Potential determinants of the quantity and duration of COVID-19 outbreaks in geriatric long-term care facilities
Abstract Background We analyzed potential factors for the number and duration of COVID-19 outbreaks in nursing homes based on routine and structural data. Methods All outbreaks during 03/2020-01/2022 in N = 687 of a total of 879 geriatric long-term care facilities (LTCFs) in the Federal State of Hes...
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-023-04446-4 |
| _version_ | 1797451576274583552 |
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| author | Janis Evers Max Geraedts |
| author_facet | Janis Evers Max Geraedts |
| author_sort | Janis Evers |
| collection | DOAJ |
| description | Abstract Background We analyzed potential factors for the number and duration of COVID-19 outbreaks in nursing homes based on routine and structural data. Methods All outbreaks during 03/2020-01/2022 in N = 687 of a total of 879 geriatric long-term care facilities (LTCFs) in the Federal State of Hesse, Germany were analyzed using t-tests and logistic regressions in a retrospective cohort study. Results Larger LTCFs have more (+ 1.57, p = .009) and longer outbreaks (+ 10.04 days, p > .001). A higher proportion of registered nurses reduces the number (-0.1, p = .036) and duration (-6.02 days, p > .001) of outbreaks. Single-bed rooms provide less duration of outbreaks (-4.5, p = .004). A higher proportion of infected residents (+ 24.26 days, p < .001) and staff (+ 22.98 days, p < .001) prolong outbreaks the most. LTCFs in areas with intermediate population density have an increased risk of prolonged outbreaks (OR: 1.537, p = .036). Conclusions To prevent outbreaks and shorten their duration, LTCFs should increase the proportion of registered nurses and single-bed rooms, and control staff infections. |
| first_indexed | 2024-03-09T14:56:38Z |
| format | Article |
| id | doaj.art-e85d623a36094d4d9d1016a299ceb04c |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-03-09T14:56:38Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-e85d623a36094d4d9d1016a299ceb04c2023-11-26T14:10:29ZengBMCBMC Geriatrics1471-23182023-11-012311910.1186/s12877-023-04446-4Potential determinants of the quantity and duration of COVID-19 outbreaks in geriatric long-term care facilitiesJanis Evers0Max Geraedts1Institute for Health Services Research and Clinical Epidemiology, Philipps-Universität MarburgInstitute for Health Services Research and Clinical Epidemiology, Philipps-Universität MarburgAbstract Background We analyzed potential factors for the number and duration of COVID-19 outbreaks in nursing homes based on routine and structural data. Methods All outbreaks during 03/2020-01/2022 in N = 687 of a total of 879 geriatric long-term care facilities (LTCFs) in the Federal State of Hesse, Germany were analyzed using t-tests and logistic regressions in a retrospective cohort study. Results Larger LTCFs have more (+ 1.57, p = .009) and longer outbreaks (+ 10.04 days, p > .001). A higher proportion of registered nurses reduces the number (-0.1, p = .036) and duration (-6.02 days, p > .001) of outbreaks. Single-bed rooms provide less duration of outbreaks (-4.5, p = .004). A higher proportion of infected residents (+ 24.26 days, p < .001) and staff (+ 22.98 days, p < .001) prolong outbreaks the most. LTCFs in areas with intermediate population density have an increased risk of prolonged outbreaks (OR: 1.537, p = .036). Conclusions To prevent outbreaks and shorten their duration, LTCFs should increase the proportion of registered nurses and single-bed rooms, and control staff infections.https://doi.org/10.1186/s12877-023-04446-4Geriatric long-term care facilitiesProfit statusRegistered nursesRisk factorsSingle-occupancy rooms |
| spellingShingle | Janis Evers Max Geraedts Potential determinants of the quantity and duration of COVID-19 outbreaks in geriatric long-term care facilities BMC Geriatrics Geriatric long-term care facilities Profit status Registered nurses Risk factors Single-occupancy rooms |
| title | Potential determinants of the quantity and duration of COVID-19 outbreaks in geriatric long-term care facilities |
| title_full | Potential determinants of the quantity and duration of COVID-19 outbreaks in geriatric long-term care facilities |
| title_fullStr | Potential determinants of the quantity and duration of COVID-19 outbreaks in geriatric long-term care facilities |
| title_full_unstemmed | Potential determinants of the quantity and duration of COVID-19 outbreaks in geriatric long-term care facilities |
| title_short | Potential determinants of the quantity and duration of COVID-19 outbreaks in geriatric long-term care facilities |
| title_sort | potential determinants of the quantity and duration of covid 19 outbreaks in geriatric long term care facilities |
| topic | Geriatric long-term care facilities Profit status Registered nurses Risk factors Single-occupancy rooms |
| url | https://doi.org/10.1186/s12877-023-04446-4 |
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