The experience of executing preventive measures to protect a nursing home in Taiwan from a COVID-19 outbreak

Huang, Chia-Yu; Kuo, Yu‐Hung; Chuang, Shu‐Ting; Yen, Hung-Rong; Tou, Sio-Ian

doi:10.1007/s41999-021-00459-7

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…Our study did not belong to any emergent or abundant medical issue, such as COVID-19 pandemic. 34 , 37 The time of our database is not the key obstacle to process our investigation. The claim data of NHIRD could not be validated, and the possible complications from coprescriptions were not disclosed.…”

Section: Discussionmentioning

confidence: 99%

Trends in Coprescription Among Taiwanese Children from 2002 to 2012

Tou,

Lin,

Huang

et al. 2023

JMDH

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Purpose Coprescription means that patients use different prescription medications at the same time, which can lead to polypharmacy and subsequent complications. In Taiwan, prescriptions can be ordered by Western physicians, traditional Chinese physicians and dentists. It is essential to disclose the trends in coprescription to prevent possible polypharmacy among children. Patients and Methods We used the Longitudinal Health Insurance Database 2000 in Taiwan. Children <18 years old who had coprescription from 2002 to 2012 are included. The odds ratio and 95% confidence interval are estimated by a logistic regression model to evaluate the correlation between basic characteristics and coprescription. Results A total of 44,801 children are included in the analysis. The numbers of children with coprescription and the numbers of coprescriptions ordered for children increased with calendar years. Children aged 3–5 year and 6–8 years constituted the majority of coprescriptions, while those aged <3 years constituted the minority of coprescriptions. Compared to those in the Western medication-alone group, aged 3–5 years and children who lived in central and southern Taiwan are more likely to have coprescription. Conclusion Coprescription among Taiwanese children is not uncommon. Healthcare providers, policymakers and parents should be aware of the real coprescription situation among the children.

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Section: Discussionmentioning

confidence: 99%

Trends in Coprescription Among Taiwanese Children from 2002 to 2012

Tou,

Lin,

Huang

et al. 2023

JMDH

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“…[40][41][42] To support the reshaped environment and mission, services have been reorganized and increased, but, probably due to the limited resources available, the increased ventilation and coordination between the environmental cleaning and disinfection was enacted only in a few NHs, despite their relevance. 21,25,27 Nurses have been invited to also increase the standards of care by undertaking more checks/monitoring of the residents', not only to measure their vital signs but also to detect early changes 22,41,42 by using news tools and their clinical judgement and their deeper knowledge of the personal and clinical history of each resident. However, given the lack of nurses and the increased needs, ensuring higher standards of monitorization might have led to missed care in some fundamental needs (eg, help with eating and hygiene).…”

Section: Dovepressmentioning

confidence: 99%

What Kind of Interventions Were Perceived as Effective Against Coronavirus-19 in Nursing Homes in Italy? A Descriptive Qualitative Study

Palese¹,

Chiappinotto²,

Peghin³

et al. 2022

RMHP

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Purpose To identify interventions implemented during the first, second and third waves of the Coronavirus disease 2019 (COVID-19) among Italian Nursing Homes (NHs). Patients and Methods A descriptive qualitative design according to COnsolidated criteria for REporting Qualitative (COREQ) guideline. A purposeful sample of five public NHs, located in the north-east of Italy, equipped with from 60 to 151 beds, participated. Six nurse managers, four clinical nurses and one NH director were interviewed in depth at the end of 2021. These interviews were audio-recorded and then transcribed verbatim. A qualitative content analysis was performed to identify effective interventions as perceived by participants to protect facilities and residents from the pandemic. Results Three main sets of interventions have been applied, at the environmental, nurse staff and at the resident levels. Some have been enacted in all facilities, others in a few but in a homogeneous fashion, while other interventions have been implemented in some NHs also in contrast with available national or local recommendations. Conclusion Despite their documented frailty and precarious system, NHs implemented several interventions to protect their residents from the COVID-19. All interventions have been designed and implemented during the event, suggesting the need to increase the NHs’ preparedness to face future disasters. Regarding those interventions enacted in contrast to the recommendations or not homogeneously across NHs, future investigations are suggested to assess their actual effectiveness and accumulate evidence for the future.

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“…But, different complaints, comorbidities and acceptance of patients could contribute to variable prescriptions of acupuncture. A retrospective study through realworld data could not offer the causal relation between acupuncture intervention and outcomes or collect adequate number of participants with same treatment course for analysis 52.…”

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confidence: 99%

Acupuncture Treatment Reduced the Risk of Coronary Heart Disease in Patients with Depression: A Propensity-Score Matched Cohort Study

Huang

Sun

et al. 2021

NDT

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Background: Major depressive disorder is a significant public health concern, which often leads to loss of productivity, functional decline, and various complications. The aim of this study was to investigate the effectiveness of acupuncture in the risk reduction of coronary heart disease (CHD) in patients with depression. Methods: We enrolled patients diagnosed with depression between January 1, 1997, and December 31, 2010, through the Taiwanese National Health Insurance Research Database (NHIRD). Propensity score was used to match equal numbers (n=14,647) of acupuncture cohort and no-acupuncture cohort based on characteristics including sex, age, baseline comorbidity and medication. Patients were followed up until December 31, 2013, or withdrawn from the NHIRD. The Cox regression model was used to compare the hazard ratios (HRs) of CHD in the two cohorts. Results: The basic characteristics of the two groups were similar. A lower cumulative incidence of CHD was noted in the acupuncture cohort (Log rank test, p < 0.001). Over time, 1626 patients in the acupuncture cohort (21.05 per 1000 person-years) and 2412 patients in the no-acupuncture cohort (39.84 per 1000 person-years) developed CHD (adjusted HR=0.50, 95% CI 0.47-0.53). The decreased CHD incidence was independent of age, sex, comorbidities, and medications used. The cumulative incidence of CHD was significantly lower in the acupuncture cohort than in the no-acupuncture cohort (Log rank test, p<0.001). Conclusion:The results provided a real-world evidence that acupuncture may have beneficial effect on CHD risk reduction in patients with depression.

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The experience of executing preventive measures to protect a nursing home in Taiwan from a COVID-19 outbreak

Cited by 5 publications

References 14 publications

Trends in Coprescription Among Taiwanese Children from 2002 to 2012

Trends in Coprescription Among Taiwanese Children from 2002 to 2012

What Kind of Interventions Were Perceived as Effective Against Coronavirus-19 in Nursing Homes in Italy? A Descriptive Qualitative Study

Acupuncture Treatment Reduced the Risk of Coronary Heart Disease in Patients with Depression: A Propensity-Score Matched Cohort Study

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