Age and Ageing, Journal Year: 2023, Volume and Issue: 52(3)
Published: March 1, 2023
Language: Английский
Clinical Microbiology Reviews, Journal Year: 2024, Volume and Issue: 37(2)
Published: May 22, 2024
SUMMARYThis narrative review and meta-analysis summarizes a broad evidence base on the benefits-and also practicalities, disbenefits, harms personal, sociocultural environmental impacts-of masks masking. Our synthesis of from over 100 published reviews selected primary studies, including re-analyzing contested meta-analyses key clinical trials, produced seven findings. First, there is strong consistent for airborne transmission severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) other pathogens. Second, are, if correctly consistently worn, effective in reducing diseases show dose-response effect. Third, respirators are significantly more than medical or cloth masks. Fourth, mask mandates overall, community Fifth, important symbols; non-adherence to masking sometimes linked political ideological beliefs widely circulated mis- disinformation. Sixth, while much that not generally harmful general population, may be relatively contraindicated individuals with certain conditions, who require exemption. Furthermore, groups (notably D/deaf people) disadvantaged when others masked. Finally, risks environment single-use respirators. We propose an agenda future research, improved characterization situations which should recommended mandated; attention comfort acceptability; generalized disability-focused communication support settings where worn; development testing novel materials designs filtration, breathability, impact.
Language: Английский
Citations
28
BMC Geriatrics, Journal Year: 2023, Volume and Issue: 23(1)
Published: Oct. 2, 2023
Abstract Background The COVID-19 pandemic has devastatingly affected Long-Term Care Facilities (LTCF), exposing aging people, staff members, and visitors. world learned through the lessons can be taken to adopt effective measures deal with outbreaks in LTCF. We aimed systematically review available evidence on effect of minimize risk transmission LTCs during since 2021. Methods search method was guided by preferred reporting items for systematic reviews (PRISMA) guideline synthesis without meta-analysis (SWiM) reviews. performed April 2023. Observational interventional studies from databases PubMed, Web Science, Scopus, Cochrane Systematic Reviews, CINAHL, Academic Search were reviewed. included conducted LTCF that quantitatively assess non-pharmacological cases COVID-19. Two authors independently reviewed titles inclusion, extracted data, undertook bias according pre-specified criteria. quality analyzed using Joanna Briggs Institute Critical Appraisal. Results Thirteen included, 8442 experiencing 598 thousand participants (residents members). Prevention control infection interventions grouped into three themes: strategic, tactical, operational measures. strategic reveal importance prevention as structural characteristics, namely size, new admissions, surveillance, architectural structure. At tactical level, lack personal long shifts is related COVID-19's spread. Operational a favorable preventing are sufficient. Personal protective equipment stock, correct mask use, signaling, social distancing, resident cohorting. Conclusions Operational, approaches may have spread LTCFs outbreaks. Given heterogeneous nature measures, performing not possible. Future research should use more robust study designs explore similar endemic situations comparable Trial registration protocol this registered PROSPERO (CRD42020214566).
Language: Английский
Citations
15
Journal of the American Medical Directors Association, Journal Year: 2025, Volume and Issue: 26(6), P. 105575 - 105575
Published: April 15, 2025
Effective management of COVID-19 and influenza outbreaks in nursing homes (NHs) depends on preparation by the NH organization rightful execution infection prevention control (IPC) measures staff. To be better prepared for future pandemics, we need a understanding barriers facilitators to measures. This study aims investigate which were perceived Dutch staff during IPC pandemic end stage. Qualitative interview study. Nursing where and/or (defined as at least 2 confirmed cases an unit) occurred between February 2023 April 2023. We monitored 24 14 organizations Purposive sampling was used select variety more extensive monitoring, including qualitative interviews with involved outbreak. During interviews, participants reflected well previous outbreaks. Interview transcripts thematically analyzed identify determinants strategy execution. Determinants clustered according themes: motivations attitudes; appropriateness measures; guidance cooperation staff; communication; knowledge skills; architectural features location; availability resources. The current provides in-depth insight into facilitated impeded These findings may help NHs prepare provide insights what consider developing strategies.
Language: Английский
Citations
0
BMC Emergency Medicine, Journal Year: 2024, Volume and Issue: 24(1)
Published: Jan. 7, 2024
Long-term care (LTC) was overwhelmingly impacted by COVID-19 and unnecessary transfer to emergency departments (ED) can have negative health outcomes. This study aimed explore how the pandemic LTC ED transfers hospitalizations, utilization of community paramedics facilitated conversations between physicians during first four waves in Alberta, Canada.
Language: Английский
Citations
3
Age and Ageing, Journal Year: 2024, Volume and Issue: 53(2)
Published: Feb. 1, 2024
Abstract Background The impact of the COVID-19 pandemic on long-term care residents remains wide interest, but most analyses focus initial wave infections. Objective To examine change over time in: (i) size, duration, classification and pattern care-home outbreaks associated mortality (ii) characteristics 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 level, three periods. Period (P)1 01/03/2020-31/08/2020; P2 01/09/2020-31/05/2021 P3 01/06/2021–31/10/2021. Outcomes were presence within care-home. Cluster analysis used to compare outbreaks. Logistic regression examined Results In total 296 (27.1%) had one outbreak, 220 (20.1%) two, 91 (8.3%) three, 68 (6.2%) four or more. There 1,313 involving residents: 431 P1, 559 323 P3. rate per 1,000 beds fell from 45.8 29.3 P2, 3.5 Larger much more likely have associations between size weaker later Conclusions mitigation measures appear been beneficial, although remained severe until early 2021. Care-home residents, staff, relatives providers are critical groups for consideration involvement future planning.
Language: Английский
Citations
2
International Journal of Epidemiology, Journal Year: 2023, Volume and Issue: 53(1)
Published: Dec. 15, 2023
Abstract Background To date, the excess mortality experienced by residential aged care facility (RACF) residents related to COVID-19 has not been estimated in Australia. This study examined (i) historical trends (2008–09 2021–22) and (ii) (2019–20 of Australian RACF residents. Methods A retrospective population-based was conducted using Institute Health Welfare’s GEN website data (publicly available services information). Non-Aboriginal, older (≥65 years old) between 2008–09 2021–22 were evaluated. The observed rate from exits compared with cohort yearly. Direct standardization employed estimate age-standardized rates 95% CIs. Excess prediction intervals (PIs) for 2019–20 four negative binomial (NB) NB generalized additive models compared. Results 2018–19 23 061/100 000 (95% CI, 22 711–23 412). remained similar (23 023/100 000; 674–23 372), decreased 2020–21 (22 559/100 210–22 909) increased (24 885/100 24 543–25 227). increase all age sex groups. All yielded 2021–22. Using best-performing model (NB), –160 PI, –418 98), –958 –1279 –637) 4896 4503–5288) Conclusions In 2021–22, residents, who represented <1% population, 21% national (4896/22 886). As Australia adjusts COVID-19, remain a population vulnerable COVID-19.
Language: Английский
Citations
4
Journal of the American College of Emergency Physicians Open, Journal Year: 2024, Volume and Issue: 5(1)
Published: Jan. 10, 2024
We sought to study the impact of Centers for Medicare & Medicaid services (CMS) waiver 3-day hospitalization requirement skilled nursing facility (SNF) care implemented as part Federal COVID-19 response on emergency department (ED) and inpatient hospital SNF discharges.
Language: Английский
Citations
1
Physiotherapy Theory and Practice, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 18
Published: Feb. 29, 2024
Background Disproportionate effects of the SARS-CoV-2 (COVID-19) pandemic on older adults in post-acute care settings created many professional and ethical challenges for patients healthcare providers.
Language: Английский
Citations
1
The Lancet Microbe, Journal Year: 2024, Volume and Issue: 5(10), P. 100894 - 100894
Published: Aug. 23, 2024
The unprecedented COVID-19 pandemic has highlighted the strategic value of wastewater-based surveillance (WBS) SARS-CoV-2. This multisite 28-month-long study focused on WBS for older residents in 12 long-term care facilities (LTCFs) Edmonton (AB, Canada) by assessing relationships between COVID-19, WBS, and serostatus during pandemic.
Language: Английский
Citations
1
medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown
Published: Nov. 4, 2024
ABSTRACT Estimating global lives and life-years saved is important to put into perspective the benefits of COVID-19 vaccination. Prior studies have focused mainly on pre-Omicron period or only specific regions, lack crucial life-year calculations, often depend strong modeling assumptions with unaccounted uncertainty. We aimed calculate by vaccination worldwide from onset campaigns until October 2024. considered different strata according age; community-dwelling long-term care residence status; Omicron periods; before after a SARS-CoV-2 infection. In main analysis, 2.533 million deaths were averted. Eighty-two percent among people vaccinated any infection, 57% in period, 90% pertained 60 years above. Sensitivity analyses suggested 1.4 4.0 saved. Some sensitivity showed preponderance benefit during period. estimated 14.8 (sensitivity range, 7.4-23.6 life-years). Most (76%) over old, but residents contributed 2% total. Children adolescents (0.01% 0.1% saved) young adults 20-29 old (0.07% 0.3% had very small contributions total benefit. Based number assumptions, these estimates are substantially more conservative than previous calculations focusing mostly first year vaccination, they still undeniably demonstrate major overall 2020-2024. The vast majority was secured for portion elderly minority population.
Language: Английский
Citations
1