![]() Importance It is important to understand differences in coronavirus disease 2019 (COVID-19) deaths by nursing home racial composition and the potential reasons for these differences so that limited resources can be distributed equitably. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.Unadjusted COVID-19 Cases and Deaths Among Nursing Home Residents by Nursing Home Racial Composition Quintile: Early and Late Unadjusted COVID-19 Cases Among Nursing Home Staff by Nursing Home Racial Composition QuintileĮFigure 5. Unadjusted Confirmed COVID-19 Cases and Confirmed and Suspected COVID-19 Deaths Among Nursing Home Residents by Nursing Home Racial Composition QuintileĮFigure 4. Marginal Effects of Race Group on COVID-19 Deaths Among Nursing Home ResidentsĮFigure 3. Unadjusted COVID-19 Cases and Deaths Among Nursing Home Residents by Nursing Home Racial Composition CategoriesĮFigure 2. Unadjusted COVID-19 Deaths Per 100 Cases Among Nursing Home Residents by Nursing Home Racial Composition Quintile: Early and LateĮFigure 1. Marginal Effects Estimates for Sequential Adjustment for Deaths Between June 29 and September 13, 2020ĮTable 6. Marginal Effects Estimates for Sequential Adjustment for Deaths Before June 29, 2020ĮTable 5. Marginal Effects From Negative Binomial Regression of COVID-19 DeathsĮTable 4. Full Results From Regression-Adjusted Models Presented in Figure 2ĮTable 3. The county-level cases model was adjusted for confirmed COVID-19 cases (excluding cases among nursing home residents) per 1000 people per county using the quadratic functional form equation (the sum of x plus x 2) in addition to the number of certified beds, case mix, and nursing home characteristics. ![]() The nursing home characteristics model was adjusted for the number of certified beds, case mix, and nursing home characteristics (ownership, chain membership, percentage of residents with Medicaid coverage, percentage of residents with Medicare coverage, Nursing Home Compare overall star rating, and adjusted nursing hours per resident per day). The case mix model was adjusted for the number of certified beds, acuity index, and percentage of residents with hypertension. The certified beds model was adjusted for the number of certified beds only. The no-adjustment model calculated the differences from quintile 5 by the percentage of quintile in mean death counts. Nursing homes were categorized by racial composition quintile based on the percentage of White residents, with quintile 1 indicating 0% to 59.73%, quintile 2 indicating 59.75% to 80.99%, quintile 3 indicating 81.00% to 91.77%, quintile 4 indicating 91.78% to 97.32%, and quintile 5 indicating 97.33% to 100%. Marginal effects were relative to quintile 5, the group of nursing homes with the highest proportion of White residents. Marginal effects and 95% CIs were determined using zero-inflated negative binomial regression analysis. ![]()
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