{"id":"https://openalex.org/W4415514352","doi":"https://doi.org/10.1136/bmjph-2025-002774","title":"Death risk in nursing homes between the prepandemic period and the COVID-19 era: a retrospective cohort study in Murcia Region, Spain","display_name":"Death risk in nursing homes between the prepandemic period and the COVID-19 era: a retrospective cohort study in Murcia Region, Spain","publication_year":2025,"publication_date":"2025-07-01","ids":{"openalex":"https://openalex.org/W4415514352","doi":"https://doi.org/10.1136/bmjph-2025-002774","pmid":"https://pubmed.ncbi.nlm.nih.gov/41141308","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12551517"},"language":"en","primary_location":{"id":"doi:10.1136/bmjph-2025-002774","doi":"https://doi.org/10.1136/bmjph-2025-002774","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjph-2025-002774","pdf_url":"https://bmjpublichealth.bmj.com/content/3/2/e002774.full.pdf","source":{"id":"https://openalex.org/S4387288761","display_name":"BMJ Public Health","issn_l":"2753-4294","issn":["2753-4294"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://bmjpublichealth.bmj.com/content/3/2/e002774.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070443233","display_name":"Jes\u00fas\u2010Humberto G\u00f3mez","orcid":"https://orcid.org/0000-0001-8442-8327","observed_orcids":["https://orcid.org/0000-0001-8442-8327"]},"institutions":[{"id":"https://openalex.org/I4210146619","display_name":"Instituto Murciano de Investigaci\u00f3n Biosanitaria","ror":"https://ror.org/053j10c72","country_code":"ES","type":"facility","lineage":["https://openalex.org/I4210146619"]},{"id":"https://openalex.org/I4210154894","display_name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Epidemiolog\u00eda y Salud P\u00fablica","ror":"https://ror.org/050q0kv47","country_code":"ES","type":"facility","lineage":["https://openalex.org/I2801357902","https://openalex.org/I4210115082","https://openalex.org/I4210154894","https://openalex.org/I4387152914"]},{"id":"https://openalex.org/I4400573301","display_name":"Comunidad Aut\u00f3noma de la Regi\u00f3n de Murcia","ror":"https://ror.org/024cw0321","country_code":"ES","type":"government","lineage":["https://openalex.org/I4400573301"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Jes\u00fas Humberto G\u00f3mez","raw_affiliation_strings":["CIBERESP, Madrid, Spain","Department of Epidemiology, Murcia Region Health Department, Murcia, Spain","Murcian Institute of Biosanitary Research Pascual Parrilla (IMIB), El Palmar, Spain"],"raw_orcid":"https://orcid.org/0000-0001-8442-8327","affiliations":[{"raw_affiliation_string":"CIBERESP, Madrid, Spain","institution_ids":["https://openalex.org/I4210154894"]},{"raw_affiliation_string":"Department of Epidemiology, Murcia Region Health Department, Murcia, Spain","institution_ids":["https://openalex.org/I4400573301"]},{"raw_affiliation_string":"Murcian Institute of Biosanitary Research Pascual Parrilla (IMIB), El Palmar, Spain","institution_ids":["https://openalex.org/I4210146619"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025795672","display_name":"In\u00e9s S\u00e1nchez-Rodr\u00edguez","orcid":"https://orcid.org/0000-0002-8943-0175","observed_orcids":["https://orcid.org/0000-0002-8943-0175"]},"institutions":[{"id":"https://openalex.org/I4210148138","display_name":"Servicio Murciano de Salud","ror":"https://ror.org/055bn0x53","country_code":"ES","type":"other","lineage":["https://openalex.org/I4210148138"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"In\u00e9s S\u00e1nchez-Rodr\u00edguez","raw_affiliation_strings":["Deputy Directorate General for Healthcare Quality, Safety and Evaluation, Murcia Regional Health Service, Murcia, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Deputy Directorate General for Healthcare Quality, Safety and Evaluation, Murcia Regional Health Service, Murcia, Spain","institution_ids":["https://openalex.org/I4210148138"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078563244","display_name":"Jes\u00fas Soriano L\u00f3pez","orcid":"https://orcid.org/0000-0001-7319-617X","observed_orcids":["https://orcid.org/0000-0001-7319-617X"]},"institutions":[{"id":"https://openalex.org/I4400573301","display_name":"Comunidad Aut\u00f3noma de la Regi\u00f3n de Murcia","ror":"https://ror.org/024cw0321","country_code":"ES","type":"government","lineage":["https://openalex.org/I4400573301"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Jesus Soriano-L\u00f3pez","raw_affiliation_strings":["Department of Epidemiology, Murcia Region Health Department, Murcia, Spain"],"raw_orcid":"https://orcid.org/0000-0001-7319-617X","affiliations":[{"raw_affiliation_string":"Department of Epidemiology, Murcia Region Health Department, Murcia, Spain","institution_ids":["https://openalex.org/I4400573301"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031728788","display_name":"Roc\u00edo Garc\u00eda-Pina","orcid":"https://orcid.org/0009-0006-2059-2631","observed_orcids":["https://orcid.org/0009-0006-2059-2631"]},"institutions":[{"id":"https://openalex.org/I4210146619","display_name":"Instituto Murciano de Investigaci\u00f3n Biosanitaria","ror":"https://ror.org/053j10c72","country_code":"ES","type":"facility","lineage":["https://openalex.org/I4210146619"]},{"id":"https://openalex.org/I4400573301","display_name":"Comunidad Aut\u00f3noma de la Regi\u00f3n de Murcia","ror":"https://ror.org/024cw0321","country_code":"ES","type":"government","lineage":["https://openalex.org/I4400573301"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Rocio Garc\u00eda-Pina","raw_affiliation_strings":["Murcian Institute of Biosanitary Research Pascual Parrilla (IMIB), El Palmar, Spain","Planning and Health Financing Department, Murcia Region Health Department, Murcia, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Murcian Institute of Biosanitary Research Pascual Parrilla (IMIB), El Palmar, Spain","institution_ids":["https://openalex.org/I4210146619"]},{"raw_affiliation_string":"Planning and Health Financing Department, Murcia Region Health Department, Murcia, Spain","institution_ids":["https://openalex.org/I4400573301"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059007993","display_name":"Natalia Cabrera-Castro","orcid":"https://orcid.org/0009-0001-8408-0743","observed_orcids":["https://orcid.org/0009-0001-8408-0743"]},"institutions":[{"id":"https://openalex.org/I4210146619","display_name":"Instituto Murciano de Investigaci\u00f3n Biosanitaria","ror":"https://ror.org/053j10c72","country_code":"ES","type":"facility","lineage":["https://openalex.org/I4210146619"]},{"id":"https://openalex.org/I4210154894","display_name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Epidemiolog\u00eda y Salud P\u00fablica","ror":"https://ror.org/050q0kv47","country_code":"ES","type":"facility","lineage":["https://openalex.org/I2801357902","https://openalex.org/I4210115082","https://openalex.org/I4210154894","https://openalex.org/I4387152914"]},{"id":"https://openalex.org/I4400573301","display_name":"Comunidad Aut\u00f3noma de la Regi\u00f3n de Murcia","ror":"https://ror.org/024cw0321","country_code":"ES","type":"government","lineage":["https://openalex.org/I4400573301"]}],"countries":["ES"],"is_corresponding":true,"raw_author_name":"Natalia Alejandra Cabrera-Castro","raw_affiliation_strings":["CIBERESP, Madrid, Spain","Department of Epidemiology, Murcia Region Health Department, Murcia, Spain","Murcian Institute of Biosanitary Research Pascual Parrilla (IMIB), El Palmar, Spain"],"raw_orcid":"https://orcid.org/0009-0001-8408-0743","affiliations":[{"raw_affiliation_string":"CIBERESP, Madrid, Spain","institution_ids":["https://openalex.org/I4210154894"]},{"raw_affiliation_string":"Department of Epidemiology, Murcia Region Health Department, Murcia, Spain","institution_ids":["https://openalex.org/I4400573301"]},{"raw_affiliation_string":"Murcian Institute of Biosanitary Research Pascual Parrilla (IMIB), El Palmar, Spain","institution_ids":["https://openalex.org/I4210146619"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120123710","display_name":"Inmaculada Moreno-Diaz","orcid":"https://orcid.org/0009-0005-5012-2633","observed_orcids":["https://orcid.org/0009-0005-5012-2633"]},"institutions":[{"id":"https://openalex.org/I4400573301","display_name":"Comunidad Aut\u00f3noma de la Regi\u00f3n de Murcia","ror":"https://ror.org/024cw0321","country_code":"ES","type":"government","lineage":["https://openalex.org/I4400573301"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Inmaculada Moreno-Diaz","raw_affiliation_strings":["Department of Epidemiology, Murcia Region Health Department, Murcia, Spain"],"raw_orcid":"https://orcid.org/0009-0005-5012-2633","affiliations":[{"raw_affiliation_string":"Department of Epidemiology, Murcia Region Health Department, Murcia, Spain","institution_ids":["https://openalex.org/I4400573301"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5097847591","display_name":"Ana Mar\u00eda Corbal\u00e1n\u2010Fern\u00e1ndez","orcid":"https://orcid.org/0000-0001-7324-9518","observed_orcids":["https://orcid.org/0000-0001-7324-9518"]},"institutions":[{"id":"https://openalex.org/I4210148138","display_name":"Servicio Murciano de Salud","ror":"https://ror.org/055bn0x53","country_code":"ES","type":"other","lineage":["https://openalex.org/I4210148138"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Ana Mar\u00eda Corbal\u00e1n-Fern\u00e1ndez","raw_affiliation_strings":["Murcia Regional Health Service, Murcia, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Murcia Regional Health Service, Murcia, Spain","institution_ids":["https://openalex.org/I4210148138"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074565073","display_name":"Antonio Sola-Roca","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Antonio Sola-Roca","raw_affiliation_strings":["Information Technology and Communication Department, Regional Council of Social Policy, Families, and Equality-Murcian Institute of Social Action, Murcia, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Information Technology and Communication Department, Regional Council of Social Policy, Families, and Equality-Murcian Institute of Social Action, Murcia, Spain","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Enrique Molina de los Cobos","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210148138","display_name":"Servicio Murciano de Salud","ror":"https://ror.org/055bn0x53","country_code":"ES","type":"other","lineage":["https://openalex.org/I4210148138"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Enrique Molina de los Cobos","raw_affiliation_strings":["Department of Social and Health Care Coordination, Murcia Regional Health Service, Murcia, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Social and Health Care Coordination, Murcia Regional Health Service, Murcia, Spain","institution_ids":["https://openalex.org/I4210148138"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120123709","display_name":"Maria Carmen S\u00e1nchez-Montesinos","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Maria Carmen S\u00e1nchez-Montesinos","raw_affiliation_strings":["Elderly Care Department, Regional Council of Social Policy, Families, and Equality-Murcian Institute of Social Action, Murcia, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Elderly Care Department, Regional Council of Social Policy, Families, and Equality-Murcian Institute of Social Action, Murcia, Spain","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076031912","display_name":"Joaqu\u00edn-A Palomar-Rodr\u00edguez","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210146619","display_name":"Instituto Murciano de Investigaci\u00f3n Biosanitaria","ror":"https://ror.org/053j10c72","country_code":"ES","type":"facility","lineage":["https://openalex.org/I4210146619"]},{"id":"https://openalex.org/I4400573301","display_name":"Comunidad Aut\u00f3noma de la Regi\u00f3n de Murcia","ror":"https://ror.org/024cw0321","country_code":"ES","type":"government","lineage":["https://openalex.org/I4400573301"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Joaqu\u00edn Palomar-Rodriguez","raw_affiliation_strings":["Murcian Institute of Biosanitary Research Pascual Parrilla (IMIB), El Palmar, Spain","Planning and Health Financing Department, Murcia Region Health Department, Murcia, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Murcian Institute of Biosanitary Research Pascual Parrilla (IMIB), El Palmar, Spain","institution_ids":["https://openalex.org/I4210146619"]},{"raw_affiliation_string":"Planning and Health Financing Department, Murcia Region Health Department, Murcia, Spain","institution_ids":["https://openalex.org/I4400573301"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5023717113","display_name":"Mar\u00eda\u2010Dolores Chirlaque","orcid":"https://orcid.org/0000-0001-9242-3040","observed_orcids":["https://orcid.org/0000-0001-9242-3040"]},"institutions":[{"id":"https://openalex.org/I4210146619","display_name":"Instituto Murciano de Investigaci\u00f3n Biosanitaria","ror":"https://ror.org/053j10c72","country_code":"ES","type":"facility","lineage":["https://openalex.org/I4210146619"]},{"id":"https://openalex.org/I4210154894","display_name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Epidemiolog\u00eda y Salud P\u00fablica","ror":"https://ror.org/050q0kv47","country_code":"ES","type":"facility","lineage":["https://openalex.org/I2801357902","https://openalex.org/I4210115082","https://openalex.org/I4210154894","https://openalex.org/I4387152914"]},{"id":"https://openalex.org/I4400573301","display_name":"Comunidad Aut\u00f3noma de la Regi\u00f3n de Murcia","ror":"https://ror.org/024cw0321","country_code":"ES","type":"government","lineage":["https://openalex.org/I4400573301"]},{"id":"https://openalex.org/I80180929","display_name":"Universidad de Murcia","ror":"https://ror.org/03p3aeb86","country_code":"ES","type":"education","lineage":["https://openalex.org/I80180929"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Maria-Dolores Chirlaque","raw_affiliation_strings":["CIBERESP, Madrid, Spain","Department of Epidemiology, Murcia Region Health Department, Murcia, Spain","Department of Public Health Sciences, University of Murcia, Murcia, Spain","Murcian Institute of Biosanitary Research Pascual Parrilla (IMIB), El Palmar, Spain"],"raw_orcid":"https://orcid.org/0000-0001-9242-3040","affiliations":[{"raw_affiliation_string":"CIBERESP, Madrid, Spain","institution_ids":["https://openalex.org/I4210154894"]},{"raw_affiliation_string":"Department of Epidemiology, Murcia Region Health Department, Murcia, Spain","institution_ids":["https://openalex.org/I4400573301"]},{"raw_affiliation_string":"Department of Public Health Sciences, University of Murcia, Murcia, Spain","institution_ids":["https://openalex.org/I80180929"]},{"raw_affiliation_string":"Murcian Institute of Biosanitary Research Pascual Parrilla (IMIB), El Palmar, Spain","institution_ids":["https://openalex.org/I4210146619"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5059007993"],"corresponding_institution_ids":["https://openalex.org/I4210146619","https://openalex.org/I4210154894","https://openalex.org/I4400573301"],"apc_list":null,"apc_paid":null,"fwci":0.5187,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.5589479,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"3","issue":"2","first_page":"e002774","last_page":"e002774"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10410","display_name":"COVID-19 epidemiological studies","score":0.002300000051036477,"subfield":{"id":"https://openalex.org/subfields/2611","display_name":"Modeling and Simulation"},"field":{"id":"https://openalex.org/fields/26","display_name":"Mathematics"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10041","display_name":"COVID-19 Clinical Research Studies","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.8420000076293945},{"id":"https://openalex.org/keywords/nursing-home-residents","display_name":"nursing home residents","score":0.9700000286102295},{"id":"https://openalex.org/keywords/all-cause-mortality","display_name":"all-cause mortality","score":0.878000020980835},{"id":"https://openalex.org/keywords/excess-mortality","display_name":"excess mortality","score":0.7919999957084656},{"id":"https://openalex.org/keywords/omicron-variant","display_name":"Omicron variant","score":0.9350000023841858},{"id":"https://openalex.org/keywords/frailty","display_name":"frailty","score":0.3779999911785126},{"id":"https://openalex.org/keywords/time-dependent-covariates","display_name":"time-varying covariates","score":0.8069999814033508},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.6069999933242798},{"id":"https://openalex.org/keywords/institutionalized-elderly","display_name":"institutionalized elderly","score":0.5199999809265137},{"id":"https://openalex.org/keywords/murcia-region","display_name":"Murcia region","score":0.6359999775886536}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8720999956130981},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.7594000101089478},{"id":"https://openalex.org/C3019398978","wikidata":"https://www.wikidata.org/wiki/Q837142","display_name":"Nursing homes","level":2,"score":0.6248999834060669},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.4887000024318695},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4634999930858612},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4000000059604645},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.396699994802475},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.3833000063896179},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.3490000069141388},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3425999879837036},{"id":"https://openalex.org/C2781291010","wikidata":"https://www.wikidata.org/wiki/Q178580","display_name":"Period (music)","level":2,"score":0.3312000036239624},{"id":"https://openalex.org/C3020729460","wikidata":"https://www.wikidata.org/wiki/Q1202197","display_name":"Place of death","level":3,"score":0.32839998602867126},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.32710000872612},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3140000104904175},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.30219998955726624},{"id":"https://openalex.org/C50382708","wikidata":"https://www.wikidata.org/wiki/Q223218","display_name":"Proportional hazards model","level":2,"score":0.29589998722076416},{"id":"https://openalex.org/C29374701","wikidata":"https://www.wikidata.org/wiki/Q1931388","display_name":"Cause of death","level":3,"score":0.2718999981880188},{"id":"https://openalex.org/C207673951","wikidata":"https://www.wikidata.org/wiki/Q1303150","display_name":"Compounding","level":2,"score":0.259799987077713},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.2574999928474426},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.2547000050544739},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.25450000166893005},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.2515999972820282}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.1136/bmjph-2025-002774","doi":"https://doi.org/10.1136/bmjph-2025-002774","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjph-2025-002774","pdf_url":"https://bmjpublichealth.bmj.com/content/3/2/e002774.full.pdf","source":{"id":"https://openalex.org/S4387288761","display_name":"BMJ Public Health","issn_l":"2753-4294","issn":["2753-4294"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Public Health","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:11359144","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12551517","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmid:41141308","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41141308","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ public health","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12551517","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12551517/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Public Health","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:fa78acfa83af4fd29a975e6092c2a72d","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/fa78acfa83af4fd29a975e6092c2a72d","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMJ Public Health, Vol 3, Iss 2 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1136/bmjph-2025-002774","doi":"https://doi.org/10.1136/bmjph-2025-002774","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjph-2025-002774","pdf_url":"https://bmjpublichealth.bmj.com/content/3/2/e002774.full.pdf","source":{"id":"https://openalex.org/S4387288761","display_name":"BMJ Public Health","issn_l":"2753-4294","issn":["2753-4294"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4415514352.pdf","grobid_xml":"https://content.openalex.org/works/W4415514352.grobid-xml"},"referenced_works_count":28,"referenced_works":["https://openalex.org/W2493160669","https://openalex.org/W2998226653","https://openalex.org/W3020619540","https://openalex.org/W3033038033","https://openalex.org/W3040552450","https://openalex.org/W3087127292","https://openalex.org/W3093730655","https://openalex.org/W3094660956","https://openalex.org/W3101432357","https://openalex.org/W3116557576","https://openalex.org/W3131153206","https://openalex.org/W3139284008","https://openalex.org/W3158122494","https://openalex.org/W3211868200","https://openalex.org/W4205191546","https://openalex.org/W4206648771","https://openalex.org/W4210247374","https://openalex.org/W4220756778","https://openalex.org/W4220777055","https://openalex.org/W4221054735","https://openalex.org/W4226180304","https://openalex.org/W4229048498","https://openalex.org/W4229049176","https://openalex.org/W4283817692","https://openalex.org/W4290098498","https://openalex.org/W4311472757","https://openalex.org/W4362522644","https://openalex.org/W4386126746"],"related_works":["https://openalex.org/W4401397525","https://openalex.org/W4362522644","https://openalex.org/W3119902878","https://openalex.org/W4394838409","https://openalex.org/W3153210360","https://openalex.org/W4315864455","https://openalex.org/W4400108954","https://openalex.org/W6958057064","https://openalex.org/W4382786690","https://openalex.org/W4367311015"],"abstract_inverted_index":{"Background:":[0],"With":[1],"the":[2,31,41,50,53,114,147,150,166,171,179,191,194,210,227,244,248],"end":[3],"of":[4,12,131,134,149,208,230,243],"COVID-19":[5,204,218],"status":[6],"as":[7,116,205],"a":[8,59,108,117,139,143,206,240],"public":[9],"health":[10],"emergency":[11],"international":[13],"concern,":[14],"evaluating":[15],"its":[16],"effects":[17],"on":[18],"vulnerable":[19],"groups":[20],"like":[21],"nursing":[22,38,65,140,224],"home":[23,66,141],"residents":[24,67],"is":[25],"crucial.":[26],"We":[27,57],"aimed":[28],"to":[29,52,76,163,175,188,201],"examine":[30],"mortality":[32,157,213,221],"risk":[33,94,214,222],"for":[34,97,101,126,155],"individuals":[35],"residing":[36],"in":[37,63,178,223],"homes":[39],"within":[40],"Murcia":[42],"Region":[43],"(southeast":[44],"Spain)":[45],"from":[46,72],"3":[47],"years":[48],"before":[49],"pandemic":[51,211],"Omicron":[54,91,192],"stage.":[55],"Methods:":[56],"conducted":[58],"population-based":[60],"retrospective":[61],"study":[62,237],"5062":[64],"with":[68,170],"publicly":[69],"funded":[70],"beds":[71],"1":[73],"January":[74],"2017":[75],"31":[77],"October":[78],"2022.":[79],"This":[80],"time":[81,122],"frame":[82],"was":[83,95,111,158,196],"segmented":[84],"into":[85,138],"prepandemic,":[86],"prevaccination,":[87],"early":[88,180],"postvaccine":[89,181],"and":[90,100,124,146],"stages.":[92],"Mortality":[93],"assessed":[96],"all":[98],"causes":[99],"non-COVID-19":[102],"deaths.":[103],"A":[104],"novel":[105],"approach":[106,238],"using":[107],"frailty":[109],"Cox-regression":[110],"implemented,":[112],"treating":[113],"period":[115,168],"time-dependent":[118],"covariate":[119],"across":[120],"these":[121],"frames":[123],"accounting":[125],"age,":[127],"sex,":[128],"comorbidity,":[129],"level":[130],"dependence,":[132],"number":[133],"hospital":[135,144],"admissions,":[136],"transitioning":[137],"after":[142],"discharge":[145],"size":[148],"facility.":[151],"Results:":[152],"The":[153,234],"HR":[154,195,236],"all-cause":[156],"1.36":[159],"(95%":[160,198],"CI":[161,186,199],"1.21":[162],"1.52)":[164],"during":[165],"prevaccine":[167],"compared":[169],"prepandemic":[172,176,249],"one,":[173],"returning":[174],"levels":[177],"stage":[182],"(HR":[183],"0.99;":[184],"95%":[185],"0.88":[187],"1.13).":[189],"For":[190],"period,":[193],"1.17":[197],"1.03":[200],"1.32).":[202],"Excluding":[203],"cause":[207],"death,":[209],"excess":[212],"faded":[215],"away.":[216],"Conclusions:":[217],"significantly":[219],"increased":[220],"homes,":[225],"compounding":[226],"pre-existing":[228],"vulnerabilities":[229],"this":[231],"high-risk":[232],"population.":[233],"innovative":[235],"enabled":[239],"comparative":[241],"assessment":[242],"pandemic's":[245],"impact":[246],"against":[247],"baseline.":[250]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2025-10-24T00:00:00"}