state sites:
Colorado 58%
Connecticut 55%
Delaware 65%
Florida 38%
Georgia 48%
Indiana 35%
Kentucky 57%
Louisiana 37%
Minnesota 81%
Mississippi 44%
New Hampshire 77%
Oklahoma 43%
Rhode Island 76%
Tennessee 25%
Wisconsin 42%
Colorado 58%
Connecticut 55%
Delaware 65%
Florida 38%
Georgia 48%
Indiana 35%
Kentucky 57%
Louisiana 37%
Minnesota 81%
Mississippi 44%
New Hampshire 77%
Oklahoma 43%
Rhode Island 76%
Tennessee 25%
Wisconsin 42%
