Evidence map›Paper›PMID 38342752›Full record

Observational studyAge and ageing2024

Analysis of the impact of COVID-19 on Scotland's care-homes from March 2020 to October 2021: national linked data cohort analysis.

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

Abstract readObservational Study
In one paragraph

Observational study in Age and ageing, 2024. 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Jennifer Kirsty BurtonAcademic Geriatric Medicine, School of Cardiovascular and Metabolic Health, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow Royal Infirmary, GlasgowG31 2ER, UK.
Megan McMinnPublic Health Scotland, Glasgow G2 6QE, UK.
James E VaughanSchool of Informatics, University of Edinburgh, Edinburgh EH8 9AB, UK.
Glenna NightingaleNursing Studies, School of Health in Social Science, University of Edinburgh, Edinburgh EH8 9AB, UK.
Jacques FleuriotUsher Institute, University of Edinburgh, Edinburgh EH8 9AG, UK.
Bruce GuthrieAdvanced Care Research Centre, Usher Institute, University of Edinburgh, Edinburgh EH8 9AG, UK.ORCID 0000-0003-4191-4880

Funding

Chief Scientist Office Postdoctoral Clinical Lectureship PCL/21/01Social Care and Mental Health Directorate in Scottish Government
6 · The paper itself

Abstract

backgroundThe impact of the COVID-19 pandemic on long-term care residents remains of wide interest, but most analyses focus on the initial wave of infections.

objectiveTo examine change over time in: (i) The size, duration, classification and pattern of care-home outbreaks of COVID-19 and associated mortality and (ii) characteristics associated with an outbreak.

designRetrospective observational cohort study using routinely-collected data.

settingAll adult care-homes in Scotland (1,092 homes, 41,299 places).

methodsAnalysis was undertaken at care-home level, over three periods. Period (P)1 01/03/2020-31/08/2020; P2 01/09/2020-31/05/2021 and P3 01/06/2021-31/10/2021. Outcomes were the presence and characteristics of outbreaks and mortality within the care-home. Cluster analysis was used to compare the pattern of outbreaks. Logistic regression examined care-home characteristics associated with outbreaks.

resultsIn total 296 (27.1%) care-homes had one outbreak, 220 (20.1%) had two, 91 (8.3%) had three, and 68 (6.2%) had four or more. There were 1,313 outbreaks involving residents: 431 outbreaks in P1, 559 in P2 and 323 in P3. The COVID-19 mortality rate per 1,000 beds fell from 45.8 in P1, to 29.3 in P2, and 3.5 in P3. Larger care-homes were much more likely to have an outbreak, but associations between size and outbreaks were weaker in later periods.

conclusionsCOVID-19 mitigation measures appear to have been beneficial, although the impact on residents remained severe until early 2021. Care-home residents, staff, relatives and providers are critical groups for consideration and involvement in future pandemic planning.

Indexed as

COVID-19Cohort StudiesHumansNursing HomesPandemicsRetrospective StudiesSemantic Webcare-homesCOVID-19data linkageepidemiologylong-term careolder people

Identifiers

PMID38342752
PMCPMC10859243

What OpenQuestion holds

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LicenceCC BY
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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.