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Saito M, Kita K, Sakamaki I, Yamamoto Y, Yamashiro S. Medical Team Intervention Into a Long-Term Care Health Facility in Japan During the First Wave of the COVID-19 Pandemic. Cureus 2024; 16:e61042. [PMID: 38916018 PMCID: PMC11194842 DOI: 10.7759/cureus.61042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/25/2024] [Indexed: 06/26/2024] Open
Abstract
Nursing homes face a high risk of coronavirus disease 2019 (COVID-19) infection; in the early stages of the pandemic, outbreaks in nursing homes resulted in significant deaths among residents. Our medical team intervened in one nursing home struggling to cope with the COVID-19 pandemic. We analyzed the outcomes of 65 residents (52 women and 13 men; mean age, 89 years) during the first wave of infection, as well as changes in resident and staff numbers after the pandemic subsided. The mortality rates in the early and late transfer groups for the first three months of our intervention were 46.7% and 19.2%, respectively. The number of residents and staff fell to 34 and six, respectively, at their lowest point, but recovered to 64 and 33, respectively, by August 2023. Since the successful containment of the outbreak, no clusters of COVID-19-related illnesses have been observed at the facility despite nine infection waves occurring across Japan. Improving staff precautions, designing facilities with effective zoning, and sharing information with government agencies are essential for preventing healthcare-associated infections. Hence, an inter-professional team approach is important to support residents, and ongoing mental health support for staff is essential to maintain optimal healthcare quality in nursing home facilities.
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Affiliation(s)
- Mayuko Saito
- General Internal Medicine, Toyama University Hospital, Toyama, JPN
| | - Keiichiro Kita
- General Internal Medicine, Toyama University Hospital, Toyama, JPN
| | | | - Yoshihiro Yamamoto
- Department of Clinical Infectious Diseases, Toyama University Graduate School of Medicine and Pharmaceutical Sciences, Toyama, JPN
| | - Seiji Yamashiro
- Department of Internal Medicine, Asahi General Hospital, Asahi, JPN
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2
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Pardo-Garcia I, Martinez-Lacoba R, Moya-Martínez P, Amo-Saus E, del Pozo-Rubio R, Escribano-Sotos F. Mortality risk factors in the dependent population of Castilla-La Mancha (Spain) before and during the first COVID-19 wave. Heliyon 2024; 10:e28931. [PMID: 38617942 PMCID: PMC11015414 DOI: 10.1016/j.heliyon.2024.e28931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 03/26/2024] [Accepted: 03/27/2024] [Indexed: 04/16/2024] Open
Abstract
The coronavirus disease pandemic has had an important impact worldwide. The population aged over 65 years and aged dependent persons are the population groups which have suffered in a highest level the consequences of the pandemic in terms of cases and death. In Spain, the situation is similar to other countries, but regional studies are needed because competencies on long-term care depend on regional public administration. Thus, the aim of this work is to analyse social and individual factors associated with the risk of mortality of legally recognised dependent people during the pandemic compared to a non-pandemic period. The data were extracted from the administrative database on individuals included in Castilla-La Mancha's long-term care system and it was merged with the information from the Spanish National Death Index administered by the Ministry of Health, Consumption and Social Welfare. The results show that the risk of mortality between March and June 2020 was positively associated with being male; being older than 65, with an especially high impact in the group aged over 90; having a higher level of dependency; living in a nursing home; and living in a place with more population density. Intraregional differences related to health areas also exists in both pandemic and non-pandemic periods. These findings are critical with a view to enhancing protocols for the care of the most vulnerable population groups.
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Affiliation(s)
- Isabel Pardo-Garcia
- Facultad de Ciencias Económicas y Empresariales, Universidad de Castilla-La Mancha, Spain
- Departamento de Economía Aplicada I, Universidad de Castilla-La Mancha, Spain
- Centro de Estudios Sociosanitarios (CESS), Universidad de Castilla-La Mancha, Spain
- Grupo de Investigación en Economía, Alimentación y Sociedad (GEAS), Universidad de Castilla-La Mancha, Spain
| | - Roberto Martinez-Lacoba
- Facultad de Ciencias Económicas y Empresariales, Universidad de Castilla-La Mancha, Spain
- Departamento de Análisis Económico y Finanzas, Universidad de Castilla-La Mancha, Spain
- Centro de Estudios Sociosanitarios (CESS), Universidad de Castilla-La Mancha, Spain
- Grupo de Investigación en Economía, Alimentación y Sociedad (GEAS), Universidad de Castilla-La Mancha, Spain
| | - Pablo Moya-Martínez
- Facultad de Ciencias Sociales, Universidad de Castilla-La Mancha, Spain
- Departamento de Análisis Económico y Finanzas, Universidad de Castilla-La Mancha, Spain
- Centro de Estudios Sociosanitarios (CESS), Universidad de Castilla-La Mancha, Spain
- Grupo de Investigación en Economía, Alimentación y Sociedad (GEAS), Universidad de Castilla-La Mancha, Spain
| | - Elisa Amo-Saus
- Facultad de Ciencias Económicas y Empresariales, Universidad de Castilla-La Mancha, Spain
- Departamento de Análisis Económico y Finanzas, Universidad de Castilla-La Mancha, Spain
- Centro de Estudios Sociosanitarios (CESS), Universidad de Castilla-La Mancha, Spain
- Grupo de Investigación en Economía, Alimentación y Sociedad (GEAS), Universidad de Castilla-La Mancha, Spain
| | - Raúl del Pozo-Rubio
- Facultad de Ciencias Sociales, Universidad de Castilla-La Mancha, Spain
- Departamento de Análisis Económico y Finanzas, Universidad de Castilla-La Mancha, Spain
- Centro de Estudios Sociosanitarios (CESS), Universidad de Castilla-La Mancha, Spain
- Grupo de Investigación en Economía, Alimentación y Sociedad (GEAS), Universidad de Castilla-La Mancha, Spain
| | - Francisco Escribano-Sotos
- Facultad de Ciencias Económicas y Empresariales, Universidad de Castilla-La Mancha, Spain
- Departamento de Análisis Económico y Finanzas, Universidad de Castilla-La Mancha, Spain
- Centro de Estudios Sociosanitarios (CESS), Universidad de Castilla-La Mancha, Spain
- Grupo de Investigación en Economía, Alimentación y Sociedad (GEAS), Universidad de Castilla-La Mancha, Spain
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Freeman T, Baum F, Musolino C, Flavel J, McKee M, Chi C, Giugliani C, Falcão MZ, De Ceukelaire W, Howden-Chapman P, Nguyen TH, Serag H, Kim S, Carlos AD, Gesesew HA, London L, Popay J, Paremoer L, Tangcharoensathien V, Sundararaman T, Nandi S, Villar E. Illustrating the impact of commercial determinants of health on the global COVID-19 pandemic: Thematic analysis of 16 country case studies. Health Policy 2023; 134:104860. [PMID: 37385156 DOI: 10.1016/j.healthpol.2023.104860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 06/12/2023] [Accepted: 06/15/2023] [Indexed: 07/01/2023]
Abstract
Previous research on commercial determinants of health has primarily focused on their impact on non-communicable diseases. However, they also impact on infectious diseases and on the broader preconditions for health. We describe, through case studies in 16 countries, how commercial determinants of health were visible during the COVID-19 pandemic, and how they may have influenced national responses and health outcomes. We use a comparative qualitative case study design in selected low- middle- and high-income countries that performed differently in COVID-19 health outcomes, and for which we had country experts to lead local analysis. We created a data collection framework and developed detailed case studies, including extensive grey and peer-reviewed literature. Themes were identified and explored using iterative rapid literature reviews. We found evidence of the influence of commercial determinants of health in the spread of COVID-19. This occurred through working conditions that exacerbated spread, including precarious, low-paid employment, use of migrant workers, procurement practices that limited the availability of protective goods and services such as personal protective equipment, and commercial actors lobbying against public health measures. Commercial determinants also influenced health outcomes by influencing vaccine availability and the health system response to COVID-19. Our findings contribute to determining the appropriate role of governments in governing for health, wellbeing, and equity, and regulating and addressing negative commercial determinants of health.
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Affiliation(s)
- Toby Freeman
- Stretton Health Equity, University of Adelaide, Adelaide, SA, 5005 Australia.
| | - Fran Baum
- Stretton Health Equity, University of Adelaide, Adelaide, SA, 5005 Australia
| | - Connie Musolino
- Stretton Health Equity, University of Adelaide, Adelaide, SA, 5005 Australia
| | - Joanne Flavel
- Stretton Health Equity, University of Adelaide, Adelaide, SA, 5005 Australia
| | - Martin McKee
- London School of Hygiene & Tropical Medicine, London WC1H 9SH, United Kingdom
| | - Chunhuei Chi
- Center for Global Health, Oregon State University, Corvallis, OR 7331, USA
| | - Camila Giugliani
- Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcellos, 2400 CEP 90035-003, Porto Alegre, Brazil
| | - Matheus Zuliane Falcão
- University of São Paulo, Brazil, Av. Dr. Arnaldo, 715 - 211 - Cerqueira César, São Paulo - SP, 01246-904, Brazil
| | | | | | - Thanh Huong Nguyen
- Faculty of Social Science and Behavior, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang Ward, North Tu Liem District, Hanoi, Vietnam
| | - Hani Serag
- University of Texas Medical Branch (UTMB), 301 University Blvd., Galveston, Texas, 77555, USA
| | - Sun Kim
- People's Health Institute, 36 Sadang-ro 13-gil, Dongjak-gu, Seoul 07004, South Korea
| | - Alvarez Dardet Carlos
- CIBERESP, Center for Research in Epidemiology and Public Health, University of Alicante, 03560 Spain
| | - Hailay Abrha Gesesew
- Research Centre for Public Health, Equity and Human Flourishing, Torrens University Australia, Adelaide, SA, 5000 AUSTRALIA & College of Health Sciences, Mekelle University, Mekelle, 231 Ethiopia
| | - Leslie London
- School of Public Health, University of Cape Town, South Africa
| | - Jennie Popay
- Division of Health Research, Faculty of Health & Medicine, Lancaster University, Bailrigg, Lancaster LA1 4YW, United Kingdom
| | - Lauren Paremoer
- Political Studies, University of Cape Town, Cape Town, South Africa
| | | | | | | | - Eugenio Villar
- Universidad Peruana Cayetano Heredio, San Martín de Porres 15102, Peru
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Regato Pajares P, Villacañas Novillo E, López Higuera MJ, Acosta Benito MÁ. Atención Primaria y personas mayores en las residencias: propuestas de mejora tras la experiencia durante la pandemia. REVISTA CLÍNICA DE MEDICINA DE FAMILIA 2023. [DOI: 10.55783/rcmf.160105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/23/2023] Open
Abstract
Con este artículo hemos querido acercarnos a la visión que desde la Atención Primaria (AP) tenemos sobre lo que ha supuesto la pandemia de la COVID-19 en la población mayor y particularmente en las personas ancianas que viven en residencias. La situación previa de los centros residenciales ha influido durante la pandemia en un elevado número de fallecimientos, aislamiento social y problemas de salud derivados. Las personas de estos centros son generalmente más vulnerables, frágiles, dependientes y longevas, pero estos condicionantes no justifican el nivel de contagios y mortalidad por sí mismos.
En los momentos de mayor dureza de la crisis sanitaria, se activaron una serie de respuestas sociales y sanitarias variadas y diversas en cada comunidad autónoma. Algunas de estas tuvieron carácter urgente y terminaron por originar diferentes estrategias y/o nuevos modelos de atención y gestión de las residencias. En algunos casos, estos cambios se siguen manteniendo.
El objetivo de este artículo es analizar algunas de las principales medidas que se llevaron a cabo, los cambios que se implementaron, los puntos en común, el consenso en la toma de decisiones, la evidencia sobre la que se basaron, los aspectos éticos y legales que inspiraron estas estrategias y los resultados en salud obtenidos. Atendiendo a lo comentado, el grupo hace una serie de propuestas de mejora de cara al futuro.
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Affiliation(s)
- Pilar Regato Pajares
- Especialista en Medicina Familiar y Comunitaria. CS Delicias. Madrid (España). Coordinadora del GdT del Mayor de la semFYC
| | | | | | - Miguel Ángel Acosta Benito
- Especialista en Medicina Familiar y comunitaria. CS Caramuel. Madrid (España). Coordinador del GdT del Mayor del PAPPS semFYC
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5
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Martínez-Payá M, Carrillo I, Guilabert M. Lessons Learned from the COVID-19 Pandemic in Nursing Homes: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16919. [PMID: 36554806 PMCID: PMC9779143 DOI: 10.3390/ijerph192416919] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 12/12/2022] [Accepted: 12/14/2022] [Indexed: 06/17/2023]
Abstract
Nursing homes are one of the hardest-hit environments in terms of mortality from COVID-19. Given the reactive management of the pandemic, it is necessary to reflect on, and answer, the question as to which good practices (interventions) were implemented in care homes (population) to improve management and care quality (outcomes). This systematic review aimed to identify and describe good practices adopted in care homes during the COVID-19 pandemic or other recent epidemics. We conducted searches in Embase, PubMed, ScienceDirect, ProQuest Central, and Scopus over the period 1-30 November, 2021, using the descriptors "nursing homes", "long-term care", "long-term care facilities" and "COVID-19"; and the keywords "learnings", "lessons", "positive learnings", "positive lessons", "SARS", "MERS", "COVID-19" and "pandemic". We identified 15 papers describing 14 best practices and 26 specific actions taken for COVID-19 management in long-term care facilities. Following the IDEF methodology, the practices were classified into strategic processes (staff training, communication with the national health system, person-centered care, and protocols), operational processes (cohorts, diagnostic testing, case monitoring, personal protective equipment, staff reinforcement, restriction of visits, social distancing, and alternative means for communication with families) and support processes (provision of equipment and hygiene reinforcement). Fifty percent of practices were likely to be maintained beyond the outbreak to improve the operation and quality of the long-term care facilities. This review summarizes the most common measures adopted to manage the COVID-19 pandemic in the context of increased vulnerability and highlights the deficiencies that must be addressed.
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Rodriguez-Rodriguez V, Rojo-Perez F, Perez de Arenaza Escribano C, Molina-Martínez MÁ, Fernandez-Mayoralas G, Sánchez-González D, Rojo-Abuin JM, Rodríguez-Blázquez C, Forjaz MJ, Martín García S. The Impact of COVID-19 on Nursing Homes: Study Design and Population Description. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16629. [PMID: 36554508 PMCID: PMC9779101 DOI: 10.3390/ijerph192416629] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Revised: 11/30/2022] [Accepted: 12/06/2022] [Indexed: 05/15/2023]
Abstract
Nursing homes for the elderly in Spain have experienced high rates of infection and mortality from COVID-19, although rates have varied from one region to another. Madrid is the region where most institutionalized older adults have died from the coronavirus. However, there is little known about the psychosocial and environmental factors involved in the high incidence of COVID-19 among the institutionalised population in this region. This article describes the protocol of a study on nursing homes during the SARS-CoV-2 pandemic in the Autonomous Community of Madrid (hereafter: Region of Madrid or Madrid Region) and provides information on the study design, measures used, and characteristics of the population studied. A questionnaire about life in nursing homes during the COVID-19 pandemic was designed and a total of 447 persons over 60 years of age without cognitive impairment-220 in private nursing homes and 227 in public nursing homes-participated by answering questions about different topics: personal situations during the pandemic, feelings and methods of coping, residential environment, health, quality of life, ageism, and self-perception of ageing. The institutionalised person profile discussed in this study was an old woman, widowed, without children, with a low level of education, with multimorbidity, and who perceived her health and quality of life positively. Most of the participants were very concerned about COVID-19 and its effects. In fact, 38% had been diagnosed with COVID-19, of whom 20% were admitted to hospital and 20% had suffered negative impacts, such as pain and neurological problems. In addition, 70% of the residents remained confined to their rooms, which increased their perceptions of loneliness and social isolation. The worst-rated aspects of the nursing home resulted from the restrictive measures imposed on nursing homes during the pandemic. This research offers useful material for understanding the pandemic and its consequences from the perspective of the older institutionalised population, which could provide insights for designing public policies.
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Affiliation(s)
| | - Fermina Rojo-Perez
- Grupo de Investigacion sobre Envejecimiento (GIE), IEGD, CSIC, 28037 Madrid, Spain
| | | | - María-Ángeles Molina-Martínez
- Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, Universidad Nacional de Educación a Distancia (UNED), 28040 Madrid, Spain
| | | | - Diego Sánchez-González
- Departamento de Geografía, Universidad Nacional de Educación a Distancia (UNED), 28040 Madrid, Spain
| | | | - Carmen Rodríguez-Blázquez
- National Epidemiology Centre, Carlos III Institute of Health, Network Centre for Biomedical Research in Neurodegenerative Diseases (CIBERNED), 28029 Madrid, Spain
| | - Maria João Forjaz
- National Epidemiology Centre, Carlos III Institute of Health, Health Service Research Network on Chronic Diseases (REDISSEC) and Research Network on Chronicity, Primary Care and Health Promotion (RICAPPS), 28029 Madrid, Spain
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Rojo-Perez F, Rodriguez-Rodriguez V, Fernandez-Mayoralas G, Sánchez-González D, Perez de Arenaza Escribano C, Rojo-Abuin JM, Forjaz MJ, Molina-Martínez MÁ, Rodriguez-Blazquez C. Residential Environment Assessment by Older Adults in Nursing Homes during COVID-19 Outbreak. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16354. [PMID: 36498426 PMCID: PMC9739633 DOI: 10.3390/ijerph192316354] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 11/29/2022] [Accepted: 12/01/2022] [Indexed: 06/17/2023]
Abstract
The most vulnerable residential settings during the COVID-19 pandemic were older adult's nursing homes, which experienced high rates of incidence and death from this cause. This paper aims to ascertain how institutionalized older people assessed their residential environment during the pandemic and to examine the differences according to personal and contextual characteristics. The COVID-19 Nursing Homes Survey (Madrid region, Spain) was used. The residential environment assessment scale (EVAER) and personal and contextual characteristics were selected. Descriptive and multivariate statistical analysis were applied. The sample consisted of 447 people (mean age = 83.8, 63.1% = women, 50.8% = widowed, 40% = less than primary studies). Four residential assessment subscales (relationships, mobility, residential aspects, privacy space) and three clusters according to residential rating (medium-high with everything = 71.5% of cases, low with mobility = 15.4%, low with everything = 13.1%) were obtained. The logistic regression models for each cluster category showed to be statistically significant. Showing a positive affect (OR = 1.08), fear of COVID-19 (OR = 1.06), high quality of life (OR = 1.05), not having suspicion of depression (OR = 0.75) and performing volunteer activities (OR = 3.67) were associated with the largest cluster. It is concluded that a better residential evaluation was related to more favourable personal and contextual conditions. These results can help in the design of nursing homes for older adults in need of accommodation and care to facilitate an age-friendly environment.
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Affiliation(s)
- Fermina Rojo-Perez
- Grupo de Investigacion sobre Envejecimiento (GIE), IEGD, CSIC, 28037 Madrid, Spain
| | | | | | - Diego Sánchez-González
- Department of Geography, National Distance Education University (UNED), 28040 Madrid, Spain
| | | | | | - Maria João Forjaz
- National Centre of Epidemiology and Health Service Research Network on Chronic Diseases (REDISSEC) and Research Network on Chronicity, Primary Care and Health Promotion (RICAPPS), Carlos III Institute of Health, 28029 Madrid, Spain
| | - María-Ángeles Molina-Martínez
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology, National Distance Education University (UNED), 28040 Madrid, Spain
| | - Carmen Rodriguez-Blazquez
- National Centre of Epidemiology and Network Centre for Biomedical Research in Neurodegenerative Diseases (CIBERNED), Carlos III Institute of Health, 28029 Madrid, Spain
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Díaz-Veiga P, Sancho M. [The reformulation of long-term care in Spain: A change that cannot be postponed]. Rev Esp Geriatr Gerontol 2022; 57:247-249. [PMID: 36192253 DOI: 10.1016/j.regg.2022.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Accepted: 09/06/2022] [Indexed: 11/29/2022]
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Zunzunegui MV, Béland F, Rico M, López FJG. Long-Term Care Home Size Association with COVID-19 Infection and Mortality in Catalonia in March and April 2020. EPIDEMIOLGIA (BASEL, SWITZERLAND) 2022; 3:369-390. [PMID: 36417245 PMCID: PMC9620903 DOI: 10.3390/epidemiologia3030029] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 07/26/2022] [Accepted: 08/29/2022] [Indexed: 12/14/2022]
Abstract
We aim to assess how COVID-19 infection and mortality varied according to facility size in 965 long-term care homes (LTCHs) in Catalonia during March and April 2020. We measured LTCH size by the number of authorised beds. Outcomes were COVID-19 infection (at least one COVID-19 case in an LTCH) and COVID-19 mortality. Risks of these were estimated with logistic regression and hurdle models. Models were adjusted for county COVID-19 incidence and population, and LTCH types. Sixty-five per cent of the LTCHs were infected by COVID-19. We found a strong association between COVID-19 infection and LTCH size in the adjusted analysis (from 45% in 10-bed homes to 97.5% in those with over 150 places). The average COVID-19 mortality in all LTCHs was 6.8% (3887 deaths) and 9.2% among the COVID-19-infected LTCHs. Very small and large homes had higher COVID-19 mortality, whereas LTCHs with 30 to 70 places had the lowest level. COVID-19 mortality sharply increased with LTCH size in counties with a cumulative incidence of COVID-19 which was higher than 250/100,000, except for very small homes, but slightly decreased with LTCH size when the cumulative incidence of COVID-19 was lower. To prevent infection and preserve life, the optimal size of an LTCH should be between 30 and 70 places.
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Affiliation(s)
- Maria Victoria Zunzunegui
- École de Santé Publique, Université de Montréal, Montreal, QC H3N 1X9, Canada
- Correspondence: ; Tel.: +34-692-064-134
| | - François Béland
- École de Santé Publique, Université de Montréal, Montreal, QC H3N 1X9, Canada
- Institut Lady Davis, Montreal Jewish Hospital, McGill University, Montreal, QC H3C 3J7, Canada
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10
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Losada-Castillo I, Santiago-Pérez MI, Naveira-Barbeito G, Otero-Barros MT, Pérez-Martínez O, Zubizarreta-Alberdi R. [Impact of COVID-19 pandemic in terms of incidence and lethality in nursing homes in Galicia (Spain)]. Rev Esp Geriatr Gerontol 2022; 57:257-263. [PMID: 36089448 PMCID: PMC9399179 DOI: 10.1016/j.regg.2022.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 05/18/2022] [Accepted: 08/18/2022] [Indexed: 11/25/2022]
Abstract
OBJECTIVES To know the impact of COVID-19 in incidence and lethality in nursing homes in Galicia. METHODS This is a descriptive study of nursing homes residents and workers with confirmed COVID-19. The analysis spanned from March 1, 2020 to March 27, 2022, stratified into 6 periods (one per wave). The impact on incidence (attack rate, number of outbreaks, reinfections, sex, age, and diagnostic technique) and lethality (by sex, age, place of death, and number of centers with deaths) was analyzed. RESULTS There were 15,819 people affected, 51.9% of the jobs and 47.0% of the workers. The attack rate in residents was: 5.8% in the first wave, 10.4% in the second, 6.3% in the third, 0.1% in the fourth, 2.1% in the fifth and 27.3% in the sixth. In the sixth wave, there were 11.3% reinfections and the number of outbreaks in was 3 times higher than in the second. The case fatality in residents was higher during the first wave (21.8%) and lower during the sixth (2.4%). He only had one worker in relation to COVID-19. CONCLUSIONS Surveillance of COVID-19 in nursing homes was essential to understand the dynamics of the disease. The sixth wave was the one with the highest incidence and the lowest lethality. Lethality was higher in the first wave. The fourth and fifth waves had a lower incidence due to the effects of vaccination.
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Affiliation(s)
- Isabel Losada-Castillo
- Servizo de Epidemioloxía, Dirección Xeral de Saúde Pública, Consellería de Sanidade, Galicia, España.
| | | | - Gael Naveira-Barbeito
- Servizo de Epidemioloxía, Dirección Xeral de Saúde Pública, Consellería de Sanidade, Galicia, España
| | - María Teresa Otero-Barros
- Servizo de Epidemioloxía, Dirección Xeral de Saúde Pública, Consellería de Sanidade, Galicia, España
| | - Olaia Pérez-Martínez
- Servizo de Epidemioloxía, Dirección Xeral de Saúde Pública, Consellería de Sanidade, Galicia, España
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Bermejo Boixareu C, Lovatti González R, Aparicio Molla S, Pérez Rodríguez P, Fernández Arana L, Gómez-Pavón J. Implantación de un programa de Geriatría de enlace coordinado con Atención Primaria en 60 centros sociosanitarios del área asistencial noroeste de la Comunidad de Madrid. Semergen 2022; 48:334-343. [DOI: 10.1016/j.semerg.2022.03.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 03/20/2022] [Accepted: 03/28/2022] [Indexed: 11/25/2022]
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Chimento-Díaz S, Espino-Tato I, Garcia-Alonso JM, Cantero-Garlito PA. Lessons Learned: Occupational Therapy in Nursing Homes during the First Wave of COVID-19 in Spain. Healthcare (Basel) 2022; 10:healthcare10010117. [PMID: 35052281 PMCID: PMC8775346 DOI: 10.3390/healthcare10010117] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Revised: 12/20/2021] [Accepted: 01/02/2022] [Indexed: 11/17/2022] Open
Abstract
This research aims to explore the perception that occupational therapists working in elderly care facilities have about the measures implemented against the COVID-19 pandemic in their resources, and the impact that these measures have had on occupational therapy in these facilities. An interpretive paradigm was selected, using a qualitative approach and a phenomenological design. Sixteen occupational therapists working in elderly care facilities in two Spanish regions were included. Data were collected through semi-structured interviews. A discourse analysis of the narrative information was carried out using open, axial, and selective coding processes and the constant comparison method. Four themes were extracted from the analysis results: The initial chaos in senior centers; The blurring of occupational therapists’ roles; The emergence of technology; and organizational and therapeutic proposals for future pandemics. The pandemic had a significant impact on the care and therapeutic processes in elderly care facilities. Occupational therapists had to stop performing their functions to dedicate themselves to other support, auxiliary or communication tasks between the center and the families. Similarly, it is worth noting the emergence of low-cost technology to facilitate communication and to carry out some therapeutic interventions.
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Affiliation(s)
- Sara Chimento-Díaz
- Department of Computer and Telematic Systems Engineering, Polytechnic School of Cáceres, University of Extremadura, 10003 Cáceres, Spain; (I.E.-T.); (J.M.G.-A.)
- Correspondence:
| | - Isabel Espino-Tato
- Department of Computer and Telematic Systems Engineering, Polytechnic School of Cáceres, University of Extremadura, 10003 Cáceres, Spain; (I.E.-T.); (J.M.G.-A.)
| | - Jose M. Garcia-Alonso
- Department of Computer and Telematic Systems Engineering, Polytechnic School of Cáceres, University of Extremadura, 10003 Cáceres, Spain; (I.E.-T.); (J.M.G.-A.)
| | - Pablo A. Cantero-Garlito
- Faculty of Health Sciences, University of Castilla-La Mancha, 45600 Talavera de la Reina, Spain;
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