Evidence map›Paper›PMID 33392429›Full record

ArticleAging medicine (Milton (N.S.W))2020

Atypical presentations of COVID-19 in care home residents presenting to secondary care: A UK single centre study.

Mark James Rawle, Deborah Lee Bertfield, Simon Edward Brill

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Aging medicine (Milton (N.S.W)), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 6 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

22 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  11. Managing the Impact of COVID-19 in Nursing Homes and Long-Term Care Facilities: An Update.Journal of the American Medical Directors Association · 2022
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  13. Delirium in Nursing Home Residents: A Narrative Review.Healthcare (Basel, Switzerland) · 2022
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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

3 authors.

Mark James RawleDepartment of Geriatric Medicine Barnet Hospital Royal Free London NHS Foundation Trust London UK.ORCID https://orcid.org/0000-0002-2831-6993
Deborah Lee BertfieldDepartment of Geriatric Medicine Barnet Hospital Royal Free London NHS Foundation Trust London UK.
Simon Edward BrillDepartment of Respiratory Medicine Barnet Hospital Royal Free London NHS Foundation Trust London UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtypical presentations of COVID-19 pose difficulties for early isolation and treatment, particularly in institutional care settings. We aimed to characterize the presenting symptoms and associated mortality of COVID-19 in older adults, focusing on care home residents admitted to secondary care.

methodsA retrospective cohort study of 134 consecutive inpatients over 80 years old hospitalized with PCR confirmed COVID-19 in the United Kingdom. Symptoms at presentation and frailty were analysed. Differences between community dwelling and care home residents, and associations with mortality, were assessed using between-group comparisons and logistic regression.

resultsCare home residents were less likely to experience cough (46.9% vs 72.9%,

conclusionCOVID-19 in older adults often presents with atypical symptoms, particularly in those admitted from institutional care. These individuals have a reduced incidence of cough and increased hypoactive delirium. Individuals presenting atypically, especially with anorexia, have higher mortality.

Indexed as

coronavirusdeliriumfrailtynursing homeresidential homesymptoms

Identifiers

PMID33392429
PMCPMC7771562

What OpenQuestion holds

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Registered trials

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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.