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Tag: nursing home
January 26, 2021
Using Non-Pharmaceutical Interventions and High Isolation of Asymptomatic Carriers to Contain the Spread of SARS-CoV-2 in Nursing Homes
[Pre-print, not peer-reviewed] A pandemic influenza model with COVID-19 parameters applied to a nursing home setting showed that the attack rate was more sensitive to identification and isolation of asymptomatic cases than implementation of non-pharmaceutical interventions (NPIs). Varying NPI levels from baseline to rigorous measures had no significant effect on attack rate in a scenario…
January 7, 2021
Continued Need for Non-Pharmaceutical Interventions after COVID-19 Vaccination in Long-Term-Care Facilities
[Pre-print, not peer reviewed] In a model parametrized to long-term care facility populations, high vaccination coverage among staff combined with strong adherence to nonpharmaceutical interventions (NPIs) produced the least morbidity and mortality, even among unvaccinated residents. However, in scenarios where adherence to NPIs was waning or low, vaccination among residents had a stronger impact on…
Compress the Curve: A Cross-Sectional Study of Variations in COVID-19 Infections across California Nursing Homes
Among 713 nursing homes in California, the size of outbreaks in for-profit nursing homes was 12.7 times larger than their non-profit counterparts. Nursing homes with higher ratings on Centers for Medicare & Medicaid Services (CMS) health inspections were associated with a lower number of infections among both staff and residents, while higher self-reported ratings were…
November 25, 2020
Evaluating the Effect of COVID-19 Pandemic Lockdown on Long-Term Care Residents’ Mental Health: A Data-Driven Approach in New Brunswick
Implementation of lockdown policies was not significantly associated with measures of depression, delirium, or behavioral problems among residents (n=765) of seven long-term care facilities in Canada between January and June. In-person visits and group activities were restricted in March 2020. Strategies to keep residents connected to family included use of iPads for video chatting and…
November 16, 2020
Pattern of SARS-CoV-2 Infection among Dependant Elderly Residents Living in Long-Term Care Facilities in Marseille, France, March–June 2020
Results from a SARS-CoV-2 PCR-based screening campaign found a high proportion of asymptomatic infection among residents and staff of long-term care facilities in France, with higher frequencies among residents than staff (13.4% versus 8.7%). Among infected residents, 16.4% were detected based on symptoms and 83.6% through mass screening. While many SARS-CoV-2 positive residents had respiratory…
October 29, 2020
Comparative Performance of Private Equity–Owned US Nursing Homes During the COVID-19 Pandemic
A cross-sectional study of 11,470 nursing homes found that private equity (PE) owned nursing homes performed comparably on resident COVID-19 cases and deaths despite more frequent shortages of PPE in PE-owned vs. other types of nursing homes. No statistically significant differences in COVID-19 cases, COVID-19 deaths, nor deaths from all causes were detected between PE-owned…
October 22, 2020
Evolution and Effects of COVID-19 Outbreaks in Care Homes: A Population Analysis in 189 Care Homes in One Geographical Region of the UK
A population analysis of 189 care homes in Scotland between March and August found 69 (37%) had a confirmed COVID-19 outbreak, of which almost all (96%) were care homes for older people. The size of care homes for older people was strongly associated with an outbreak (OR per 20-bed increase 3.35, 95% CI 1·99–5.63). 907…