Impact of COVID-19 infection on social care use in people over 50 years of age: a matched cohort study in North-West London.

Publication date: Jul 21, 2025

To estimate the impact of COVID-19 infection on the requirement for social care services among adults aged ≥50 years in North-West London. Population-based matched cohort study using linked routinely collected electronic social care, primary care and hospital records (the Discover dataset). Approximately 4. 7 million people with a general practitioner record in North-West London. 150 654 adults aged ≥50 years with a first diagnosis of COVID-19 between January 2020 and February 2023 and 547 704 propensity score matched comparators without a COVID-19 diagnosis during the same period. Social care use and associated costs overall and by specific type (care home, domiciliary care, respite care, social care assessments) stratified by age group, index year, diagnosis setting, severe COVID-19 risk status, frailty and care home admission prior to index. Overall survival was also assessed. A total of 9174 (6. 09%) individuals with COVID-19 required social care use (of any type) during follow-up, 2. 54 times (95% CI 2. 48 to 2. 61; p

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Concepts Keywords
7million Aged
Adults Aged, 80 and over
February Cohort Studies
Hospital COVID-19
COVID-19
Female
Home Care Services
Humans
London
Male
Middle Aged
Public health
SARS-CoV-2
Social Support
Social Work

Semantics

Type Source Name
disease MESH COVID-19
disease MESH infection
disease MESH frailty

Original Article

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