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Tag: health care setting
September 21, 2020
Nonfatal Opioid Overdoses at an Urban Emergency Department During the COVID-19 Pandemic
In an emergency department in Richmond, Virginia, the total number of nonfatal opioid overdose visits between March-June 2020 was 227, a 2.2-fold increase compared to the same period in 2019 (n=102), with a higher proportion of patients who were Black (80% vs. 63%). Ochalek et al. (Sept 18, 2020). Nonfatal Opioid Overdoses at an Urban…
September 18, 2020
Association Between CMS Quality Ratings and COVID-19 Outbreaks in Nursing Homes — West Virginia, March 17–June 11, 2020
Compared to West Virginia nursing homes receiving a 1-star (lowest quality) rating from the Centers for Medicare and Medicaid Services, 2- to 3- star-rated nursing homes had an 87% lower odds of a COVID-19 outbreak and 4- to 5- star-rated nursing homes had a 94% lower odds. Bui et al. (Sept 18, 2020). Association Between…
September 17, 2020
The COVID-19 Pandemic’s Impact on Critical Care Resources and Providers: A Global Survey
Female gender, being a nurse, reporting a shortage of ICU nurses and powered air-purifying respirators, as well as poor communication from supervisors were found to be positively associated with emotional distress or burnout among healthcare providers (n=2,700) for critically ill patients with COVID-19. These results were obtained from an electronic 41-question survey administered to health…
September 10, 2020
Incidence of Nosocomial COVID-19 in Patients Hospitalized at a Large US Academic Medical Center
• Transmission of SARS-CoV-2 within the hospital (nosocomial infection) was rare during the height of the pandemic in a cohort study of patients (n=9149) hospitalized over a 12-week period at a large academic medical center with rigorous infection control measures. Only 2% (12/697) of hospitalized COVID-19 patients first tested positive on hospital day 3 or later….
September 9, 2020
Assessing COVID-19 Transmission to Healthcare Personnel: The Global ACT-HCP Case-Control Study
• Healthcare personnel who had non-aerosol-generating contact with COVID-19 patients were more likely to be infected with SARS-CoV-2 (aOR 1.4, 95%CI 1.0-1.9). The proper use of appropriate PPE was associated with lower risk of infection. These findings were based on an online survey of 1,130 healthcare personnel (244 cases with laboratory-confirmed COVID-19, 22%) from 67…
Decreasing High Risk Exposures for Healthcare-Workers through Universal Masking and Universal SARS-CoV-2 Testing upon Entry to a Tertiary Care Facility
Implementation of universal masking and universal SARS-CoV-2 testing at admission at an academic referral medical center in the Southeastern US dramatically decreased high risk exposures to SARS-CoV-2 (e.g. exposures without appropriate personal protective equipment) for healthcare workers. Universal masking decreased the per patient day rate of high risk exposures by 68% and universal testing further…
September 4, 2020
Factors Contributing to Healthcare Professional Burnout during the COVID-19 Pandemic: A Rapid Turnaround Global Survey
• 51% of healthcare professionals from 60 countries reported burnout during the COVID-19 pandemic. The cross-sectional study (n=2,707) also found burnout was associated with work impacting household activities, feeling pushed beyond training, exposure to COVID-19 patients, and making life prioritizing decisions due to supply shortages. Adequate PPE was associated with lower risk of burnout. Burnout…
September 2, 2020
Does Incubation Period of COVID-19 Vary with Age? A Study of Epidemiologically Linked Cases in Singapore
A study among people with confirmed, locally transmitted SARS-CoV-2 in Singapore (n=164) reported that patients older than 70 years had significantly longer incubation periods for COVID-19 than those younger than 70 years (median 8 days vs. 5 days, p=0.04). Researchers concluded that elderly people may benefit from earlier and proactive testing, especially after exposure to…
September 1, 2020
SARS-CoV-2 Testing and Changes in Primary Care Services in a Multistate Network of Community Health Centers During the COVID-19 Pandemic
Results from an analysis of electronic health record data from a multi-state network of community health centers found that 2% of patients underwent SARS-CoV-2 testing, of whom 28% were positive. There was a higher SARS-CoV-2 testing rate among new patients compared to established patients. Additionally, speaking Spanish, being Hispanic, being uninsured, and speaking a language…
August 31, 2020
Among Frontline Health Care Personnel in a Multistate Hospital Network — 13 Academic Medical Centers
Among 3,248 healthcare workers who regularly had direct patient contact in hospital-based units caring for adults with COVID-19, 194 (6%) had antibody evidence of previous SARS-CoV-2 infection. Of these, 29% were asymptomatic in the preceding months, and 69% had not previously received a diagnosis of SARS-CoV-2 infection. Prevalence of SARS-CoV-2 antibodies was lower among personnel…
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