Evidence map›Paper›PMID 33963849›Full record

ArticleAge and ageing2021

Care-home outbreaks of COVID-19 in Scotland March to May 2020: National linked data cohort analysis.

Jennifer Kirsty Burton, Megan McMinn, James E Vaughan, Jacques Fleuriot, Bruce Guthrie

Erratum issuedAbstract read
In one paragraph

Article in Age and ageing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  14. The impact of the COVID-19 pandemic on pharmacy personnel in primary care.Primary health care research & development · 2022
    Article
  15. Managing the Impact of COVID-19 in Nursing Homes and Long-Term Care Facilities: An Update.Journal of the American Medical Directors Association · 2022
    Article
  16. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Jennifer Kirsty BurtonInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow G31 2ER, UK.
Megan McMinnUsher Institute, University of Edinburgh, Edinburgh EH8 9AG, UK.
James E VaughanSchool of Informatics, University of Edinburgh, Edinburgh EH8 9AB, UK.
Jacques FleuriotSchool of Informatics, University of Edinburgh, Edinburgh EH8 9AB, UK.
Bruce GuthrieUsher Institute, University of Edinburgh, Edinburgh EH8 9AG, UK.

Funding

Chief Scientist Office PCL/21/01Minnesota Historical Society
6 · The paper itself

Abstract

backgroundunderstanding care-home outbreaks of COVID-19 is a key public health priority in the ongoing pandemic to help protect vulnerable residents.

objectiveto describe all outbreaks of COVID-19 infection in Scottish care-homes for older people between 01/03/2020 and 31/03/2020, with follow-up to 30/06/2020. DESIGN AND

settingNational linked data cohort analysis of Scottish care-homes for older people.

methodsdata linkage was used to identify outbreaks of COVID-19 in care-homes. Care-home characteristics associated with the presence of an outbreak were examined using logistic regression. Size of outbreaks was modelled using negative binomial regression.

results334 (41%) Scottish care-homes for older people experienced an outbreak, with heterogeneity in outbreak size (1-63 cases; median = 6) and duration (1-94 days, median = 31.5 days). Four distinct patterns of outbreak were identified: 'typical' (38% of outbreaks, mean 11.2 cases and 48 days duration), severe (11%, mean 29.7 cases and 60 days), contained (37%, mean 3.5 cases and 13 days) and late-onset (14%, mean 5.4 cases and 17 days). Risk of a COVID-19 outbreak increased with increasing care-home size (for ≥90 beds vs <20, adjusted OR = 55.4, 95% CI 15.0-251.7) and rising community prevalence (OR = 1.2 [1.0-1.4] per 100 cases/100,000 population increase). No routinely available care-home characteristic was associated with outbreak size.

conclusionsreducing community prevalence of COVID-19 infection is essential to protect those living in care-homes. More systematic national data collection to understand care-home residents and the homes in which they live is a priority in ensuring we can respond more effectively in future.

Indexed as

COVID-19AgedCohort StudiesDisease OutbreaksHumansNursing HomesSARS-CoV-2ScotlandSemantic Webcare-homeCoronavirusdata linkageolder peopleoutbreakSARS-CoV-2

Identifiers

PMID33963849
PMCPMC8136021

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LicenceCC BY-NC-ND
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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.