Experiences from the management of COVID-19 pandemic in a nursing home in Iran (March–April, 2020)

Shoaee, Shervan; Rezaie, Farshid; Payab, Moloud; Bakhtiari, Fariborz; Heydari, Mohammad-Hossein

doi:10.1007/s40200-022-01005-3

Cited by 10 publications

(4 citation statements)

References 13 publications

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“…These results contrast with the recommendation from the WHO European Office to guarantee not only appropriate access to health care services in LTCFs but also an adequate provision of services in PHC (WHO, 2020). The results of our study show that hospital referral was recommended if severe COVID-19 was suspected; however, some other publications do not match our findings (Ouslander and Grabowski, 2020;Ryan, 2022;Shoaee et al, 2022). In a report of six European countries, patients were not referred to the hospital if the incidence of pneumonia and COVID-19 cases had risen and intensive care units would provide patients care according to age policy, which implied that LTCF patients would not have access to all the treatments available at that time (Miralles et al, 2021).…”

Section: Discussioncontrasting

confidence: 99%

The role of primary health care in long-term care facilities during the COVID-19 pandemic in 30 European countries: a retrospective descriptive study (Eurodata study)

Guisado-Clavero,

Ares-Blanco,

Serafini

et al. 2023

Prim Health Care Res Dev

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Background and aim: Primary health care (PHC) supported long-term care facilities (LTCFs) in attending COVID-19 patients. The aim of this study is to describe the role of PHC in LTCFs in Europe during the early phase of the pandemic. Methods: Retrospective descriptive study from 30 European countries using data from September 2020 collected with an ad hoc semi-structured questionnaire. Related variables are SARS-CoV-2 testing, contact tracing, follow-up, additional testing, and patient care. Results: Twenty-six out of the 30 European countries had PHC involvement in LTCFs during the COVID-19 pandemic. PHC participated in initial medical care in 22 countries, while, in 15, PHC was responsible for SARS-CoV-2 test along with other institutions. Supervision of individuals in isolation was carried out mostly by LTCF staff, but physical examination or symptom’s follow-up was performed mainly by PHC. Conclusion: PHC has participated in COVID-19 pandemic assistance in LTCFs in coordination with LTCF staff, public health officers, and hospitals.

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Section: Discussioncontrasting

confidence: 99%

The role of primary health care in long-term care facilities during the COVID-19 pandemic in 30 European countries: a retrospective descriptive study (Eurodata study)

Guisado-Clavero,

Ares-Blanco,

Serafini

et al. 2023

Prim Health Care Res Dev

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“…The pilot study was devised to assess both the face validity and the reliability of CGOHAT. The study participants were residents of the Kahrizak Charity Foundation (KCF) (Shoaee, Rezaie, et al, 2022 ), a nursing home located in Tehran, Iran, which houses approximately 900 elderly individuals and 600 disabled individuals (Shoaee, Rezaie, et al, 2022 ). A total of 84 subjects were selected through nonprobability judgmental sampling from two specific wards within KCF.…”

Section: Methodsmentioning

confidence: 99%

Development and initial validation of the Comprehensive Geriatric Oral Health Assessment Tool

Shoaee,

Heydari,

Hessari

et al. 2023

Clinical & Exp Dental Res

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ObjectivesImproving the oral health of the elderly is crucial to improving their general health and quality of life. To reach this goal, it is necessary to start with a comprehensive oral health assessment and a detailed treatment plan. The aim of this study was, therefore, to develop a comprehensive Oral Health Assessment Tool for the geriatric population.Material and MethodsFollowing a panel of experts' consultation, a clinical form and a self‐assessment questionnaire were developed, encompassing eight domains: dental caries, periodontal diseases, partial and complete edentulism, oral soft tissue lesions, occlusion, xerostomia, temporomandibular joints, and oral or oral prostheses hygiene. Subsequently, a pilot study was conducted to appraise the clinical form and questionnaire involving 84 residents of an Iranian nursing home. After securing ethics approval, both the qualitative and quantitative aspects of the self‐assessment questions' validity and reliability were assessed, and specificity and sensitivity were calculated.ResultsThe mean age of the participants was 69.8 (±4.1) years, and 86% had less than 12 years of education. The questions regarding the number of remaining teeth and the number of decayed teeth had the highest sensitivity (97% and 88%), respectively. Questions regarding the presence of periodontitis and gingivitis had the highest specificity (both 100%).ConclusionsA Comprehensive Geriatric Oral Health Assessment Tool has been developed and its validity and reliability evaluated in a pilot study. It should now be further evaluated in larger studies.

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“…While some reports suggest varying rates of reinfection, the exact frequency remains uncertain. This raises concerns about the potential limitations of immunizations, as lifelong protection against the virus may not be guaranteed, and achieving herd immunity may be challenging if reinfections are prevalent (5)(6)(7)(8). The prevalence of co-infections and super-infections in the global population remains uncertain.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Patients with COVID-19 and Fungal Coinfections: A Systematic Review and Meta-Analysis Study

Khodavaisy,

Sarrafnia,

Abdollahi

2024

Iran J Pathol

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Background & Objective: Fungal co-infections increase the incidence and mortality of viral respiratory tract infections. This study systematically reviews and conducts a meta-analysis to evaluate the prevalence of COVID-19 patients with fungal coinfections. The aim is to provide a concise overview of the impact of these infections on patient outcomes especially association with risk of mortality, informing future research and optimizing patient management strategies. Methods: To identify relevant studies on COVID-19 patients, we conducted a systematic search of databases from the beginning of the year until July 2023, including fungal co-infections, mortality, and sequelae. Eligibility criteria were developed using the PICO framework, and data extraction was carried out separately by two authors using standard techniques. Statistical analysis was performed using the correlation model and differences between studies were evaluated using the I2 test. R and RStudio were used for statistical analysis and visualization. Results: We initially identified 6,764 studies, and after checking for equivalence and consistency, 41 studies were included in the final analysis. The overall COVID-19 odds ratio for people who died from fungal infections was 2.65, indicating that patients infected with both COVID-19 and fungal infections had a higher risk of death compared to patients with COVID-19 alone. Specifically, COVID-19-associated pulmonary aspergillosis (CAPA) has a higher odds ratio of 3.36, while COVID-19-associated candidiasis (CAC) has an odds ratio of 1.84, and both are much more associated with death. However, coinfection of the fungus with other fungal species did not show a significant difference in the risk of mortality. Conclusion: This study identified CAPA and CAC as the most common infections acquired in healthcare settings. Fungal coinfections may be associated with an increased risk of death in COVID-19 patients.

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Experiences from the management of COVID-19 pandemic in a nursing home in Iran (March–April, 2020)

Cited by 10 publications

References 13 publications

The role of primary health care in long-term care facilities during the COVID-19 pandemic in 30 European countries: a retrospective descriptive study (Eurodata study)

The role of primary health care in long-term care facilities during the COVID-19 pandemic in 30 European countries: a retrospective descriptive study (Eurodata study)

Development and initial validation of the Comprehensive Geriatric Oral Health Assessment Tool

Outcomes of Patients with COVID-19 and Fungal Coinfections: A Systematic Review and Meta-Analysis Study

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