Effect of organizational measures to prevent and control COVID-19 infection in nursing homes on the risk of death of residents during and after the epidemic period - PIANO COVID-19 FRESH-PEF73934-en Delphine PENNETIER Effect of organizational measures to prevent and control COVID-19 infection in nursing homes on the risk of death of residents during and after the epidemic period - PIANO COVID-19 PIANO COVID-19 FRESH-PEF73934-en 73934 FRESH-PEF73934 Yves ROLLAND CENTRE HOSPITALIER UNIVERSITAIRE DE TOULOUSE (CHUT) Epidemiology France Portal (PEF) MINISTERE DU TRAVAIL, DE LA SANTE, DES SOLIDARITES ET DES FAMILLES null Delphine;PENNETIER Geriatrics COVID-19 The main objective is to compare the occurrence of global death of residents during a 1-year period (from January 2020 to December 2020) in NH and LTCU with a high level of implementation of the recommendation/guidance to prevent and control COVID-19 NH/LTCU residents’ infection and NH and LTCU with a low level of implementation of the recommendation/guidance to prevent and control COVID-19 NH/LTCU. The secondary objectives are: - To compare the rate of death related to confirmed or suspected COVID cases in NH/LTCU with a high level of implementation of the recommendation/guidance to prevent and control COVID-19 NH/LTCU residents’ infection and NH/LTCU with a low level of implementation of the recommendation/guidance to prevent and control COVID-19 NH/LTCU. - To compare the rate of death not related to COVID cases in NH/LTCU with a high level of implementation of the recommendation/guidance to prevent and control COVID-19 NH/LTCU residents’ infection and NH/LTCU with a low level of implementation of the recommendation/guidance to prevent and control COVID-19 NH/LTCU. - To analyze the incidence of serious health events (deaths, hospitalizations) and the occurrence of COVID in residents (vaccinated and unvaccinated), in NHs and LTCUs in France during a 12-month (2021) observation period. - To analyze the occurrence of COVID in residents (vaccinated and unvaccinated), in NHs and LTCUs in France according to the rate of vaccination against COVID among the NH’s/LTCU’s staff during the same observational period. From an economic perspective: - To assess the economic impact of the implementation of prevention measures applied by nursing homes staff, from healthcare system and the NH perspectives, 6, and 12 months before and 6, 12 months to 24 months after the implementation of the preventive measures. - To assess the economic impact of the vaccination among residents and NH’staff, from healthcare system and the NH perspectives, 6 and 12 months before and after the vaccination campaign. These data will also provide indirect economic information about the tolerance of the vaccination. - To assess the efficiency of the high level implementation of the recommendation to prevent and control COVID-19 in comparison with the low level implementation of recommendation to prevent and control COVID-19, using a cost-effectiveness analysis at 12 and 24 months. - To assess the efficiency of the vaccination, at 6 and 12 months, among residents and healthcare professionals in comparison with no vaccination, using a cost-effectiveness analysis null France Individuals General population Male Female Aged (65 to 79 years) Aged, 80 and over (80 years and more) NHs and LTCU volunteers to participate from different region of France (from low impacted to highly impacted region) will be welcomed. NHs or LTCUs that refuse to participate. Clinical data Economic data Health event/mortality Health care consumption and services Other Through organizations (health services or institutions schools businesses etc.) [500-1000[ individuals Converting or copying information into a structured record Observational Study Observational Study Cohort study 9,600 persons from 120 nursing homes (coordinating nurses or coordinating physicians). Unknown To be defined