ArticleBMC public health2018
How timely closure can reduce outbreak duration: gastroenteritis in care homes in North West England, 2012-2016.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of organisational characteristics of staff and facility on infectious disease outbreaks in care homes: a systematic review.BMC health services research · 2022Pooled it
- Environmental sampling for SARS-CoV-2 in long term care facilities: lessons from a pilot study.Wellcome open research · 2021Article
- What proportion of care home outbreaks are caused by norovirus? An analysis of viral causes of gastroenteritis outbreaks in care homes, North East England, 2016-2018.BMC infectious diseases · 2019Article
- Prospective cohort study to investigate the burden and transmission of acute gastroenteritis in care homes: epidemiological results.BMJ open · 2019Article
- Estimating the burden of care home gastroenteritis outbreaks in England, 2014-2016.BMC infectious diseases · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundData on outbreaks of infectious gastroenteritis in care homes have been collected using an internet-based surveillance system in North West England since 2012. We analysed the burden and characteristics of care home outbreaks to inform future public health decision-making.
methodsWe described characteristics of care homes and summary measures of the outbreaks such as attack rate, duration and pathogen identified. The primary analysis outcome was duration of closure following an outbreak. We used negative binomial regression to estimate Incidence Rate Ratios (IRR) and confidence intervals (CI) for each explanatory variable.
resultsWe recorded 795 outbreaks from 379 care homes (37.1 outbreaks per 100 care homes per year). In total 11,568 cases, 75 hospitalisations and 29 deaths were reported. Closure within three days of the first case (IRR = 0.442, 95%CI 0.366-0.534) was significantly associated with reduced duration of closure. The total size of the home (IRR = 1.426, 95%CI = 1.275-1.595) and the total attack rate (IRR = 1.434, 95%CI = 1.257-1.595) were significantly associated with increased duration of closure.
conclusionsCare homes that closed promptly had outbreaks of shorter duration. Care home providers, and those advising them on infection control, should aim to close homes quickly to prevent lengthy disruption to services.
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