JAMA: The Journal of the American Medical Association published a piece on the mortality at nursing homes in Cleveland, Detroit, and New York.
The piece (linked below) found that:
- In Cleveland, there was higher mortality at SNFs in 2020 vs 2019 (mean, 6.3 and 4.9, respectively, per 1000 residents per week during March-May), but the difference was not statistically significant (adjusted IRR, 1.02; 95% CI, 0.94-1.11).
- In Detroit, there was higher mortality at SNFs in 2020 vs in 2019 (mean, 7.9 and 3.5, respectively, per 1000 residents per week during March-May; adjusted IRR, 2.18; 95% CI, 2.01-2.37).
- In New York City, there was higher mortality at SNFs in 2020 vs in 2019 (mean, 13.8 vs 4.1, respectively, per 1000 residents per week during March-May; adjusted IRR, 4.13; 95% CI, 3.95-4.33).
So from March to May, the mortality rate in nursing homes was up about 25% in Cleveland, up about 100% in Detroit, and up a stunning 300% in NYC.
The governors of New York and Michigan were 2 of the 7 governors that required or pushed nursing homes to take back from hospitals, residents who had tested positive for COVID-19. The governor of Ohio did not make that same policy choice.
The attached charts are from that piece and show how awful the situation was at New York City nursing homes.
View attachment 253150
Mortality, Admissions, and Patient Census at Urban US SNFs During the COVID-19 Pandemic