Evidence map›Paper›PMID 33984137›Full record

ArticleAge and ageing2021

COVID-19 point-of-care testing in care homes: what are the lessons for policy and practice?

Peter Buckle, Massimo Micocci, John Tulloch, Patrick Kierkegaard, Paula Parvulescu, Carl Thompson, Karen Spilsbury, A Joy Allen, Richard Body, Gail Hayward and 2 more

Abstract 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. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. 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

12 authors.

Peter BuckleNIHR London In-Vitro Diagnostics Cooperative, Imperial College London, London, UK.
Massimo MicocciNIHR London In-Vitro Diagnostics Cooperative, Imperial College London, London, UK.
John TullochInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
Patrick KierkegaardNIHR London In-Vitro Diagnostics Cooperative, Imperial College London, London, UK.
Paula ParvulescuDepartment of Public Health, Liverpool City Council, Liverpool, UK.
Carl ThompsonSchool of Healthcare, Faculty of Medicine and Health, University of Leeds, Leeds, UK.
Karen SpilsburySchool of Healthcare, Faculty of Medicine and Health, University of Leeds, Leeds, UK.
A Joy AllenNIHR Newcastle In Vitro Diagnostics Co-operative, Newcastle University, Newcastle upon Tyne, UK.
Richard BodyDivision of Cardiovascular Science, The University of Manchester, Manchester, UK.
Gail HaywardNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Iain BuchanInstitute of Population Health, University of Liverpool, Liverpool, UK.
Adam L GordonSchool of Medicine, University of Nottingham, Nottingham, UK.

Funding

British Lung FoundationDepartment of Health and Social CareNational Institute for Health Research
6 · The paper itself

Abstract

COVID-19 has devastated care homes. Point-of-care tests (POCTs), mainly using lateral flow devices (LFDs), have been deployed hurriedly without much consideration of their usability or impact on care workflow. Even after the pandemic, POCTs, particularly multiplex tests, may be an important control against spread of SARS-CoV-2 and other respiratory infections in care homes by enabling identification of cases. They should not, however, replace other infection control measures such as barrier methods and quarantine. Adherence to LFDs as implemented among care home staff is suboptimal. Other tests-such as point-of-care polymerase chain reaction and automated antigen tests-would also need to be accommodated into care home workflows to improve adherence. The up-front costs of POCTs are straightforward but additional costs, including staffing preparation and reporting processes and the impacts of false positive and negative tests on absence rates and infection days, are more complex and as yet unquantified. A detailed appraisal is needed as the future of testing in care homes is considered.

Indexed as

COVID-19HumansPandemicsPoint-of-Care TestingPolicySARS-CoV-2care homesCOVID-19nursing homesolder peoplepoint-of-care testing

Identifiers

PMID33984137
PMCPMC8194678

What OpenQuestion holds

Textmetadata
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.