RESEARCHFactors Associated with Nursing Homesʼ Late Participation in <scp>COVID</scp>‐19 Reporting

Li, Yumeng; Fang, Fang; He, Mengying

doi:10.1111/jgs.16810

Cited by 6 publications

(9 citation statements)

References 4 publications

(6 reference statements)

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“…We found markedly lower ascertainment during periods of high epidemic activity, suggesting shortcomings in testing, or reporting even in Switzerland, a high-income country. Under-ascertainment was concentrated in older age groups, indicating incomplete ascertainment in retirement and nursing homes, in line with other reports (15). The lower ascertainment towards the end of the study period might be explained by reduced testing once vaccines became available.…”

Section: Discussionsupporting

confidence: 91%

Direct and indirect effects of the COVID-19 pandemic on mortality in Switzerland: A population-based study

Riou

Hauser

Fesser

et al. 2022

Preprint

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The direct and indirect impact of the COVID-19 pandemic on population-level mortality is of concern to public health but challenging to quantify. We modelled excess mortality and the direct and indirect effects of the pandemic on mortality in Switzerland. We analyzed yearly population data and weekly all-cause deaths by age, sex, and canton 2010-2019 and all-cause and laboratory-confirmed COVID-19 deaths from February 2020 to April 2022 (study period). Bayesian models predicted the expected number of deaths. A total of 13,130 laboratory-confirmed COVID-19 deaths were reported. The model estimated that COVID-19-related mortality was underestimated by a factor of 0.72 [95% Credible Interval: 0.46-0.78] resulting in 18,140 [15,962-20,174] excess deaths. After accounting for COVID-19 deaths, the observed mortality was 3% [-1-7] lower than expected, corresponding to a deficit of 4,406 deaths, with a wide credibility interval [-1,776-10,700]. Underestimation of COVID-19 deaths was greatest for ages 70 years and older; the mortality deficit was most pronounced in age groups 40 to 69 years. We conclude that shortcomings in testing caused underestimation of COVID-19-related deaths in Switzerland, particularly in older people. Although COVID-19 control measures may have negative effects (e.g., delays in seeking care or mental health impairments), after subtracting COVID-19 deaths, there were fewer deaths in Switzerland during the pandemic than expected, suggesting that any negative effects of control measures on mortality were offset by the positive effects. These results have important implications for the ongoing debate about the appropriateness of COVID-19 control measures.

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Section: Discussionsupporting

confidence: 91%

Direct and indirect effects of the COVID-19 pandemic on mortality in Switzerland: A population-based study

Riou

Hauser

Fesser

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…First, health-care reporting systems generally do not list COVID-19 as the cause of death without a positive SARS-CoV-2 test, and thus deaths due to COVID-19 will be missed in official counts in locations with low testing capacity. For example, early in the pandemic, before tests were widely available, many deaths due to COVID-19 among older individuals in high-income countries, particularly in long-term care facilities, are unlikely to have been attributed to COVID-19, 2 with evidence of extensive underreporting in many locations. [3][4][5][6] Second, country systems for registering deaths vary in their quality and comprehensiveness, as well as in the definitions used for increase in observed mortality from excessive heat during the pandemic.…”

Section: Introductionmentioning

confidence: 99%

Estimating excess mortality due to the COVID-19 pandemic: a systematic analysis of COVID-19-related mortality, 2020–21

Wang¹,

Paulson²,

Pease³

et al. 2022

The Lancet

1,231

793

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“…Nursing facilities with a shortage of masks and new weekly staff COVID-19 cases at the week ending June 21, 2020 (Li et al, 2020). …”

Section: Resultsmentioning

confidence: 99%

“…The percentage of N95 and surgical mask shortage by nursing home ownership types over time (Li et al, 2020). …”

Section: Resultsmentioning

confidence: 99%

“…Several studies examined factors associated with the nursing home COVID-19 outbreak. State variation was observed in nursing homes' participation in COVID-19 reporting (Li et al, 2020) and the probability of having COVID-19 cases (Abrams et al, 2020). One recent study showed that nursing homes with COVID-19 cases among residents and staff had a higher probability to report shortages (McGarry et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

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Exploring the N95 and Surgical Mask Supply in U.S. Nursing Homes During COVID-19

Fang

2020

J Appl Gerontol

Self Cite

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U.S. health care facilities have been encountering a recurrence of medical supply shortage since COVID-19 exploded in March 2020. There is an urgent need for important Personal Protective Equipment (PPE) such as N95 and surgical masks. This project examined the factors that were associated with nursing homes’ N95 and surgical mask supply. We analyzed data from the Nursing Home COVID-19 Public File and conducted a multivariate logistic regression estimating the association between nursing home characteristics and county-level demographic parameters with mask supply. We found that a high number of resident COVID-19 cases contributed to the supply of N95, but not surgical masks, whereas a high number of staff cases did not lead to an adequate supply of either N95 or surgical masks. Compared with not-for-profit (NFP) facilities, for-profit (FP) nursing homes were less likely to get enough masks. A better supply distribution plan is needed to prepare for future possible PPE shortage.

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RESEARCHFactors Associated with Nursing Homesʼ Late Participation in COVID‐19 Reporting

Cited by 6 publications

References 4 publications

Direct and indirect effects of the COVID-19 pandemic on mortality in Switzerland: A population-based study

Direct and indirect effects of the COVID-19 pandemic on mortality in Switzerland: A population-based study

Estimating excess mortality due to the COVID-19 pandemic: a systematic analysis of COVID-19-related mortality, 2020–21

Exploring the N95 and Surgical Mask Supply in U.S. Nursing Homes During COVID-19

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