Evidence map›Paper›PMID 40431636›Full record

ArticleViruses2025

The COVID-19 Infection Did Not Aggravate the Mortality of Long-Term Care Facility Residents Under Strict Infection Control and with Immediate Anti-Viral Treatment: Real-World Analysis.

Hideyasu Shimizu, Jin Kawase, Yuko Higashi, Hiroyuki Nabeno, Masamichi Hayashi, Kazuyoshi Imaizumi, Yuji Ito, Masaaki Matsunaga, Mitsushi Okazawa

Abstract read
In one paragraph

Article in Viruses, 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

9 authors.

Hideyasu ShimizuDepartment of Medicine, Toshiwakai Clinic, Nagoya 460-0022, Japan.ORCID 0000-0002-3833-7157
Jin KawaseDepartment of Surgery, Toshiwakai Clinic, Nagoya 460-0022, Japan.
Yuko HigashiDepartment of Nursing, Toshiwakai Clinic, Nagoya 460-0022, Japan.
Hiroyuki NabenoDepartment of Nursing, Toshiwakai Clinic, Nagoya 460-0022, Japan.
Masamichi HayashiDepartment of Respiratory Medicine, Fujita Health University School of Medicine, Okazaki Medical Center, Okazaki 444-0827, Japan.
Kazuyoshi ImaizumiDepartment of Respiratory Medicine, Fujita Health University School of Medicine, Toyoake 470-1192, Japan.
Yuji ItoDepartment of Respiratory Medicine, Daiyukai General Hospital, Daiyukai Health System, Ichinomiya 491-8551, Japan.
Masaaki MatsunagaDepartment of Public Health, Fujita Health University School of Medicine, Toyoake 470-1192, Japan.ORCID 0000-0001-7942-1446
Mitsushi OkazawaDepartment of Respiratory Medicine, Fujita Health University School of Medicine, Toyoake 470-1192, Japan.ORCID 0000-0001-6530-891X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term care facilities (LTCFs) remain highly vulnerable to COVID-19. Despite reduced virulence, Omicron's high transmissibility poses ongoing risks. The effect of infection under strict control measures and early antiviral treatment remains unclear.

methodsWe conducted a retrospective cohort study in a 450-bed LTCF, which implemented rigorous infection control and early antiviral use, evaluating survival outcomes during repeated Omicron outbreaks from January 2022 to December 2023 using Cox regression with time-dependent covariates, adjusted for age, sex, comorbidities, and vaccination status. Mortality trends were also compared across three periods: pre-COVID-19 (2018-2019), COVID-19 present in Japan but absent in our facility (2020-2021), and the Omicron outbreak period (2022-2023).

resultsAmong 623 residents, 253 were infected. Mortality was lower in the infected group than in the uninfected group (16% vs. 26%), and infection was not significantly associated with increased mortality (HR = 1.36; 95% CI: 0.91-2.04;

conclusionsIn LTCFs with rigorous infection control and early antiviral use, Omicron infection did not raise mortality. Enhanced protocols may have improved survival, even among uninfected residents.

Indexed as

Antiviral AgentsCOVID-19Infection ControlLong-Term CareAgedAged, 80 and overFemaleHumansJapanMaleMiddle AgedRetrospective StudiesSARS-CoV-2Antiviral AgentsCOVID-19long-term care facility (LTCF)Omicron variantSARS-CoV-2survival curve

Identifiers

PMID40431636
PMCPMC12115418

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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.