Publication:
Seroprevalence and estimation of the impact of SARS-CoV-2 infection in older adults residing in Long-term Care Facilities in Chile

dc.contributor.authorRubilar, Paola
dc.contributor.authorHirmas Adauy, Macarena
dc.contributor.authorMatute, María Isabel
dc.contributor.authorBrowne, Jorge
dc.contributor.authorLittle, Cedric
dc.contributor.authorRuz, Gonzalo
dc.contributor.authorAguilera, Ximena
dc.contributor.authorAvila, Carlos
dc.contributor.authorVial, Pablo
dc.contributor.authorGutknecht Mackenzie, Tania
dc.date.accessioned2023-12-05T16:40:35Z
dc.date.available2023-12-05T16:40:35Z
dc.date.issued2022
dc.description.abstractIntroduction Older adults are at a higher risk of severe illness and death from COVID-19. This vulnera bility increases in those who live in long-term care facilities due to overcrowding, greater physical dependence, and contact with health workers. Evidence on the impact of the pan demic on these establishments in low- and middle-income countries has been scant. This study aims to determine the seroprevalence of SARS-CoV-2 in older people residing in long-term care facilities and estimate the impact of infection after the first wave of the pandemic. Methods A cross-sectional design with 2099 residents in three regions of Chile was carried out be tween September and November 2020. Measurement of antibodies was performed with a rapid test. The impact of SARS-CoV-2 infection was estimated with seropositive residents, those who had a history of positive polymerase chain reaction tests, and those who died from COVID-19. Bivariate analysis with the region, sex, age, history of COVID-19, physical dependence, and serological results were performed. In addition, we performed a correla tion analysis between the seroprevalence of the centers by the municipality and the rate of confirmed cases. Results The seroprevalence of SARS-CoV-2 antibodies in the three regions was 14.7% (95% confi dence interval: 13.2 to 16.3%), the infection impact was 46.4%, and the fatality rate was 19.6%. A significant correlation was found between the seroprevalence of older adults re siding in long-term care facilities and the cumulative incidence by municipalities. Conclusions The seroprevalence of older adults residing in long-term care facilities was higher than the general population. The high impact of infection among this population at the end of the first wave of the COVID-19 pandemic is similar to other countries. The centers' environ ment is directly related to COVID-19 infection. Morbidity and mortality monitoring sys tems should be implemented promptly to establish prevention and control measur
dc.description.versionVersión publicada
dc.format.extent11 p.
dc.identifier.citationRubilar P, Hirmas M, Matute I, Browne J, Little C, Ruz G, et al. Seroprevalence and estimation of the impact of SARS-CoV-2 infection in older adults residing in Long-term Care Facilities in Chile. Medwave 2022;22(03):002553
dc.identifier.doihttps://doi.org/10.5867/medwave.2022.03.002553
dc.identifier.urihttps://repositorio.udd.cl/handle/11447/8131
dc.language.isoen
dc.subjectCOVID-19 Serological Testing
dc.subjectLong-Term Care
dc.subjectAged
dc.subjectSARS-CoV-2
dc.titleSeroprevalence and estimation of the impact of SARS-CoV-2 infection in older adults residing in Long-term Care Facilities in Chile
dc.typeArticle
dcterms.accessRightsAcceso abierto
dcterms.sourceMedwave
dspace.entity.typePublication
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