ArticleJournal of the American Medical Directors Association2021
The Adverse Effects of the COVID-19 Pandemic on Nursing Home Resident Well-Being.
Article in Journal of the American Medical Directors Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
71 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Changes in Federal and State Policies on Visitation Restrictions in Nursing Homes During the COVID-19 Pandemic.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Pooled it
- Respiratory Outbreak Mitigation With Point-of-Care Testing in Long-Term Care: A Randomized Clinical Trial.JAMA internal medicine · 2026Trial
- Preparedness for care transitions to home and acute care use of skilled nursing facility patients.BMC geriatrics · 2025Trial
- Implementation of COVID-19 infection control best practices in nursing homes amid the pandemic.BMC health services research · 2024Trial
- Trial
- Connect-Home transitional care from skilled nursing facilities to home: A stepped wedge, cluster randomized trial.Journal of the American Geriatrics Society · 2023Trial
- Trial
- Impact of COVID-19 Lockdown on Depressive and Behavioral Symptoms in US Nursing Home Residents.Journal of the American Medical Directors Association · 2026Article
- Crisis management and relational work in Swiss nursing homes during COVID-19: a qualitative multistakeholder study.BMJ public health · 2026Article
- Depressive Symptoms Before and During the COVID-19 Pandemic in Veteran Nursing Home Residents.International journal of geriatric psychiatry · 2025Article
- Article
- Prevalence of loneliness and social isolation among individuals with mild cognitive impairment or dementia: systematic review and meta-analysis.BJPsych open · 2025Review
- Health, functioning and social engagement among older people living in long-term care facilities during the COVID-19 lockdown in Finland: a register-based cohort study.BMC public health · 2025Article
- Exploring the Experiences of LTCF Staff in Implementing Visitation Policies in England During the COVID-19 Pandemic.International journal of environmental research and public health · 2025Article
- Association between strategies to prevent COVID-19 infection in long-term care facilities and mortality: the PIANO-COVID-19 study, a French multicentre cohort study.BMJ public health · 2025Article
- COVID-19 outbreak management in Western Sydney residential aged care homes: A mixed-methods Donabedian evaluation.PloS one · 2025Article
- Taking Action to Support Nursing Home Resident Well-Being: Perspectives of U.S. Nursing Home Staff During COVID-19.The Gerontologist · 2024Article
- Healthy ageing in long-term care? Lessons learned from the COVID-19 pandemic: a position paper.Primary health care research & development · 2024Article
- Exploring the Impact of COVID-19 Restrictions on Nursing Home Residents', Families', and Staff's Perceptions of Bioethical Principles: A Qualitative Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- All-cause nursing home mortality rates have remained above pre-pandemic levels after accounting for decline in occupancy.Health affairs scholar · 2024Article
11 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveQuantify the effects of the COVID-19 pandemic on nursing home resident well-being.
designQuantitative analysis of resident-level assessment data. SETTING AND
participantsLong-stay residents living in Connecticut nursing homes.
methodsWe used Minimum Data Set assessments to measure nursing home resident outcomes observed in each week between March and July 2020 for long-stay residents (eg, those in the nursing home for at least 100 days) who lived in a nursing home at the beginning of the pandemic. We compared outcomes to those observed at the beginning of the pandemic, controlling for both resident characteristics and patterns for outcomes observed in 2017-2019.
resultsWe found that nursing home resident outcomes worsened on a broad array of measures. The prevalence of depressive symptoms increased by 6 percentage points relative to before the pandemic in the beginning of March-representing a 15% increase. The share of residents with unplanned substantial weight loss also increased by 6 percentage points relative to the beginning of March-representing a 150% increase. We also found significant increases in episodes of incontinence (4 percentage points) and significant reductions in cognitive functioning. Our findings suggest that loneliness and isolation play an important role. Though unplanned substantial weight loss was greatest for those who contracted COVID-19 (about 10% of residents observed in each week), residents who did not contract COVID-19 also physically deteriorated (about 7.5% of residents in each week). CONCLUSIONS AND IMPLICATIONS: These analyses show that the pandemic had substantial impacts on nursing home residents beyond what can be quantified by cases and deaths, adversely affecting the physical and emotional well-being of residents. Future policy changes to limit the spread of COVID-19 or other infectious disease outbreaks should consider any additional costs beyond the direct effects of morbidity and mortality due to COVID-19.
Indexed as
Identifiers
What OpenQuestion holds
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.