Preventing the Spread of <scp>COVID</scp>‐19 to Nursing Homes: Experience from a Singapore Geriatric Centre

Tan, Li Feng; Seetharaman, Santhosh Kumar

doi:10.1111/jgs.16447

Cited by 59 publications

(64 citation statements)

References 4 publications

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“…A recent experience in Singapore has demonstrated that active measures can be effective in the spread of Covid-19 in LTCFs. These measures include that all patients with fever and respiratory symptoms are referred to acute hospitals in order to rule out COVID-19, that all residents admitted with acute respiratory infections are isolated in negative pressure rooms and tested once for COVID-19 if the clinical suspicion is low, or twice prior to transfer to a general ward, and also include the cohorting of patients with respiratory infections when necessary [ 37 ]. Another experience in Toronto, Canada, presents a hospital-nursing home partnership that was characterized in several phases: 1) engagement, relationship and trust-building; 2) environmental scan, team-building and immediate response; 3) early phase response; and 4) stabilization and transition period [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

COVID-19 outbreak in long-term care facilities from Spain. Many lessons to learn

et al. 2020

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Background/Objectives To analyze mortality, costs, residents and personnel characteristics, in six long-term care facilities (LTCF) during the outbreak of COVID-19 in Spain. Design Epidemiological study. Setting Six open LTCFs in Albacete (Spain). Participants 198 residents and 190 workers from LTCF A were included, between 2020 March 6 and April 5. Epidemiological data were also collected from six LTCFs of Albacete for the same period of time, including 1,084 residents. Measurements Baseline demographic, clinical, functional, cognitive and nutritional variables were collected. 1-month and 3-month mortality was determined, excess mortality was calculated, and costs associated with the pandemics were analyzed. Results The pooled mortality rate for the first month and first three months of the outbreak were 15.3% and 28.0%, and the pooled excess mortality for these periods were 564% and 315% respectively. In facility A, the percentage of probable COVID-19 infected residents were 33.6%. Probable infected patients were older, frail, and with a worse functional situation than those without COVID-19. The most common symptoms were fever, cough and dyspnea. 25 residents were transferred to the emergency department, 21 were hospitalized, and 54 were moved to the facility medical unit. Mortality was higher upon male older residents, with worse functionality, and higher comorbidity. During the first month of the outbreak, 65 (24.6%) workers leaved, mainly with COVID-19 symptoms, and 69 new workers were contracted. The mean number of days of leave was 19.2. Costs associated with the COVID-19 in facility A were estimated at € 276,281/month, mostly caused by resident hospitalizations, leaves of workers, staff replacement, and interventions of healthcare professionals. Conclusion The COVID-19 pandemic posed residents at high mortality risk, mainly in those older, frail and with worse functional status. Personal and economic costs were high.

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Section: Discussionmentioning

confidence: 99%

COVID-19 outbreak in long-term care facilities from Spain. Many lessons to learn

et al. 2020

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“…The rate of infection in communities in many countries is not certain in the absence of strategic and proactive testing for the virus generally. The evidence of harm to elderly people in community residential homes highlights the rapid impact infection can have on groups of people living together (Tan & Seetharaman, 2020). There are little data on the rates of infection among people with ID in the community or in in-patient services.…”

Section: Supporting People Infected With Covid-19mentioning

confidence: 99%

COVID-19 and people with intellectual disability: impacts of a pandemic

Courtenay

Perera

2020

Ir. j. psychol. Med.

356

392

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The impacts of the COVID-19 pandemic affect all groups in society. People with intellectual disability are especially vulnerable to the physical, mental and social effects of the pandemic.Cognitive impairments can limit understanding of information to protect them relying on carers to be vigilant on their behalf during quarantine. Restrictions on usual activities are likely to induce mental stress especially among those who are autistic leading to an escalation in challenging behaviours, risk of placement breakdown, and increased the use of psychotropic medication. People with intellectual disability are vulnerable to exploitation by others where the usual community supports no longer function to protect them. In future pandemics, it is important that lessons are learned from the impacts COVID-19 has on people with intellectual disability. Collecting the evidence through a rigorous approach should help to empower people with intellectual disability and their carers to face future outbreaks of infectious diseases

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“…The reorganization of healthcare services into regional healthcare systems strengthened hospital‐community networks and enabled the first nursing home cluster to be swiftly contained with strong hospital support in terms of manpower and expertise . The Agency for Integrated Care also issued COVID‐19 advisories to guide processes on the ground in nursing homes and inpatient hospices …”

Section: Experiences Of Asian Countriesmentioning

confidence: 99%

COVID‐19 and older people in Asia: Asian Working Group for Sarcopenia calls to action

Lim

Liang

Assantachai

et al. 2020

Geriatrics Gerontology Int

132

142

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Japan 11 Health Promotion Administration, Ministry of Health and Welfare, Taiwan Abstract: The coronavirus disease 2019 (COVID-19) pandemic has casted a huge impact on global public health and economy. In this challenging situation, older people are vulnerable to the infection and the secondary effects of the pandemic and need special attentions. To evaluate the impacts of COVID-19 on older people, it is important to balance the successful pandemic control and active management of secondary consequences. These considerations are especially salient in the Asian context, with its diversity among countries in terms of sociocultural heritage, healthcare setup and availability of resources. Thus, the Asian Working Group for Sarcopenia summarized the considerations of Asian countries focusing on responses and difficulties in each country, impacts of health inequity related to COVID-19 pandemic and proposed recommendations for older people which are germane to the Asian context. More innovative services should be developed to address the increasing demands for new approaches to deliver health care in the difficult times and to establish resilient health care systems for older people.

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Preventing the Spread of COVID‐19 to Nursing Homes: Experience from a Singapore Geriatric Centre

Cited by 59 publications

References 4 publications

COVID-19 outbreak in long-term care facilities from Spain. Many lessons to learn

COVID-19 outbreak in long-term care facilities from Spain. Many lessons to learn

COVID-19 and people with intellectual disability: impacts of a pandemic

COVID‐19 and older people in Asia: Asian Working Group for Sarcopenia calls to action

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