Risk factors for outbreaks of COVID‐19 in care homes following hospital discharge: A national cohort analysis

Emmerson, Chris; Adamson, James P.; Turner, Drew; Gravenor, Mike B.; Salmon, Jane E.; Cottrell, Simon; Middleton, Victoria; Thomas, Buffy; Mason, Brendan; Williams, Chris

doi:10.1111/irv.12831

Cited by 27 publications

(19 citation statements)

References 11 publications

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“…We also found that there were more COVID-19 admissions from nursing homes than from residential care homes. This is consistent with emerging evidence that care home size is an important risk factor for experiencing a COVID-19 outbreak and nursing homes on average have a greater number of beds [40]. In our study, 2.2% of residents experienced a hospital admission for COVID-19 between 1 March and 31 May 2020.…”

Section: Comparison With Previous Worksupporting

confidence: 92%

Hospital admissions from care homes in England during the COVID-19 pandemic: a retrospective, cross-sectional analysis using linked administrative data

Grimm

Hodgson

Brine

et al. 2021

IJPDS

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BackgroundCare home residents have complex healthcare needs but may have faced barriers to accessing hospital treatment during the first wave of the COVID-19 pandemic. ObjectivesTo examine trends in the number of hospital admissions for care home residents during the first months of the COVID-19 outbreak. MethodsRetrospective analysis of a national linked dataset on hospital admissions for residential and nursing home residents in England (257,843 residents, 45% in nursing homes) between 20 January 2020 and 28 June 2020, compared to admissions during the corresponding period in 2019 (252,432 residents, 45% in nursing homes). Elective and emergency admission rates, normalised to the time spent in care homes across all residents, were derived across the first three months of the pandemic between 1 March and 31 May 2020 and primary admission reasons for this period were compared across years. ResultsHospital admission rates rapidly declined during early March 2020 and remained substantially lower than in 2019 until the end of June. Between March and May, 2,960 admissions from residential homes (16.2%) and 3,295 admissions from nursing homes (23.7%) were for suspected or confirmed COVID-19. Rates of other emergency admissions decreased by 36% for residential and by 38% for nursing home residents (13,191 fewer admissions in total). Emergency admissions for acute coronary syndromes fell by 43% and 29% (105 fewer admission) and emergency admissions for stroke fell by 17% and 25% (128 fewer admissions) for residential and nursing home residents, respectively. Elective admission rates declined by 64% for residential and by 61% for nursing home residents (3,762 fewer admissions). ConclusionsThis is the first study showing that care home residents' hospital use declined during the first wave of COVID-19, potentially resulting in substantial unmet health need that will need to be addressed alongside ongoing pressures from COVID-19.

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Section: Comparison With Previous Worksupporting

confidence: 92%

Hospital admissions from care homes in England during the COVID-19 pandemic: a retrospective, cross-sectional analysis using linked administrative data

Grimm

Hodgson

Brine

et al. 2021

IJPDS

View full text Add to dashboard Cite

show abstract

“…We also found that there were more COVID-19 admissions from nursing homes than from residential care homes. This is consistent with emerging evidence that care home size is an important risk factor for experiencing a COVID-19 outbreak and nursing homes on average have a greater number of beds [41]. In our study, 2.2% of residents experienced a hospital admission for COVID-19 between 1 March and 31 May 2020.…”

Section: Comparison With Previous Worksupporting

confidence: 92%

Hospital Admissions From Care Homes in England During the COVID-19 Pandemic: A Retrospective, Cross-Sectional Analysis Using Linked Administrative Data

Grimm

Hodgson

Brine

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Care home residents have complex healthcare needs but may have faced barriers to accessing hospital treatment during the first wave of the COVID-19 pandemic. Objective: To examine trends in the number of hospital admissions for care home residents during the first months of the COVID-19 outbreak. Methods: Retrospective analysis of a national linked dataset on hospital admissions for residential and nursing home residents in England (257,843 residents, 45% in nursing homes) between 20 January 2020 and 28 June 2020, compared to admissions during the corresponding period in 2019 (252,432 residents, 45% in nursing homes). Elective and emergency admission rates, normalised to the time spent in care homes across all residents, were derived across the first three months of the pandemic between 1 March and 31 May and primary admissions reasons for this period were compared across years. Results: Hospital admission rates rapidly declined during early March 2020 and remained substantially lower than in 2019 until the end of June. Between March and May, 2,960 admissions from residential homes (16.2%) and 3,295 admissions from nursing homes (23.7%) were for suspected or confirmed COVID-19. Rates of other emergency admissions decreased by 36% for residential and by 38% for nursing home residents (13,191 fewer admissions in total). Emergency admissions for acute coronary syndromes fell by 43% and 29% (105 fewer admission) and emergency admissions for stroke fell by 17% and 25% (128 fewer admissions) for residential and nursing home residents, respectively. Elective admission rates declined by 64% for residential and by 61% for nursing home residents (3,762 fewer admissions). Conclusions: This is the first study showing that care home residents’ hospital use declined during the first wave of COVID-19, potentially resulting in substantial unmet health need that will need to be addressed alongside ongoing pressures from COVID-19.

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“…Several other risk factors such as building design, community incidence (facilitating frequent introductions), for-profit status, rating status and resident population characteristics, such as the proportion with dementia, have been identified to increase both the risk of an outbreak occurring at LTCFs and its severity. [3,6,7,[17][18][19][20][21] A number of these risk factors are challenging to address and not within the control of LTCF operators. Therefore, infection prevention and control (IPC) best practices are critical to employ to reduce transmission and to prevent outbreaks.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with transmission of COVID-19 in long-term care facility outbreaks

Carmen¹,

Shirmaleki²,

Bharmal³

2022

Journal of Hospital Infection

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Risk factors for outbreaks of COVID‐19 in care homes following hospital discharge: A national cohort analysis

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 27 publications

References 11 publications

Hospital admissions from care homes in England during the COVID-19 pandemic: a retrospective, cross-sectional analysis using linked administrative data

Hospital admissions from care homes in England during the COVID-19 pandemic: a retrospective, cross-sectional analysis using linked administrative data

Hospital Admissions From Care Homes in England During the COVID-19 Pandemic: A Retrospective, Cross-Sectional Analysis Using Linked Administrative Data

Factors associated with transmission of COVID-19 in long-term care facility outbreaks

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