Clinical Features of SARS-CoV-2 Infection in Italian Long-Term Care Facilities: GeroCovid LTCFs Observational Study

The burden of COVID-19 in long-term care facilities (LTCFs) was high worldwide. According to an Italian national survey, during the first pandemic wave, of the 33.8% of residents who died with COVID-19–like symptoms, only 7.4% had tested positive to a SARS-CoV-2 swab test because of limitations in accessing diagnostic tests.1 The prevalence of frailty, multimorbidity, and dementia,2,3 as well as the frequent atypical or asymptomatic manifestations of COVID-19 in such populations,4 were some of the factors that contributed to the spread of the infection in this setting.