Evidence map›Paper›PMID 30611217›Full record

ArticleBMC infectious diseases2019

Estimating the burden of care home gastroenteritis outbreaks in England, 2014-2016.

Thomas Inns, Helen E Clough, John P Harris, Roberto Vivancos, Natalie Adams, Sarah J O'Brien

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Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Thomas InnsInstitute of Psychology, Health and Society, University of Liverpool, Liverpool, UK. thomas.inns@liverpool.ac.uk.ORCID http://orcid.org/0000-0002-1218-958X
Helen E CloughInstitute of Psychology, Health and Society, University of Liverpool, Liverpool, UK.
John P HarrisInstitute of Psychology, Health and Society, University of Liverpool, Liverpool, UK.
Roberto VivancosNIHR Health Protection Research Unit in Gastrointestinal Infections, University of Liverpool, Liverpool, UK.
Natalie AdamsNational Infection Service, Public Health England, London, UK.
Sarah J O'BrienInstitute of Psychology, Health and Society, University of Liverpool, Liverpool, UK.

Funding

National Institute for Health Research Health Protection Research Unit in Gastrointestinal Infections
6 · The paper itself

Abstract

backgroundOutbreaks of infectious gastroenteritis in care homes are common, with norovirus a frequent cause. In England there is no co-ordinated national surveillance system. We aimed to estimate the burden of these outbreaks.

methodsUsing a generalised linear mixed effects regression model we described the relationship between the observed number of care home outbreaks and covariates. Estimated model parameters were used to infer uplift in the number of outbreaks expected if all areas were subjected to enhanced surveillance. From this we then estimated the total burden of care home gastroenteritis outbreaks in this period.

resultsWe estimated a total of 14,146 care home gastroenteritis outbreaks in England during 2014-2016; this is 47% higher than the reported total and a rate of 32.4 outbreaks per 100 care homes per year. The median number of outbreaks from the model estimates was 31 (IQR 20-46) compared to 19 (IQR 12-34) reported from routine surveillance.

conclusionsThis estimated care home gastroenteritis burden in England indicates that current surveillance substantially underestimates the number of outbreaks, by almost half. Improving this surveillance could provide better epidemiological knowledge of the burden of norovirus to inform public health policy, particularly with the advent of norovirus vaccines.

Indexed as

AgedAged, 80 and overCaliciviridae InfectionsChildChild, PreschoolDisease OutbreaksEnglandGastroenteritisHospitalizationHumansInfantInfant, NewbornNorovirusNursing HomesPopulation SurveillanceResidence CharacteristicsGastroenteritis: Care homesNorovirusOutbreaksSurveillance

Identifiers

PMID30611217
PMCPMC6321657

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.