Analysis of the impact of COVID-19 on Scotland's care-homes from March 2020 to October 2021: national linked data cohort analysis.
Background The 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. Objective To examine change over time in: (i) The size, duration, classification and pattern of care-home outbreaks of COVID-19 and associat...
| Publicado en: | Age & Ageing Vol. 53; no. 2; pp. 1 - 13 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Feb2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=175800460&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 175800460 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Feb2024 vid: 53 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 175800460 10.1093/ageing/afae015 ppf: 1 ppct: 12 formats: tig: atl: Analysis of the impact of COVID-19 on Scotland's care-homes from March 2020 to October 2021: national linked data cohort analysis. aug: au: Burton, Jennifer Kirsty McMinn, Megan Vaughan, James E Nightingale, Glenna Fleuriot, Jacques Guthrie, Bruce affil: Academic Geriatric Medicine, School of Cardiovascular and Metabolic Health, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow Royal Infirmary , GlasgowG31 2ER , UK Public Health Scotland , Glasgow G2 6QE , UK Usher Institute, University of Edinburgh , Edinburgh EH8 9AG , UK School of Informatics, University of Edinburgh , Edinburgh EH8 9AB , UK Nursing Studies , School of Health in Social Science, University of Edinburgh , Edinburgh EH8 9AB , UK Advanced Care Research Centre, Usher Institute, University of Edinburgh , Edinburgh EH8 9AG , UK su: Scotland Retrospective studies Nursing care facilities Epidemics COVID-19 pandemic Cluster analysis (Statistics) Research funding Scientific observation Long-term health care Logistic regression analysis Descriptive statistics Longitudinal method Health outcome assessment COVID-19 Time sug: subj: Retrospective studies Nursing care facilities Epidemics COVID-19 pandemic Scotland Nursing Care Facilities (Skilled Nursing Facilities) Community care facilities for the elderly Cluster analysis (Statistics) Research funding Scientific observation Long-term health care Logistic regression analysis Descriptive statistics Longitudinal method Health outcome assessment COVID-19 Time keyword: care-homes covid-19 data linkage disease outbreaks epidemiology heart sound p2 internship and residency long-term care medical residencies mortality older people scotland care-homes covid-19 data linkage disease outbreaks epidemiology heart sound p2 internship and residency long-term care medical residencies mortality older people scotland ab: Background The 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. Objective To 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. Design Retrospective observational cohort study using routinely-collected data. Setting All adult care-homes in Scotland (1,092 homes, 41,299 places). Methods Analysis 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. Results In 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. Conclusions COVID-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. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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