New @medrxivpreprint (not yet peer-reviewed) with @KevinAnBrown and colleagues examining temporal variations in the intensity of care provided to the 2,000 Ontario #LTC home residents who died of #COVID19 between March 11th and October 28th, 2020: medrxiv.org/content/10.110…
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While there was no official policy denying hospitalizations media reports (cbc.ca/news/health/co…) & testimony from Ontario's LTC COVID19 commission (ltccommission-commissionsld.ca/transcripts/pd…) suggest that resident transfers to hospital were strongly discouraged at the onset of the pandemic.
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To investigate this, we measured monthly variations in hospitalizations among community and #LTC-dwelling Ontarians who died of #COVID19 between March-October, 2020.
We found that monthly hospitalization rates were relatively stable among community-dwelling individuals.
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We found that monthly hospitalization rates were relatively stable among community-dwelling individuals.
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Conversely, hospitalizations among LTC residents who died of COVID19 varied substantially from a low of 15.5% in March-April (peak of wave 1) to a high of 41.2% in June-July (nadir of wave 1).
Additionally, women were less likely than men to be hospitalized prior to death.
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Additionally, women were less likely than men to be hospitalized prior to death.
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Our findings seem to substantiate reports suggesting that hospitalizations for #LTC residents with COVID19 were low during the peak of the pandemic's first wave in Ontario.
This may have contributed to the very high concentration of COVID19 mortality in Ontario's LTC homes.
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This may have contributed to the very high concentration of COVID19 mortality in Ontario's LTC homes.
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As acute and critical care use continues to increase during the second wave of #COVID19 in Ontario (graph by @jkwan_md), we must ensure that all #LTC residents have access to the medical care they need and want.
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