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KMID : 1143420220150251748
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Public Health Weekly Report
2022 Volume.15 No. 25 p.1748 ~ p.1758
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Evaluation of COVID-19 outbreaks and risk factors related to nursing hospital and nursing home in Gyeongbuk Province
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Hwang Myung-Jae
Park Chung-Min
Hwang In-Sob
Kim So-Hyeon
Kim Hee-Kyoung
Son Jun-Seock
Son Tae-Jong
Moon Gyeong-Ran
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Abstract
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In January 2022, as Omicron variant spread across the Republic of Korea, the number of confirmed cases of COVID-19 rapidly increased, particularly in long-term care facilities (LTCFs) such as nursing hospitals or nursing homes. This report analyzed the situation of COVID-19 outbreaks and fatalities related to LTCFs reported in Daegu and Gyeongsangbuk-do, and evaluated the risk factors through site visits to facilities. The aim of this study was to present evidence that can be used when establishing plans to prevent and respond to COVID-19 in the LTCFs. From January 2 to April 30, 2022, a total of 1,384,631 confirmed cases of COVID-19 were reported in Daegu and Gyeongsangbuk-do, of which 2.5% (34,947 cases) were infected from LTCFs. This number accounted for 1 to 4% of the total number of confirmed cases, and the number of cases related to nursing hospitals or nursing homes peaked on 4th and 5th weeks of March, when the number of confirmed cases also peaked nationwide. Overall, the proportion of COVID-19 cases related to these facilities compared to the total number of confirmed cases did not change significantly, but it was observed that the proportion of deaths reported from nursing hospitals and nursing homes increased significantly during the same period. From the first week of March, the number of deaths reported from LTCFs compared to the total number of deaths increased continuously, and it took up the highest proportion at 43.7% in the fourth week and remained at around 30%.
Most of the patients in the nursing hospitals or nursing homes were immunocompromised or had underlying diseases.
Therefore, when infected with COVID-19, the severity and risk of fatality may be higher than in the general population.
Based on the aforementioned results, this study recommended establishing plans to prevent and respond to COVID-19 in the LTCFs.
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KEYWORD
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COVID-19, Fatality, Long-term care facility, Health vulnerability
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