Evidence map›Paper›PMID 40301788›Full record

ArticleBMC infectious diseases2025

An agent-based model to assess the impact of shared staff and occupancy rate on infectious disease burden in nursing homes.

Kiel Corkran, Jose Pablo Gómez-Vázquez, Arash Arjmand, Miriam Nuño, Majid Bani-Yaghoub

Abstract read
In one paragraph

Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Kiel CorkranDivision of Computing, Analytics and Mathematics, School of Science and Engineering, University of Missouri-Kansas City, Kansas City, MO, 64110, USA.
Jose Pablo Gómez-VázquezDepartment of Veterinary Medicine and Epidemiology, University of California Davis, Davis, CA, 95616, USA.
Arash ArjmandDivision of Computing, Analytics and Mathematics, School of Science and Engineering, University of Missouri-Kansas City, Kansas City, MO, 64110, USA.
Miriam NuñoDepartment of Public Health Sciences, University of California Davis, Davis, CA, 95616, USA.
Majid Bani-YaghoubDivision of Computing, Analytics and Mathematics, School of Science and Engineering, University of Missouri-Kansas City, Kansas City, MO, 64110, USA. baniyaghoubm@umkc.edu.

Funding

NCEZID CDC HHS U01 CK000671
6 · The paper itself

Abstract

Infectious diseases can propagate between nursing homes through asymptomatic staff members who are employed at multiple facilities. However, the transmission dynamics of infections, both within individual nursing homes and across facilities, has been less investigated. To fill this gap, we developed an agent-based model of two nursing homes extendible to a network of n nursing homes connected with different percentages of shared staff. Focusing on the outbreaks of COVID-19 in U.S. nursing homes, we calibrated the model according to the COVID-19 prevalence data and estimated levels of shared staff for each State. The model simulations indicate that reducing the percentage of shared staff below 5% plays a significant role in controlling the spread of infection from one nursing home to another through personal protective equipment usage, rapid testing, and vaccination. As the percentage of shared staff increases to more than 30%, these measures become less effective, and the mean prevalence of infection reaches a steady state in both nursing homes. The hazard ratios for infection and mortality indicate that nursing homes with higher occupancy rates are more significantly affected by increased staff-sharing percentages. In conclusion, the burden of infection significantly increases with greater staff sharing between nursing homes, particularly in high-occupancy facilities, where transmission dynamics are amplified due to greater resident density and staff interactions.

Indexed as

COVID-19Health PersonnelNursing HomesHumansInfection ControlPersonal Protective EquipmentPrevalenceSARS-CoV-2United StatesAgent-based modelCOVID-19GAMAInfectionNursing homeShared staff

Identifiers

PMID40301788
PMCPMC12042513

What OpenQuestion holds

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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.