ArticleAging clinical and experimental research2021
Caring for nursing home residents with COVID-19: a "hospital-at-nursing home" intermediate care intervention.
Article in Aging clinical and experimental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 20 citations in OpenAlex.
- Communication strategies amongst healthcare professionals, patients and caregivers in Hospital-at-Home Admission Avoidance models for acutely ill older adults: a scoping review.European geriatric medicine · 2026Review
- Integrating comprehensive geriatric care into emergency departments: the GIROT-ED model.Internal and emergency medicine · 2026Article
- Hospital at home for older patients with heart failure: an observational study of the GIROT experience.European geriatric medicine · 2026Observational
- Nurses' Ethical Competence, Perceived Ethical Climate and Stereotypes of Older Adults: A Cross Sectional Survey.International journal of older people nursing · 2026Article
- SARS-CoV-2 breakthrough infection incidence, risk factors, and antibody correlates in Belgian nursing homes residents and staff (2021-2022).Archives of public health = Archives belges de sante publique · 2026Article
- Perceptions of nursing home staff, residents and relatives on the quality of person-centered care in Spain nursing homes across the COVID-19 Pandemic.BMC geriatrics · 2026Article
- Hospital at home for older frequent hospital users: present and future of a healthcare challenge.Aging clinical and experimental research · 2026Article
- Extending Hospital-at-Home to nursing homes: findings from a novel care model in Singapore.Frontiers in public health · 2025Article
- Factors influencing long-term care facility performance during the COVID-19 pandemic: a scoping review.BMC health services research · 2024Article
- The Multidisciplinary Mobile Unit (MMU) Program Bringing Hospital Specialist Geriatric Competencies at Home: A Feasible Alternative to Admission in Older Patients with Urgent Complaints.Journal of clinical medicine · 2024Article
- Article
- Sustainability in Internal Medicine: A Year-Long Ward-Wide Observational Study.Journal of personalized medicine · 2024Article
- Implementation of community physiotherapy in primary care: one-year results of an on-call physiotherapy service.Archives of physiotherapy · 2023Article
- Integrated Care Models for Long Coronavirus Disease.Physical medicine and rehabilitation clinics of North America · 2023Review
- Impact of SARS-CoV2 infection on mortality and hospitalization in nursing home residents during the "Omicron era".Aging clinical and experimental research · 2023Article
- Long-term effects of SARS-CoV-2 vaccination in the nursing home setting.Journal of the American Geriatrics Society · 2022Article
- What Kind of Interventions Were Perceived as Effective Against Coronavirus-19 in Nursing Homes in Italy? A Descriptive Qualitative Study.Risk management and healthcare policy · 2022Article
- Course and Lethality of SARS-CoV-2 Epidemic in Nursing Homes after Vaccination in Florence, Italy.Vaccines · 2021Article
Corrections and comments
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Authors and funding
31 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNursing home (NH) residents have been dramatically affected by COVID-19, with extremely high rates of hospitalization and mortality.
aimsTo describe the features and impact of an assistance model involving an intermediate care mobile medical specialist team (GIROT, Gruppo Intervento Rapido Ospedale Territorio) aimed at delivering "hospital-at-nursing home" care to NH residents with COVID-19 in Florence, Italy.
methodsThe GIROT activity was set-up during the first wave of the pandemic (W1, March-April 2020) and became a structured healthcare model during the second (W2, October 2020-January 2021). The activity involved (1) infection transmission control among NHs residents and staff, (2) comprehensive geriatric assessment including prognostication and geriatric syndromes management, (3) on-site diagnostic assessment and protocol-based treatment of COVID-19, (4) supply of nursing personnel to understaffed NHs. To estimate the impact of the GIROT intervention, we reported hospitalization and infection lethality rates recorded in SARS-CoV-2-positive NH residents during W1 and W2.
resultsThe GIROT activity involved 21 NHs (1159 residents) and 43 NHs (2448 residents) during W1 and W2, respectively. The percentage of infected residents was higher in W2 than in W1 (64.5% vs. 38.8%), while both hospitalization and lethality rates significantly decreased in W2 compared to W1 (10.1% vs 58.2% and 23.4% vs 31.1%, respectively). DISCUSSION: Potentiating on-site care in the NHs paralleled a decrease of hospital admissions with no increase of lethality.
conclusionsAn innovative "hospital-at-nursing home" patient-centred care model based on comprehensive geriatric assessment may provide a valuable contribution in fighting COVID-19 in NH residents.
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