Imperial College London
Alternate

Professor Toby Prevost

Faculty of Medicine, School of Public Health

Visiting Professor
 
 
 
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Contact

 

a.prevost

 
 
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Location

 

57Stadium HouseWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Gulliford:2021:10.1101/2021.04.24.21255968,
author = {Gulliford, MC and Prevost, AT and Clegg, A and Rezel-Potts, E},
doi = {10.1101/2021.04.24.21255968},
title = {Mortality of Care Home Residents and Community-Dwelling Controls During the COVID-19 Pandemic in 2020: Matched Cohort Study},
url = {http://dx.doi.org/10.1101/2021.04.24.21255968},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - <jats:title>ABSTRACT</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>To estimate mortality of care home (CH) residents, and matched community-dwelling controls, during the Covid-19 pandemic from primary care electronic health records.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Matched cohort study</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>General practices contributing to the Clinical Practice Research Datalink Aurum Database in England.</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>There were 83,627 CH residents contributing data in 2020, with 26,923 deaths; 80,730 (97%) were matched on age, gender and general practice with 300,445 community-dwelling adults.</jats:p></jats:sec><jats:sec><jats:title>Main outcome measures</jats:title><jats:p>All-cause mortality. Adjusted rate ratios (RR) by negative binomial regression were adjusted for age, gender, number of long-term conditions (LTCs), frailty category, region, calendar month or week, and clustering by general practice.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>During April 2020, the mortality rate of CH residents was 27.2 deaths per 1,000 patients per week, compared with 2.31 per 1,000 for controls, RR 11.1 (95% confidence interval 10.1 to 12.2). Compared with CH residents, LTCs and frailty were differentially associated with greater mortality in community-dwelling controls. During April 2020, mortality rates per 1,000 patients per week for persons with 9+ LTCs were: CH, 37.9; controls 17.7; RR 2.14 (1.18 to 3.89). In severe frailty, mortality rates were: CH, 29.6; controls 5.1; RR 6.17 (5.74 to 6.62).</jats:p></jats:sec><jats:sec><jats:title>Conclusions<
AU  - Gulliford,MC
AU  - Prevost,AT
AU  - Clegg,A
AU  - Rezel-Potts,E
DO  - 10.1101/2021.04.24.21255968
PY  - 2021///
TI  - Mortality of Care Home Residents and Community-Dwelling Controls During the COVID-19 Pandemic in 2020: Matched Cohort Study
UR  - http://dx.doi.org/10.1101/2021.04.24.21255968
ER  -
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