Evidence map›Paper›PMID 31818842›Full record

ArticleBMJ open2019

Prospective cohort study to investigate the burden and transmission of acute gastroenteritis in care homes: epidemiological results.

Thomas Inns, Anna Pulawska-Czub, John P Harris, Roberto Vivancos, Nicholas J Beeching, Miren Iturriza-Gomara, Sarah J O'Brien

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 82% of its field
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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

7 authors at 1 institution in 1 country.

Thomas InnsInstitute of Population Health Sciences, University of Liverpool, Liverpool, UK thomas.inns@liverpool.ac.uk.ORCID 0000-0002-1218-958X
Anna Pulawska-CzubNIHR Health Protection Research Unit in Gastrointestinal Infections, University of Liverpool, Liverpool, UK.
John P HarrisInstitute of Population Health Sciences, University of Liverpool, Liverpool, UK.
Roberto VivancosNIHR Health Protection Research Unit in Gastrointestinal Infections, University of Liverpool, Liverpool, UK.
Nicholas J BeechingNIHR Health Protection Research Unit in Gastrointestinal Infections, University of Liverpool, Liverpool, UK.
Miren Iturriza-GomaraNIHR Health Protection Research Unit in Gastrointestinal Infections, University of Liverpool, Liverpool, UK.
Sarah J O'BrienNIHR Health Protection Research Unit in Gastrointestinal Infections, University of Liverpool, Liverpool, UK.
University of Liverpool · GB

Funding

Department of Health
6 · The paper itself

Abstract

objectivesTo estimate the incidence of gastroenteritis in individuals in care homes.

designProspective cohort study.

settingFive participating care homes in North West England, UK.

participantsResidents and staff present at the five study care homes between 15 August 2017 and 30 May 2019 (n=268). OUTCOME MEASURES: We calculated incidence rates for all gastroenteritis cases per 1000 person-years at risk and per 1000 bed-days at risk. We also calculated the incidence rate of gastroenteritis outbreaks per 100 care homes per year.

resultsIn total 45 cases were reported during the surveillance period, equating to 133.7 cases per 1000 person-years at risk. In residents the incidence rate was 0.62 cases per 1000 bed-days. We observed seven outbreaks in all care homes included in surveillance, a rate of 76.4 outbreaks per 100 care homes per year. 15 stool samples were tested; three were positive for norovirus, no other pathogens were detected.

conclusionsWe found that surveillance of infectious gastroenteritis disease in care homes based on outbreaks, the current general approach, detected a majority of cases of gastroenteritis. However, if policymakers are to estimate the burden of infectious gastroenteritis in this setting using only routine outbreak surveillance data and not accounting for non-outbreak cases, this study implies that the total burden will be underestimated.

Indexed as

AgedAged, 80 and overDisease OutbreaksEnglandFemaleGastroenteritisHomes for the AgedHumansIncidenceMaleNursing HomesProspective Studiesepidemiologygastroenteritisnorovirusoutbreakssurveillanceviral gastroenteritis

Identifiers

PMID31818842
PMCPMC6924874
OpenAlexW2996054480

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.