ArticleOpen forum infectious diseases2019
Long-term Care Facility Variation in the Incidence of Pneumonia and Influenza.
Article in Open forum infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Assessing the representativeness of cluster randomized trials: Evidence from two large pragmatic trials in United States nursing homes.Clinical trials (London, England) · 2023Article
- The impact of respiratory infections and probiotic use on the nasal microbiota of frail residents in long-term care homes.ERJ open research · 2023Article
- Impact of COVID-19 on influenza and infection control practices in nursing homes.Journal of the American Geriatrics Society · 2023Article
- Correlation of long-term care facility vaccination practices between seasons and resident types.BMC geriatrics · 2022Article
- Article
- Geographic variation in influenza vaccination among U.S. nursing home residents: A national study.Journal of the American Geriatrics Society · 2021Article
- Estimated Cardiorespiratory Hospitalizations Attributable to Influenza and Respiratory Syncytial Virus Among Long-term Care Facility Residents.JAMA network open · 2021Article
- The association between nurses' burnout and objective care quality indicators: a cross-sectional survey in long-term care wards.BMC nursing · 2021Article
- Geographic Variation in Pneumonia and Influenza in Long-Term Care Facilities: A National Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020Article
- Risk factors for pneumonia and influenza hospitalizations in long-term care facility residents: a retrospective cohort study.BMC geriatrics · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPneumonia and influenza (P&I) increase morbidity and mortality among older adults, especially those residing in long-term care facilities (LTCFs). Facility-level characteristics may affect the risk of P&I beyond resident-level risk factors. However, the relationship between facility characteristics and P&I is poorly understood. To address this, we identified potentially modifiable facility-level characteristics that influence the incidence of P&I across LTCFs.
methodsWe conducted a retrospective cohort study using 2013-2015 Medicare claims linked to Minimum Data Set and LTCF-level data. Short-stay (<100 days) and long-stay (100+ days) LTCF residents were followed for the first occurrence of hospitalization, LTCF discharge, Medicare disenrollment, or death. We calculated LTCF risk-standardized incidence rates (RSIRs) per 100 person-years for P&I hospitalizations by adjusting for over 30 resident-level demographic and clinical covariates using hierarchical logistic regression.
resultsWe included 1 767 241 short-stay (13 683 LTCFs) and 922 863 long-stay residents (14 495 LTCFs). LTCFs with lower RSIRs had more licensed independent practitioners (nurse practitioners or physician assistants) among short-stay (44.9% vs 41.6%,
conclusionsLTCF characteristics may play an important role in preventing P&I hospitalizations. Hiring more registered nurses and licensed independent practitioners, increasing staffing hours, and higher-quality care practices may be modifiable means of reducing P&I in LTCFs.
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