American Geriatrics Society Policy Brief: <scp>COVID</scp>‐19 and Nursing Homes

Trucil, Daniel E.

doi:10.1111/jgs.16477

Cited by 106 publications

(67 citation statements)

References 3 publications

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“…This could explain, in part, the older age of infected patients in our study when compared to those of other regions. Individuals living in residential care homes are amongst the most susceptible to poorer health outcomes from COVID-19, mainly due to the higher number of underlying chronic conditions, immunosenescence, and the potential for rapid transmissibility from asymptomatic and pre-symptomatic patients [20][21][22]. Although the infection was more prevalent in women, we found that COVID-19 mortality was more common in men.…”

Section: Discussionmentioning

confidence: 62%

Baseline Chronic Comorbidity and Mortality in Laboratory-Confirmed COVID-19 Cases: Results from the PRECOVID Study in Spain

Poblador‐Plou

Carmona-Pírez

Ioakeim-Skoufa

et al. 2020

IJERPH

120

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We aimed to analyze baseline socio-demographic and clinical factors associated with an increased likelihood of mortality in men and women with coronavirus disease (COVID-19). We conducted a retrospective cohort study (PRECOVID Study) on all 4412 individuals with laboratory-confirmed COVID-19 in Aragon, Spain, and followed them for at least 30 days from cohort entry. We described the socio-demographic and clinical characteristics of all patients of the cohort. Age-adjusted logistic regressions models were performed to analyze the likelihood of mortality based on demographic and clinical variables. All analyses were stratified by sex. Old age, specific diseases such as diabetes, acute myocardial infarction, or congestive heart failure, and dispensation of drugs like vasodilators, antipsychotics, and potassium-sparing agents were associated with an increased likelihood of mortality. Our findings suggest that specific comorbidities, mainly of cardiovascular nature, and medications at the time of infection could explain around one quarter of the mortality in COVID-19 disease, and that women and men probably share similar but not identical risk factors. Nonetheless, the great part of mortality seems to be explained by other patient- and/or health-system-related factors. More research is needed in this field to provide the necessary evidence for the development of early identification strategies for patients at higher risk of adverse outcomes.

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Section: Discussionmentioning

confidence: 62%

Baseline Chronic Comorbidity and Mortality in Laboratory-Confirmed COVID-19 Cases: Results from the PRECOVID Study in Spain

Poblador‐Plou

Carmona-Pírez

Ioakeim-Skoufa

et al. 2020

IJERPH

120

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“…Residents of aged care facilities are a vulnerable population because of older age and multimorbidity. 12 Disease severity and mortality due to COVID-19 has been shown to be higher among people with these characteristics. 13 Strategies to ensure access to essential medications, including end-of-life medications, are important.…”

Section: Medication Imprest Systems In Residential Aged Carementioning

confidence: 99%

Strategies to promote access to medications during the COVID-19 pandemic

Bell¹,

Reynolds²,

Freeman³

et al. 2020

Aust J Gen Pract

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“…In addition, a further 66 cases of COVID-19 in 50 staff members (incidence rate, 29%) and 16 visitors were traced to this facility. 5,6 Health authorities 7,8 and geriatric societies [9][10][11] have published guidelines for long-term care facilities and nursing homes to prevent and control infection.…”

Section: Introductionmentioning

confidence: 99%

Coronavirus Disease 2019 Outcomes in French Nursing Homes That Implemented Staff Confinement With Residents

et al. 2020

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IMPORTANCE Coronavirus disease 2019 (COVID-19) is a major threat to nursing homes. During the COVID-19 pandemic wave that hit France in March and April 2020, staff members of some French nursing homes decided to confine themselves with their residents on a voluntary basis to reduce the risk of entry of the severe acute respiratory syndrome coronavirus 2 into the facility. OBJECTIVE To investigate COVID-19-related outcomes in French nursing homes that implemented voluntary staff confinement with residents. DESIGN, SETTING, AND PARTICIPANTS This retrospective cohort study was conducted in French nursing homes from March 1 to May 11, 2020. Participants included residents and staff members of the nursing homes where staff participated in voluntary self-confinement as well as those of the facilities for elderly people where staff did not practice self-confinement. Rates of COVID-19 cases and mortality in the cohort of nursing homes with self confinement were compared with those derived from a population-based survey of nursing homes conducted by French health authorities. EXPOSURES Nursing homes with staff who self-confined were identified from the media and included if the confinement period of staff with residents was longer than 7 days. MAIN OUTCOMES AND MEASURES Mortality related to COVID-19 among residents and COVID-19 cases among residents and staff members. COVID-19 was diagnosed by primary care or hospital physicians on the basis of fever and respiratory signs (eg, cough, dyspnea) or a clinical illness compatible with COVID-19; COVID-19 diagnoses were considered confirmed if real-time reverse transcriptase-polymerase chain reaction testing for severe acute respiratory syndrome coronavirus 2 on nasopharyngeal swab was positive and considered possible if the test had not been performed or results were negative. Cases of COVID-19 were recorded by a telephone interview with the directors of nursing homes with staff who self-confined and by a nationwide declaration survey to health authorities for all facilities. RESULTS This study included 17 nursing homes in which 794 staff members confined themselves to the facility with their 1250 residents. The national survey included 9513 facilities with 385 290 staff members and 695 060 residents. Only 1 nursing home with staff who self-confined (5.8%) had cases of COVID-19 among residents, compared with 4599 facilities in the national survey (48.3%) (P < .001). Five residents (0.4%) in the nursing homes with staff who self-confined had confirmed COVID-19, compared with 30 569 residents (4.4%) with confirmed COVID-19 in the national survey (P < .001); no residents of facilities with self-confinement had possible COVID-19, compared with 31 799 residents (4.6%) with possible COVID-19 in the national survey (P < .001). Five residents (0.4%) in the nursing homes with staff who self-confined died of COVID-19, compared with 12 516 (1.8%) in the national survey (odds ratio, 0.22; 95% CI, 0.09-0.53; P < .001). Twelve staff members (continued) Key Points Question Was self-confinemen...

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American Geriatrics Society Policy Brief: COVID‐19 and Nursing Homes

Cited by 106 publications

References 3 publications

Baseline Chronic Comorbidity and Mortality in Laboratory-Confirmed COVID-19 Cases: Results from the PRECOVID Study in Spain

Baseline Chronic Comorbidity and Mortality in Laboratory-Confirmed COVID-19 Cases: Results from the PRECOVID Study in Spain

Strategies to promote access to medications during the COVID-19 pandemic

Coronavirus Disease 2019 Outcomes in French Nursing Homes That Implemented Staff Confinement With Residents

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