PURPOSE: We compared the prevalence of COVID-19 and related mortality in nursing homes (NHs) in 14 countries until October 2021. We explored the relationship between COVID-19 mortality in NHs with the average size of NHs and with the COVID-19 deaths at a population level. METHODS: The total number of COVID-19 cases and COVID-19-related deaths in all NHs as well as the total number of NHs and NH beds were provided by representatives of 14 countries. The population level respective figures in each country were provided up to October 2021. RESULTS: There was a wide variation in prevalence of COVID-19 cases and deaths between countries. We observed a significant correlation between COVID-19 deaths in NHs and that of the total population and between the mean size of NHs and COVID-19 deaths. CONCLUSION: Side-by-side comparisons between countries allow international sharing of good practice to better enable future pandemic preparedness.

Charles E Schmidt College of Medicine Florida Atlantic University Boca Raton FL USA

Department of Clinical Science University of Bergen Bergen Norway

Department of Family Medicine CAPHRI Maastricht University Maastricht The Netherlands

Department of General Practice and Primary Health Care University of Helsinki Helsinki Finland

Department of Geriatric Medicine Ghent University Hospital Ghent Belgium

Department of Geriatric Medicine Odense University Hospital Odense Denmark

Department of Geriatrics Helsinki University Hospital Helsinki Finland

Department of Geriatrics Lithuanian University of Health Sciences Kaunas Lithuania

Department of Geriatrics Paracelsus Medical University Nürnberg General Hospital Nürnberg Nurnberg Germany

Department of Health Management Lithuanian University of Health Sciences Kaunas Lithuania

Department of Health Services Research CAPHRI Maastricht University Maastricht The Netherlands

Department of Internal and Geriatric Medicine University Hospital of Marseille Aix Marseille University Marseille France

Department of Longevity Studies Faculty of Humanities Charles University Prague Czech Republic

Department of Medical Gerontology Trinity College Dublin Dublin Ireland

Department of Social Services and Health Care Home Care Services City of Helsinki Finland

Division of Clinical Geriatrics Department of Neurobiology Care Sciences and Society Karolinska Institutet Stockholm Sweden

Geriatric Research Unit Dept of Clinical Research University of Southern Denmark Odense Denmark

Institute for Biomedicine of Ageing Friedrich Alexander University Erlangen Nürnberg Germany

Institute of Public Health and Clinical Nutrition University of Eastern Finland Kuopio Finland

Norwegian Institute of Public Health Oslo Norway

Servicio de Geriatría Hospital Universitario Ramón y Cajal Madrid Spain

Theme Inflammation and Aging Karolinska University Hospital Huddinge Sweden

Unit of Injury Inflammation and Recovery Sciences School of Medicine University of Nottingham Nottingham UK

Unit of Primary Health Care Helsinki University Hospital Helsinki Finland

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