<scp>COVID</scp>‐19 Deaths in Long‐Term Care Facilities: A Critical Piece of the Pandemic Puzzle

Lau‐Ng, Rossana; Caruso, Lisa B.; Perls, Thomas T.

doi:10.1111/jgs.16669

Cited by 66 publications

(79 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This situation is particularly concerning in those care homes, where many residents have dementia and where many COVID-19 deaths have occurred in many countries 259 , 260 , 261 with reports of more than half of residents being admitted to hospital. In US nursing homes, among 10 576 people with confirmed COVID-19, residents living with dementia made up 52% of COVID-19 cases; yet, accounted for 72% of all deaths (an increased risk of 1·7).…”

Section: Interventions and Care In Dementiamentioning

confidence: 99%

Dementia prevention, intervention, and care: 2020 report of the Lancet Commission

et al. 2020

View full text Add to dashboard Cite

Prof J Cohen-Mansfield), and Minerva Center for Interdisciplinary Study of End of Life (Prof J Cohen-Mansfield),should consider dementia in older people without known dementia who have frequent admissions or who develop delirium. Delirium is common in people with dementia and contributes to cognitive decline. In hospital, care including appropriate sensory stimulation, ensuring fluid intake, and avoiding infections might reduce delirium incidence.Acting now on dementia prevention, intervention, and care will vastly improve living and dying for individuals with dementia and their families, and thus society.

show abstract

Section: Interventions and Care In Dementiamentioning

confidence: 99%

Dementia prevention, intervention, and care: 2020 report of the Lancet Commission

et al. 2020

View full text Add to dashboard Cite

show abstract

“…In addition, nursing homes should have reasonable protection from legal liability for simply having COVID-19 cases and mortality, as it is clear that even high-quality nursing homes with sound infection control practices can have these occurrences. [3][4][5]20 • Where accurate tests are available, universal viral testing can be helpful in establishing a baseline of how many residents and staff have the virus, and for developing a staffing and isolation/quarantine plan…”

Section: Health Policymentioning

confidence: 99%

COVID‐19 in Nursing Homes: Calming the Perfect Storm

Ouslander

Grabowski

2020

J American Geriatrics Society

283

269

View full text Add to dashboard Cite

The pandemic of viral infection with the severe acute respiratory syndrome coronavirus-2 that causes COVID-19 disease has put the nursing home industry in crisis. The combination of a vulnerable population that manifests nonspecific and atypical presentations of COVID-19, staffing shortages due to viral infection, inadequate resources for and availability of rapid, accurate testing and personal protective equipment, and lack of effective treatments for COVID-19 among nursing home residents have created a "perfect storm" in our countryʼs nursing homes. This perfect storm will continue as society begins to reopen, resulting in more infections among nursing home staff and clinicians who acquire the virus outside of work, remain asymptomatic, and unknowingly perpetuate the spread of the virus in their workplaces. Because of the elements of the perfect storm, nursing homes are like a tinderbox, and it only takes one person to start a fire that could cause many deaths in a single facility. Several public health interventions and health policy strategies, adequate resources, and focused clinical quality improvement initiatives can help calm the storm. The saddest part of this perfect storm is that many years of inaction on the part of policy makers contributed to its impact. We now have an opportunity to improve nursing homes to protect residents and their caregivers ahead of the next storm. It is time to reimagine how we pay for and regulate nursing home care to achieve this goal.

show abstract

“…The COVID-19 pandemic's overwhelming impact on nursing homes in the United States and worldwide has been well-documented 1 . As of July 5, 2020, there had been 129,941 deaths from COVID-19 nationwide.…”

Section: Introductionmentioning

confidence: 99%

Relationship between nursing home COVID-19 outbreaks and staff neighborhood characteristics

Shen

2020

Preprint

View full text Add to dashboard Cite

The COVID-19 pandemic has taken a significant toll on nursing homes in the US, with upwards of a third of deaths occurring in nursing homes, and more in long-term care facilities. By combining data on facility-level COVID-19 deaths with facility-level data on the neighborhoods where nursing home staff reside for a sample of eighteen states, this paper finds that staff neighborhood characteristics are a large and significant predictor of COVID-19 outbreaks. One standard deviation increases in average staff tract population density, public transportation use, and non-white share were associated with 1.3 (SE .33), 1.4 (SE .35), and 0.9 (SE .24) additional deaths per 100 beds, respectively. These effects are larger than all facility management or quality variables, and larger than the effect of the nursing home's own neighborhood characteristics. These results suggest that staff communities are likely to be an important source of infection, and that disparities in nursing home outbreaks may be related to differences in the types of neighborhoods nursing home staff live in.

show abstract

COVID‐19 Deaths in Long‐Term Care Facilities: A Critical Piece of the Pandemic Puzzle

Cited by 66 publications

References 7 publications

Dementia prevention, intervention, and care: 2020 report of the Lancet Commission

Dementia prevention, intervention, and care: 2020 report of the Lancet Commission

COVID‐19 in Nursing Homes: Calming the Perfect Storm

Relationship between nursing home COVID-19 outbreaks and staff neighborhood characteristics

Contact Info

Product

Resources

About