Evidence map›Paper›PMID 35831994›Full record

ArticleHERD2022

Nursing Home Adoption of CDC and ASHRAE COVID-19 Built Environment Recommendations: A Characterization Study of Colorado Nursing Home Facilities.

Cedra Goldman, Christopher Czaja, X J Ethan Moses, Mike Van Dyke

Open access · greenAbstract read
In one paragraph

Article in HERD, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 24% of its field
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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

4 authors at 2 institutions in 1 country.

Cedra GoldmanThe Colorado School of Public Health, Denver, CO, USA.ORCID 0000-0001-6536-214X
Christopher CzajaColorado Department of Public Health and Environment, Denver, CO, USA.
X J Ethan MosesDepartment of Environmental and Occupational Health Colorado School of Public Health, CU Anschutz Medical Campus, Aurora, CO, USA.
Mike Van DykeThe Colorado School of Public Health, Denver, CO, USA.
Colorado School of Public Health · USColorado Department of Public Health and Environment · US

Funding

Rocky Mountain Center for Total Worker HealthU19OH011227 · OH · UNIVERSITY OF COLORADO DENVER · PI NEWMAN, LEE S · 2016 to 2025
$11.3M
NIOSH CDC HHS U19 OH011227
6 · The paper itself

Abstract

backgroundDuring the COVID-19 pandemic, the Centers for Disease Control and Prevention (CDC) and ASHRAE provided infection control recommendations for the built environments and ventilation systems of nursing homes (NHs). The level of adoption of the suggested strategies is unknown, as little information has been obtained from NHs identifying the strategies that were implemented.

objectiveThe primary goal of our study was to characterize the built environments of Colorado NHs during the COVID-19 pandemic to assess the level of adoption of CDC and ASHRAE recommendations. Our secondary goal was to identify opportunities and barriers that NHs face as they work to create health-protective built environments in the future.

methodWe used the Nursing Home Built Environment survey to obtain data related to three main categories of CDC and ASHRAE recommendation for Colorado NHs: Resident Isolation, Improved Indoor Air Quality, and Staff Separation/Support.

resultsKey findings included: (1) On average, NHs had 34% of their beds located in single-occupancy rooms; (2) seven (9%) NHs had designated COVID-positive "neighborhoods"; (3) 14 (20%) NHs had common area ventilation systems that were utilizing filters with a minimum efficiency reporting value 13 rating, or higher.

conclusionMost Colorado NHs did not fully implement the COVID-19 built environment strategies recommended by CDC and ASHRAE. While there are barriers to the adoption of many of the strategies, there are also opportunities for immediate improvements that can support the health of vulnerable NH populations as we continue to see high rates of aerosolized infectious disease spread in NH facilities.

Indexed as

COVID-19Built EnvironmentCenters for Disease Control and Prevention, U.S.ColoradoHumansNursing HomesPandemicsUnited Statesbuilt environmentCOVIDlong-term carenursing homeventilation

Identifiers

PMID35831994
PMCPMC10239076
OpenAlexW4285392453

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.