Coronavirus Disease 2019 in French Residential Care Facilities: A Nationwide Study

Belmin, Joël; Georges, S.; Franke, Florian; Daniau, Côme; Cochet, Amandine; Durand, Cécile; Noury, U.; Santo, Maria Eugênia Gomes do Espirito; Fonteneau, Laure; Pariel, Sylvie; Lafuente-Lafuente, Carmelo; Danis, Kostas

doi:10.1016/j.jamda.2021.03.013

Cited by 12 publications

(10 citation statements)

References 15 publications

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“…Alternative measures to promote protective behaviour should be considered in FPD and ILC according to the characteristics of the population [ 19 ]. In our study, the highest number of laboratory-confirmed cases were in ILC but other reports showed that the burden was higher in NH than in other residential care facilities during the first wave [ 10 ]. This observation could be explained by a possible underestimation of the number of cases in NH at the beginning of the mission when screening for COVID-19 was being developed.…”

Section: Discussionmentioning

confidence: 52%

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An unprecedented and large-scale support mission to assist residential care facilities during the COVID-19 pandemic

Colas

Baudet

Regad

et al. 2022

Infection Prevention in Practice

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Section: Discussionmentioning

confidence: 52%

“…Belmin and al. reported 62 629 cases and 8011 deaths in French residential care facilities between March 1 and June 30, 2020 [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

An unprecedented and large-scale support mission to assist residential care facilities during the COVID-19 pandemic

Colas

Baudet

Regad

et al. 2022

Infection Prevention in Practice

View full text Add to dashboard Cite

“…This confirms that NHs in Brittany were relatively spared by the epidemic, with 10% to 14% of them affected during this period, compared with approximately 40% of NHs in France as a whole. 23 Official figures report 110 COVID-19-related deaths in NHs and 326 deaths in total in Brittany during this first wave, 24 thus indicating that NH residents accounted for 34% of deaths. As a comparison, this proportion during the first wave was around 47% for France as a whole, 41% in the United Kingdom, 78% in Canada, and 42% in the United States.…”

Section: Low Incidence Rate and Strict Lockdown Measuresmentioning

confidence: 99%

Structural and Managerial Risk Factors for COVID-19 Occurrence in French Nursing Homes

Corvol

Charras

Prud'Homm

et al. 2022

Int J Health Policy Manag

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Background: Nursing home (NH) residents accounted for half of the deaths during the 2020 spring wave of the COVID-19 epidemic in France. Our objective was to identify structural and managerial factors associated with COVID-19 outbreaks in NHs. Methods: We conducted in July 2020 a retrospective study by questionnaire addressed to NH directors in the Brittany region of France. The questions related to structural characteristics of the establishment, human resources, and crisis management decisions. The primary endpoint was the occurrence of at least one confirmed case of COVID-19 among residents between 1 March 1 and 31 May 2020. The secondary endpoint was total mortality during this period. We used multivariate regressions to identify factors associated with these outcomes. Results: Responses were collected from 231 NHs hosting 20,881 residents, representing a participation rate of 47%. In 24 (10%) NHs, at least one resident presented confirmed COVID-19. NHs often implemented stringent protective measures, with 65% of them choosing to confine residents to their rooms. In multivariate analysis, factors associated with a reduced risk of case occurrence were in-room meal service, early ban of family visits, and daily access to an outdoor space. No association was found between mortality and the factors studied. Our results show an early and strict implementation of lockdown measures, with good epidemiological results in a context of shortage of personal protective equipment and non-vaccination. Nevertheless, it raises ethical questions concerning respect of residents’ wellbeing and rights. Conclusion: Cessation of communal dining seems to be the main measure likely to be effective in preventive terms. It does not seem that room lockdown and cessation of group activities should be recommended, particularly if mask wearing is possible.

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“…During the pandemic's first wave, COVID-19 had a devastating impact on nursing homes and other long-term care facilities (LTCFs) in New Jersey, in other states, and in other high-income countries such as Canada, France, and the United Kingdom [1][2][3][4][5][6][7]. While LTCF staff experienced elevated morbidity and mortality, their residents-commonly elderly with multiple comorbid conditions-suffered from particularly high case fatality rates [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Antibody Seroprevalence, Infection and Surveillance for SARS-CoV-2 in Residents and Staff of New Jersey Long-Term Care Facilities

et al. 2022

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Early in the pandemic, New Jersey (NJ) long-term care facilities (LTCFs) witnessed severe COVID-19 illness. With limited surveillance to characterize the scope of infection, we estimated the prevalence of antibody to the SARS-CoV-2 nucleocapsid protein among residents and staff, to describe the epidemiology, and to measure antibody distribution by prior PCR/antigen status and symptomatology. 10 NJ LTCFs of 20 solicited with diverse geography and bed-capacities were visited between October 2020 and March 2021. A single serum was tested for total N-antibody (ELISA) by the state laboratory. Residents' demographics and clinical history were transcribed from the patient record. For staff, this information was solicited directly from employees, supplemented by prior PCR/antigen results from facilities. 62% of 332 residents and 46% of 661 staff tested N-antibody positive. In a multivariable logistic regression in residents, odds ratios for older age and admission prior before March 1, 2020 were significant. Among the staff, odds ratios for older age, ethnic-racial group, nursing-related job, and COVID-19 symptoms were significantly associated with N-antibody positivity. In a sub-analysis in five better record-keeping LTCFs, 90% of residents and 85% of staff with positive PCR/antigen results were seropositive for N-antibody, yet 25% of residents and 22% of staff were N-antibody positive but PCR/antigen and symptoms negative. The high rate of clinically unsuspected infections likely contributed to the spread. These findings argue for robust surveillance, regular screening of asymptomatic individuals, and vaccinating both residents and staff to abate the pandemic. The data also provide guidance to prevent future outbreaks.

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Coronavirus Disease 2019 in French Residential Care Facilities: A Nationwide Study

Cited by 12 publications

References 15 publications

An unprecedented and large-scale support mission to assist residential care facilities during the COVID-19 pandemic

An unprecedented and large-scale support mission to assist residential care facilities during the COVID-19 pandemic

Structural and Managerial Risk Factors for COVID-19 Occurrence in French Nursing Homes

Antibody Seroprevalence, Infection and Surveillance for SARS-CoV-2 in Residents and Staff of New Jersey Long-Term Care Facilities

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