Abstract
This study describes results from the surveillance of COVID-19 infections in nursing homes in the first year of the COVID-19 pandemic. All data in the study are from Beredt C19, an emergency preparedness register that collects data from a wide range of sources. We used the data set 'Health and Care' in the Norwegian Registry for Primary Health Care to define a nursing home population and linked this to other sources in the emergency preparedness register to estimate incidence rates, hospitalisations and deaths related to COVID-19 among nursing home residents in 2020. A log-binomial regression model was used to analyse the risk of death related to COVID-19. Of the 83114 persons who were included in the study, 35758 (43%) were older than 80 years. We found that 570 persons (0.69%) tested positive for SARS-CoV-2 in 2020. A total of 19041 residents died during the study period, whereof 248 (1.3%) deaths were related to COVID-19. The relative risk of dying from COVID-19 rose with age and was highest for long-term nursing home residents. Nursing home residents have a high background mortality, so despite the high lethality of SARS-CoV-2 infection and the high proportion of the COVID-19-related deaths that have occurred in nursing homes, COVID-19-related deaths accounted for a relatively minor proportion of all deaths among nursing home residents.
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