Provisional counts of the number of care home resident deaths registered in England and Wales, by region, including deaths involving coronavirus (COVID-19), in the latest weeks for which data are available.

In order to improve the timely availability of data related to coronavirus (COVID-19) in adult care homes the Welsh Government and Care Inspectorate Wales (CIW) have agreed to publish the number of notifications of deaths of adult care home residents involving COVID-19 (both confirmed and suspected). The location of death may be in the care home, in hospital or another location. The data is not based on laboratory confirmed tests, and not directly comparable with Public Health Wales (PHW) data. In their rapid surveillance dashboard, PHW include some notifications received from care homes with a positive laboratory confirmed test for COVID-19. These data cannot be added together. Welsh Government publish this data to ensure access to the CIW data is transparent and to provide a timely indication of trends for all deaths to care home residents in Wales, from COVID-19 or otherwise.

Provisional counts of deaths in care homes caused by coronavirus (COVID-19) by local authority. Published by the Office for National Statistics and Care Quality Commission.

As of May 1 2020, there were over 23 thousand more deaths in care homes in England and Wales than there were on the same date in 2019, with 12.5 thousand of these caused by Coronavirus (COVID-19) and 10.6 thousand due to other causes.

Archived as of 3/16/22: Due to changing LTC reporting requirements, this dataset will no longer be updated after 3/16/2022. For data on Indiana's long term case facilities, please visit: https://data.cms.gov/covid-19/covid-19-nursing-home-data Number of verified COVID-19 related cases and deaths from Long-Term Care Facilities for residents and staff members. Historical case data are aggregated at the facility-level and are reported from 3/1/2020 and updated weekly. Facilities that are in non-compliance with historical case data reporting needs are denoted by "Facility has not submitted data" in the "Facility Submission Status" column. Facilities listed as non-compliant will be updated as necessary with any new submissions of their historical cases to the Indiana State Department of Health. Cases and deaths in this file include records reported by Long-Term Care Facilities and have been verified by ISDH through a positive COVID-19 diagnostic lab result. This data file was constructed to aggregate verified cases and deaths for LTC staff and residents at the facility level. Because residents and staff may be moved between facilities, calculating total verified counts from this data file is not advised. Users should refer to the ISDH LTC dashboard for total counts.

Registered deaths of care home residents by underlying cause of death and the leading causes of death. Contains death registrations of care home residents by age, sex and area of usual residence.

This dataset contains records of publicly reported data on COVID-19 testing in Ontario long-term care homes. It was collected between April 24, 2020 and March 30, 2023.

Summary data is aggregated to the provincial level. Reports fewer than 5 are indicated with <5 to maintain the privacy of individuals.

Data includes:

• Long-term care home COVID-19 summary data
• Long-term care homes with an active COVID-19 outbreak
• Long-term care homes no longer in a COVID-19 outbreak
• Long-term care home COVID-19 summary data by Public Health Unit (PHU)
• Long-term care home COVID-19 staff vaccination rates

An outbreak is defined as two or more lab-confirmed COVID-19 cases in residents, staff or other visitors in a home, with an epidemiological link, within a 14-day period, where at least one case could have reasonably acquired their infection in the long-term care home. Prior to April 7, 2021, the definition required one or more lab-confirmed COVID-19 cases in a resident or staff in the long-term care home.

Notes

February 21 to March 29, 2023: Data is only available for regular business days (for example, Monday through Friday, except statutory holidays)

March 12 – 13, 2022: Due to technical difficulties, data is not available.

September 8, 2022: The data dated September 6, 2022 represents data collected during the period of September 3, 4 and 5, 2022.

October 6, 2022: The data dated October 5, 2022 represents data collected during the period of October 1, 2, 3 and 4, 2022.

October 13, 2022: Due to technical difficulties, data for the date of October 9 is not available.

October 20, 2022: Due to technical difficulties, data for the dates of October 15, 16 is not available.

November 24, 2022: Due to technical difficulties, data is not available.

ObjectivesTo assess excess mortality among older adults institutionalized in nursing homes within the successive waves of the COVID-19 pandemic in Catalonia (north-east Spain).DesignObservational, retrospective analysis of population-based central healthcare registries.Setting and participantsIndividuals aged >65 years admitted in any nursing home in Catalonia between January 1, 2015, and April 1, 2022.MethodsDeaths reported during the pre-pandemic period (2015–2019) were used to build a reference model for mortality trends (a Poisson model, due to the event counting nature of the variable “mortality”), adjusted by age, sex, and clinical complexity, defined according to the adjusted morbidity groups. Excess mortality was estimated by comparing the observed and model-based expected mortality during the pandemic period (2020–2022). Besides the crude excess mortality, we estimated the standardized mortality rate (SMR) as the ratio of weekly deaths’ number observed to the expected deaths’ number over the same period.ResultsThe analysis included 175,497 older adults institutionalized (mean 262 days, SD 132), yielding a total of 394,134 person-years: 288,948 person-years within the reference period (2015–2019) and 105,186 within the COVID-19 period (2020–2022). Excess number of deaths in this population was 5,403 in the first wave and 1,313, 111, −182, 498, and 329 in the successive waves. The first wave on March 2020 showed the highest SMR (2.50; 95% CI 2.45–2.56). The corresponding SMR for the 2nd to 6th waves were 1.31 (1.27–1.34), 1.03 (1.00–1.07), 0.93 (0.89–0.97), 1.13 (1.10–1.17), and 1.07 (1.04–1.09). The number of excess deaths following the first wave ranged from 1,313 (2nd wave) to −182 (4th wave). Excess mortality showed similar trends for men and women. Older adults and those with higher comorbidity burden account for higher number of deaths, albeit lower SMRs.ConclusionExcess mortality analysis suggest a higher death toll of the COVID-19 crisis in nursing homes than in other settings. Although crude mortality rates were far higher among older adults and those at higher health risk, younger individuals showed persistently higher SMR, indicating an important death toll of the COVID-19 in these groups of people.

This dataset includes the number of nursing home, or adult care facility-reported fatalities for residents with lab-confirmed COVID-19 disease that occurred at the facility, lab-confirmed COVID-19 disease that occurred outside of the facility, and COVID-19 presumed disease that occurred at the facility.

The data is from a mixed-methods approach to address address three main questions:1 What were the mortality rates in care homes by country? 2. How does the mortality in care homes compare with previous periods? 3. What explains any excess mortality in care homes?List of Tables available in FigshareTable 1. Excess Deaths Study Characteristics Table 2. Care Homes Excess Deaths Study OutcomesTable 3. Quality Assessment: Care Home Excess Deaths studies: Newcastle Ottawa ScaleTable 4. Care Home intervention/exposure studies characteristics Table 5. Care Home intervention/exposure studies outcomesTable 6. Quality Assessment: Care Home Intervention/Exposure studies: Newcastle Ottawa ScaleFigure 1. Flow chartProtocol available at FigshareAppendix 1 National Mortality Data

The number of admissions, discharges and deaths in care homes, for different main client groups.

Registered deaths in care homes in the United Kingdom. Contains death registrations in care homes by age, sex and leading cause of death.

Objectives To determine the factors associated with a home death among older adults who received palliative care nursing home services in the home.

   Methods
   The participants in this retrospective cohort study were 151 family caregivers of patients who had died approximately 9 months prior to the study telephone interview. The interview focused on the last year of life and covered two main areas, patient characteristics and informal caregiver characteristics.


   Results
   Odds ratios [OR] and 95% confidence intervals [95% CI] were used to determine which of the 15 potential informal caregiver and seven patient predictor variables were associated with dying at home. Multivariate analysis revealed that the odds of dying at home were greater when the patient lived with a caregiver [OR = 7.85; 95% CI = (2.35, 26.27)], the patient stated a preference to die at home [OR= 6.51; 95% CI = (2.66,15.95)], and the family physician made home visits [OR = 4.79; 95% CI = (1.97,11.64)]. However the odds were lower for patients who had caregivers with fair to poor health status [OR = 0.22; 95% CI = (0.07, 0.65)] and for patients who used hospital palliative care beds [OR = 0.31; 95% CI = (0.12, 0.80)].


   Discussion
   The findings suggest that individuals who indicated a preference to die at home and resided with a healthy informal caregiver had better odds of dying at home. Home visits by a family physician were also associated with dying at home.

The proportion of deaths from all causes (for ages < 1yr all deaths, including where no cause is recorded; for ages >= 1 yr ICD-10 A00-Y99 equivalent to ICD-9 001-E999) that occur at home. To improve palliative care and service planning for patients in the terminal stages of life, allowing more of them the choice of dying at home. Legacy unique identifier: P00778

COVID-19 causes significant mortality in elderly and vulnerable people and spreads easily in care homes where one in seven individuals aged > 85 years live. However, there is no surveillance for infection in care homes, nor are there systems (or research studies) monitoring the impact of the pandemic on individuals or systems. Usual practices are disrupted during the pandemic, and care home staff are taking on new and unfamiliar roles, such as advanced care planning. Understanding the nature of these changes is critical to mitigate the impact of COVID-19 on residents, relatives and staff. 20 care homes staff members were interviewed using semi-structured interviews.

The COVID-19 pandemic poses a substantial risk to elderly and vulnerable care home residents and COVID-19 can spread rapidly in care homes. We have national, daily data on people with COVID-19 and deaths, but there is no similar data for care homes. This makes it difficult to know the scale of the problem, and plan how to keep care home residents safe. We also want to understand the impact of COVID-19 on care home staff and residents. Researchers from University College London (UCL) will measure the number of cases of COVID-19 in care homes, using data from Four Seasons Healthcare, a large care home chain. FSHC remove residents' names and addresses before sending the dataset to UCL, protecting resident's confidentiality. Since we cannot visit care homes during the pandemic, we will hold virtual (online) discussion meetings with care home stakeholders (staff, residents, relatives, General Practice teams) every 6-8 weeks, to learn rapid lessons about managing COVID-19 in care homes and identify pragmatic solutions. Our findings will be shared with FHSC, GPs and Public Health England, patients and the public, and support the national response to COVID-19. Patients and the public will be involved in all stages of the research.

Number and percentage of deaths, by place of death (in hospital or non-hospital), 1991 to most recent year.