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Beyond Age—Improvement of Prognostication Through Physical and Cognitive Functioning for Nursing Home Residents With COVID-19

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

The rapid spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has imposed multilevel challenges on societies everywhere, from abrupt changes in our day-to-day lives to overwhelming new pressures on health systems worldwide.1 Although there are many devastating effects of coronavirus disease 2019 (COVID-19), few compare with the pandemic’s terrible burden on nursing home residents, their families, and their health care clinicians.2

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Article Information

Corresponding Author: Márlon Juliano Romero Aliberti, MD, PhD, Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Av. Dr. Eneas de Carvalho Aguiar 155, 8º andar, Clinica Medica, Sao Paulo, SP, Brazil, 05403-000 (maliberti@usp.br).

Published Online: January 4, 2021. doi:10.1001/jamainternmed.2020.8190

Conflict of Interest Disclosures: Dr Avelino-Silva reported grants from the University of Sao Paulo Medical School. Drs Aliberti and Avelino-Silva are unpaid investigators on a project funded by the Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo from donations of the #HCComvida campaign.

Disclaimer: The opinions expressed in this commentary are those of the authors and do not necessarily reflect the views of the affiliated institutions.

References
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Wang  D , Hu  B , Hu  C ,  et al.  Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China.   JAMA. 2020;323(11):1061-1069. doi:10.1001/jama.2020.1585PubMedGoogle ScholarCrossref
2.
Abbasi  J .  “Abandoned” nursing homes continue to face critical supply and staff shortages as COVID-19 toll has mounted.   JAMA. 2020;324(2):123-125. doi:10.1001/jama.2020.10419PubMedGoogle ScholarCrossref
3.
Centers for Medicare & Medicaid Services. COVID‐19 data. https://data.cms.gov/stories/s/COVID-19-Nursing-Home-Data/bkwz-xpvg. Accessed November 10, 2020.
4.
Graham  NSN , Junghans  C , Downes  R ,  et al.  SARS-CoV-2 infection, clinical features and outcome of COVID-19 in United Kingdom nursing homes.   J Infect. 2020;81(3):411-419. doi:10.1016/j.jinf.2020.05.073PubMedGoogle ScholarCrossref
5.
American Geriatrics Society.  American Geriatrics Society policy brief: COVID-19 and nursing homes.   J Am Geriatr Soc. 2020;68(5):908-911. doi:10.1111/jgs.16477PubMedGoogle ScholarCrossref
6.
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. Published online January 4, 2021. doi:10.1001/jamainternmed.2020.7968Google Scholar
7.
Hewitt  J , Carter  B , Vilches-Moraga  A ,  et al; COPE Study Collaborators.  The effect of frailty on survival in patients with COVID-19 (COPE): a multicentre, European, observational cohort study.   Lancet Public Health. 2020;5(8):e444-e451. doi:10.1016/S2468-2667(20)30146-8PubMedGoogle ScholarCrossref
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