A rapid systematic review of measures to protect older people in long-term care facilities from COVID-19

Title: A rapid systematic review of measures to protect older people in long-term care facilities from COVID-19
Authors: Frazer, KathleenMitchell, LachlanStokes, DiarmuidLacey, EllaCrowley, EibhlinKelleher, Cecily
Permanent link: http://hdl.handle.net/10197/12658
Date: 18-Oct-2021
Online since: 2021-11-17T11:38:31Z
Abstract: Objectives The global COVID-19 pandemic produced large-scale health and economic complications. Older people and those with comorbidities are particularly vulnerable to this virus, with nursing homes and long term care facilities (LTCF) experiencing significant morbidity and mortality associated with COVID-19 outbreaks. The aim of this rapid systematic review was to investigate measures implemented in LTCF to reduce transmission of COVID-19 and their effect on morbidity and mortality of residents, staff and visitors. Setting Long-term care facilities. Participants Residents, staff and visitors of facilities. Primary and secondary outcome measures Databases (PubMed, EMBASE, CINAHL, Cochrane Databases and repositories and MedRXiv prepublished database) were systematically searched from inception to 27 July 2020 to identify studies reporting assessment of interventions to reduce transmission of COVID-19 in nursing homes among residents, staff or visitors. Outcome measures include facility characteristics, morbidity data, case fatalities and transmission rates. Due to study quality and heterogeneity, no meta-analysis was conducted. Results The search yielded 1414 articles, with 38 studies included. Reported interventions include mass testing, use of personal protective equipment, symptom screening, visitor restrictions, hand hygiene and droplet/contact precautions, and resident cohorting. Prevalence rates ranged from 1.2% to 85.4% in residents and 0.6% to 62.6% in staff. Mortality rates ranged from 5.3% to 55.3% in residents. Conclusions Novel evidence in this review details the impact of facility size, availability of staff and practices of operating between multiple facilities, and for-profit status of facilities as factors contributing to the size and number of COVID-19 outbreaks. No causative relationships can be determined; however, this review provides evidence of interventions that reduce transmission of COVID-19 in LTCF.
Type of material: Journal Article
Publisher: BMJ
Journal: BMJ Open
Volume: 11
Issue: 10
Copyright (published version): 2021 the Authors
Keywords: COVID-19Public healthGeriatric medicineAcute respiratory syndromeInfectionPrevalenceResidentsOutbreakHomeCoronavirus
DOI: 10.1136/bmjopen-2020-047012
Language: en
Status of Item: Peer reviewed
ISSN: 2044-6055
This item is made available under a Creative Commons License: https://creativecommons.org/licenses/by-nc-nd/3.0/ie/
Appears in Collections:Nursing, Midwifery & Health Systems Research Collection
UCD Library Staff Research Collection
Medicine Research Collection
Public Health, Physiotherapy and Sports Science Research Collection

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