ArticleJournal of the American Geriatrics Society2021
Partnering with Local Hospitals and Public Health to Manage COVID-19 Outbreaks in Nursing Homes.
Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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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
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Non-pharmacological measures implemented in the setting of long-term care facilities to prevent SARS-CoV-2 infections and their consequences: a rapid review.The Cochrane database of systematic reviews · 2021Pooled it
- Impact of a Collaboration-Focused Intervention to Prevent Healthcare-Associated Infections Before and During the COVID-19 Pandemic.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025Article
- [Recommendations on prevention and treatment of respiratory infections in institutionalised older people].Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025Review
- COVID-19 outbreak management in Western Sydney residential aged care homes: A mixed-methods Donabedian evaluation.PloS one · 2025Article
- Factors influencing long-term care facility performance during the COVID-19 pandemic: a scoping review.BMC health services research · 2024Article
- Post-acute sequelae of SARS-CoV-2 (PASC) in nursing home residents: A retrospective cohort study.Journal of the American Geriatrics Society · 2024Article
- Relative bed allocation for COVID-19 patients, EHR investments, and COVID-19 mortality outcomes.PloS one · 2023Article
- Managing the Impact of COVID-19 in Nursing Homes and Long-Term Care Facilities: An Update.Journal of the American Medical Directors Association · 2022Article
- Which factors are associated with COVID-19 infection incidence in care services for older people in Nordic countries? A cross-sectional survey.Scandinavian journal of public health · 2022Article
- Health impact of the first and second wave of COVID-19 and related restrictive measures among nursing home residents: a scoping review.BMC health services research · 2022Article
- Implementation of a national testing policy in Dutch nursing homes during SARS-CoV-2 outbreaks.Journal of the American Geriatrics Society · 2022Article
- Factors Associated With SARS-CoV-2 Attack Rates in Aged Care-A Meta-analysis.Open forum infectious diseases · 2022Article
- Coronavirus disease 2019 (COVID-19) research agenda for healthcare epidemiology.Infection control and hospital epidemiology · 2022Article
- Nursing homes during the COVID-19 pandemic: a scoping review of challenges and responses.European geriatric medicine · 2021Article
- Progression of the Pathway for Public Health Care during the COVID-19 Outbreak at District Health Office.International journal of environmental research and public health · 2021Article
- Protecting Nursing Homes and Long-Term Care Facilities From COVID-19: A Rapid Review of International Evidence.Journal of the American Medical Directors Association · 2021Review
- Everyday life in a Swedish nursing home during the COVID-19 pandemic: a qualitative interview study with persons 85 to 100 years.BMJ open · 2021Article
- SARS-CoV-2 in Nursing Homes after 3 Months of Serial, Facilitywide Point Prevalence Testing, Connecticut, USA.Emerging infectious diseases · 2021Review
- The Impact of the COVID-19 Pandemic on Scientific Publishing.Journal of the American Medical Directors Association · 2021Article
- Response to a massive SARS-CoV-2 infection in a nursing home transformed into a caring center.Aging clinical and experimental research · 2021Article
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Authors and funding
11 authors at 3 institutions in 1 country.
Funding
Abstract
BACKGROUND/
objectivesAlmost half of deaths related to COVID-19 in the United States are linked to nursing homes (NHs). We describe among short-term and long-term residents at three NHs in Michigan the outbreak identification process, universal testing, point prevalence of COVID-19, and subsequent containment efforts, outcomes, and challenges.
designOutbreak investigation.
settingThree NHs in southeast Michigan.
participantsAll residents (N = 215) at three NHs (total beds = 356) affiliated with a large academic healthcare system.
methodsUpon detection of confirmed cases within the facility, each NH in collaboration and consultation with local hospital, public health officials, and parent corporation implemented immediate facility-wide testing and the following intervention measures: cohorting of COVID-19 positive residents; communication regarding testing and results with residents, healthcare professionals, and families; personal protective equipment reeducation and use throughout facilities; and dedicated staffing for infected patients cohorted in a dedicated COVID-19 wing. We collected patient data regarding demographics, symptoms, comorbidities, hospitalization, and 14-day outcomes.
resultsA total of 29 cases of COVID-19 were identified at three participating NHs. Nineteen cases of COVID-19 were identified through symptom-triggered testing from March 23 to April 23, 2020; 10 (4.7%) additional cases were identified through universal testing of 215 residents conducted from April 7 to 15, 2020. The hospitalization rate was 37.9%. The case fatality rate was 20.7% (6/29); these patients had multiple comorbidities. No residents who tested positive through the point-prevalence survey required hospitalization, and five were discharged home within 14 days.
conclusionProactive and coordinated steps between NH medical directors and administrators, referral hospitals including their laboratories, and local public health officials are necessary to rapidly respond to an outbreak and limit the transmission of COVID-19. This coordinated public health approach may save lives, minimize the burden to the healthcare system, and reduce healthcare costs.
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Registered trials
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.