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

DC FieldValueLanguage
dc.contributor.authorFrazer, Kathleen-
dc.contributor.authorMitchell, Lachlan-
dc.contributor.authorStokes, Diarmuid-
dc.contributor.authorLacey, Ella-
dc.contributor.authorCrowley, Eibhlin-
dc.contributor.authorKelleher, Cecily-
dc.date.accessioned2021-11-17T11:38:31Z-
dc.date.available2021-11-17T11:38:31Z-
dc.date.copyright2021 the Authorsen_US
dc.date.issued2021-10-18-
dc.identifier.citationBMJ Openen_US
dc.identifier.issn2044-6055-
dc.identifier.urihttp://hdl.handle.net/10197/12658-
dc.description.abstractObjectives 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.en_US
dc.format.mediumElectronic-
dc.language.isoenen_US
dc.publisherBMJen_US
dc.subjectCOVID-19en_US
dc.subjectPublic healthen_US
dc.subjectGeriatric medicineen_US
dc.subjectAcute respiratory syndromeen_US
dc.subjectInfectionen_US
dc.subjectPrevalenceen_US
dc.subjectResidentsen_US
dc.subjectOutbreaken_US
dc.subjectHomeen_US
dc.subjectCoronavirusen_US
dc.titleA rapid systematic review of measures to protect older people in long-term care facilities from COVID-19en_US
dc.typeJournal Articleen_US
dc.internal.authorcontactotherkathleen.frazer@ucd.ieen_US
dc.statusPeer revieweden_US
dc.identifier.volume11en_US
dc.identifier.issue10en_US
dc.citation.otherArticle Number: e047012en_US
dc.identifier.doi10.1136/bmjopen-2020-047012-
dc.neeo.contributorFrazer|Kathleen|aut|-
dc.neeo.contributorMitchell|Lachlan|aut|-
dc.neeo.contributorStokes|Diarmuid|aut|-
dc.neeo.contributorLacey|Ella|aut|-
dc.neeo.contributorCrowley|Eibhlin|aut|-
dc.neeo.contributorKelleher|Cecily|aut|-
dc.date.updated2021-11-12T15:34:12Z-
dc.rights.licensehttps://creativecommons.org/licenses/by-nc-nd/3.0/ie/en_US
item.fulltextWith Fulltext-
item.grantfulltextopen-
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
Show simple item record

Page view(s)

237
Last Week
17
Last month
71
checked on Jan 21, 2022

Download(s)

15
checked on Jan 21, 2022

Google ScholarTM

Check

Altmetric


If you are a publisher or author and have copyright concerns for any item, please email research.repository@ucd.ie and the item will be withdrawn immediately. The author or person responsible for depositing the article will be contacted within one business day.