Characteristics of nursing homes associated with COVID-19 outbreaks and mortality among residents in Victoria, Australia

被引:24
作者
Ibrahim, Joseph E. [1 ]
Li, Yingtong [1 ]
McKee, Grace [1 ]
Eren, Hagar [1 ]
Brown, Charlotte [1 ]
Aitken, Georgia [1 ]
Pham, Tony [1 ]
机构
[1] Monash Univ, Dept Forens Med, Hlth Law & Ageing Res Unit, 65 Kavanagh St, Southbank, Vic 3006, Australia
关键词
COVID-19; mortality; nursing homes; disease outbreak; QUALITY; CARE;
D O I
10.1111/ajag.12982
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objective To determine nursing home characteristics associated with COVID-19 outbreak, outbreak size and mortality, during the second wave in Victoria, Australia. Method Population-based cross-sectional study of all nursing homes in Victoria between 7 July and 13 November 2020. Results There were one or more resident cases of COVID-19 in 9.7% of nursing homes (74/766). COVID-19 intrusion was more likely in larger metropolitan facilities, privately owned by large chains, with a past history of regulatory non-compliance, located close to high-risk industry. Larger outbreaks were associated with homes in metropolitan areas, accommodating 91 or more residents, with shared rooms, owned by private providers operating many (11 or more) facilities. The highest case-fatality rates were observed in homes owned by not-for-profit providers operating many facilities, located close to high-risk industry. Conclusion Stratifying nursing homes according to characteristics associated with morbidity and mortality can inform risk management, prioritising emergency responses and optimising future nursing home operations.
引用
收藏
页码:283 / 292
页数:10
相关论文
共 27 条
[1]   Characteristics of US Nursing Homes withCOVID-19 Cases [J].
Abrams, Hannah R. ;
Loomer, Lacey ;
Gandhi, Ashvin ;
Grabowski, David C. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2020, 68 (08) :1653-1656
[2]   COVID-19 and residential aged care: priorities for optimising preparation and management of outbreaks [J].
Aitken, Georgia E. ;
Holmes, Alice L. ;
Ibrahim, Joseph E. .
MEDICAL JOURNAL OF AUSTRALIA, 2021, 214 (01) :6-+
[3]  
Amnesty International, 2020, EXP UK GOV FAIL PROT
[4]  
[Anonymous], COVID 19 MAP
[5]  
[Anonymous], The Guardian
[6]  
[Anonymous], 2020, NATL STATE TERRITORY
[7]  
[Anonymous], COVID 19 OUTBREAKS A
[8]  
Australian Bureau of Statistics, 2018, POST AR IND SEIFA 20
[9]  
Australian Institute of Health and Welfare, AG CAR SERV LIST
[10]   Does size matter in aged care facilities? A literature review of the relationship between the number of facility beds and quality [J].
Baldwin, Richard ;
Chenoweth, Lynnette ;
dela Rama, Marie ;
Wang, Alex Y. .
HEALTH CARE MANAGEMENT REVIEW, 2017, 42 (04) :315-327