Clinical features and medical care factors associated with mortality in French nursing homes during the COVID-19 outbreak.

Objectives: This study aimed to identify demographic, clinical and medical care factors associated with mortality in three nursing homes in France.

Methods: Two nursing homes were hospital-dependent, had connections with infection prevention and control departments, and had permanent physicians. A third nursing home had no direct connection with a general hospital, no infection control practitioner, and no permanent physician.

[Shared decision-making and end of life in a nursing home].

The decision-making process in a nursing home is complex. In view of the prevalence of cognitive disorders and the importance of the role of carers, the personal choice becomes more of a shared decision. The legal framework, while favourable, remains under-used and could be improved.