Monitoring the burden of COVID-19 and impact of hospital transfer policies on Australian aged-care residents in residential aged-care facilities in 2020
Abstract Background Residential aged-care facilities in Australia emerged as the high-risk setting the COVID-19 outbreaks due to community transmission. The vulnerable aged-care residents of these facilities suffered due to low hospital transfers and high mortality and morbidity rates. This study ai...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-08-01
|
| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-023-04154-z |
| _version_ | 1827633207780048896 |
|---|---|
| author | Shruti Premshankar Nair Ashley L Quigley Aye Moa Abrar Ahmad Chughtai Chandini Raina Macintyre |
| author_facet | Shruti Premshankar Nair Ashley L Quigley Aye Moa Abrar Ahmad Chughtai Chandini Raina Macintyre |
| author_sort | Shruti Premshankar Nair |
| collection | DOAJ |
| description | Abstract Background Residential aged-care facilities in Australia emerged as the high-risk setting the COVID-19 outbreaks due to community transmission. The vulnerable aged-care residents of these facilities suffered due to low hospital transfers and high mortality and morbidity rates. This study aimed to monitor and report the burden of COVID-19 in residential aged-care facilities across Australia and the impact of hospital transfer policies on resident hospitalisation during the first year of the pandemic. Methods We conducted a retrospective cohort study by collecting data from weekly aged-care outbreak reports published by open sources and official government sources between 1st March and 20th November 2020. A comprehensive line list of outbreaks was created using open-source data. The line list included the name of the facility, location, COVID-19 cases among residents, & staff, resident hospitalisations, mode of transmission, number of resident deaths, and state policies involving resident hospitalisation. We also searched the websites of these facilities to collect data on their COVID-19 policies for the residents, staff, and visitors. Statistical analyses were performed on the data obtained. Results 126 aged-care COVID-19 outbreaks were identified in Australia during the study period. The incidence rate of COVID-19 infections among aged-care residents in Australia was (1118.5 per 100,000 resident population) which is 10 times higher than the general population (107.6 per 100,000 population). The hospitalisation rate for aged-care residents in Australia was 0.93 per 100,000 population. The hospitalisation rate of aged-care residents in Victoria was 3.14 per 100,000 population despite having the highest COVID-19 cases. Excluding South Australia, all states followed ad-hoc case-by-case hospital transfer policies for aged-care residents. Conclusion This study documented a higher risk of COVID-19 infection for aged-care residents and workers but found low hospitalisation rates among residents across Australia. The hospitalisation rates in Victoria were higher than the national average but low when considering the COVID-19 infection rates in the state. The hospitalisation rates could have been impacted due to the state hospital transfer policies at that time. Immediate transfer of infected residents to hospitals may improve their survival and reduce the risk of infection to the other residents, as healthcare settings have more advanced infection control measures and are well-equipped with trained staff and resources. |
| first_indexed | 2024-03-09T14:56:19Z |
| format | Article |
| id | doaj.art-95a263040c6e4e64a265839f4eebb281 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-03-09T14:56:19Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-95a263040c6e4e64a265839f4eebb2812023-11-26T14:10:10ZengBMCBMC Geriatrics1471-23182023-08-0123111110.1186/s12877-023-04154-zMonitoring the burden of COVID-19 and impact of hospital transfer policies on Australian aged-care residents in residential aged-care facilities in 2020Shruti Premshankar Nair0Ashley L Quigley1Aye Moa2Abrar Ahmad Chughtai3Chandini Raina Macintyre4Ingham Institute, SWSLHDBiosecurity Research Program, The Kirby Institute, UNSWBiosecurity Research Program, The Kirby Institute, UNSWSchool of Population Health, UNSW MedicineBiosecurity Research Program, The Kirby Institute, UNSWAbstract Background Residential aged-care facilities in Australia emerged as the high-risk setting the COVID-19 outbreaks due to community transmission. The vulnerable aged-care residents of these facilities suffered due to low hospital transfers and high mortality and morbidity rates. This study aimed to monitor and report the burden of COVID-19 in residential aged-care facilities across Australia and the impact of hospital transfer policies on resident hospitalisation during the first year of the pandemic. Methods We conducted a retrospective cohort study by collecting data from weekly aged-care outbreak reports published by open sources and official government sources between 1st March and 20th November 2020. A comprehensive line list of outbreaks was created using open-source data. The line list included the name of the facility, location, COVID-19 cases among residents, & staff, resident hospitalisations, mode of transmission, number of resident deaths, and state policies involving resident hospitalisation. We also searched the websites of these facilities to collect data on their COVID-19 policies for the residents, staff, and visitors. Statistical analyses were performed on the data obtained. Results 126 aged-care COVID-19 outbreaks were identified in Australia during the study period. The incidence rate of COVID-19 infections among aged-care residents in Australia was (1118.5 per 100,000 resident population) which is 10 times higher than the general population (107.6 per 100,000 population). The hospitalisation rate for aged-care residents in Australia was 0.93 per 100,000 population. The hospitalisation rate of aged-care residents in Victoria was 3.14 per 100,000 population despite having the highest COVID-19 cases. Excluding South Australia, all states followed ad-hoc case-by-case hospital transfer policies for aged-care residents. Conclusion This study documented a higher risk of COVID-19 infection for aged-care residents and workers but found low hospitalisation rates among residents across Australia. The hospitalisation rates in Victoria were higher than the national average but low when considering the COVID-19 infection rates in the state. The hospitalisation rates could have been impacted due to the state hospital transfer policies at that time. Immediate transfer of infected residents to hospitals may improve their survival and reduce the risk of infection to the other residents, as healthcare settings have more advanced infection control measures and are well-equipped with trained staff and resources.https://doi.org/10.1186/s12877-023-04154-zResidential aged-care facilityCOVID-19Hospital transfer policiesInfection controlCommunity transmission |
| spellingShingle | Shruti Premshankar Nair Ashley L Quigley Aye Moa Abrar Ahmad Chughtai Chandini Raina Macintyre Monitoring the burden of COVID-19 and impact of hospital transfer policies on Australian aged-care residents in residential aged-care facilities in 2020 BMC Geriatrics Residential aged-care facility COVID-19 Hospital transfer policies Infection control Community transmission |
| title | Monitoring the burden of COVID-19 and impact of hospital transfer policies on Australian aged-care residents in residential aged-care facilities in 2020 |
| title_full | Monitoring the burden of COVID-19 and impact of hospital transfer policies on Australian aged-care residents in residential aged-care facilities in 2020 |
| title_fullStr | Monitoring the burden of COVID-19 and impact of hospital transfer policies on Australian aged-care residents in residential aged-care facilities in 2020 |
| title_full_unstemmed | Monitoring the burden of COVID-19 and impact of hospital transfer policies on Australian aged-care residents in residential aged-care facilities in 2020 |
| title_short | Monitoring the burden of COVID-19 and impact of hospital transfer policies on Australian aged-care residents in residential aged-care facilities in 2020 |
| title_sort | monitoring the burden of covid 19 and impact of hospital transfer policies on australian aged care residents in residential aged care facilities in 2020 |
| topic | Residential aged-care facility COVID-19 Hospital transfer policies Infection control Community transmission |
| url | https://doi.org/10.1186/s12877-023-04154-z |
| work_keys_str_mv | AT shrutipremshankarnair monitoringtheburdenofcovid19andimpactofhospitaltransferpoliciesonaustralianagedcareresidentsinresidentialagedcarefacilitiesin2020 AT ashleylquigley monitoringtheburdenofcovid19andimpactofhospitaltransferpoliciesonaustralianagedcareresidentsinresidentialagedcarefacilitiesin2020 AT ayemoa monitoringtheburdenofcovid19andimpactofhospitaltransferpoliciesonaustralianagedcareresidentsinresidentialagedcarefacilitiesin2020 AT abrarahmadchughtai monitoringtheburdenofcovid19andimpactofhospitaltransferpoliciesonaustralianagedcareresidentsinresidentialagedcarefacilitiesin2020 AT chandinirainamacintyre monitoringtheburdenofcovid19andimpactofhospitaltransferpoliciesonaustralianagedcareresidentsinresidentialagedcarefacilitiesin2020 |