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10.1111/ggi.13973

http://scihub22266oqcxt.onion/10.1111/ggi.13973
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suck abstract from ncbi


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pmid32634849      Geriatr+Gerontol+Int 2020 ; 20 (7): 715-719
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  • Clusters of COVID-19 in long-term care hospitals and facilities in Japan from 16 January to 9 May 2020 #MMPMID32634849
  • Iritani O; Okuno T; Hama D; Kane A; Kodera K; Morigaki K; Terai T; Maeno N; Morimoto S
  • Geriatr Gerontol Int 2020[Jul]; 20 (7): 715-719 PMID32634849show ga
  • AIM: To clarify the association of cluster number and size of coronavirus disease 2019 (COVID-19) in long-term care (LTC) hospitals/facilities, general medical/welfare facilities and non-medical/welfare facilities with morbidity and mortality in 47 prefectures during 16 January to 9 May 2020 in Japan. METHODS: Information on COVID-19 clusters (n >/=2), and morbidity and mortality of COVID-19 was collected. RESULTS: A total of 381 clusters with 3786 infected cases were collected, accounting for 23.9% of 15 852 cumulated cases on 9 May 2020. Although the cluster number (/10(7) subjects) in LTC hospitals/facilities was significantly smaller compared with those in the other two groups, the cluster size in LTC hospitals/facilities was significantly larger than that in non-medical/welfare facilities. Cluster numbers in general medical/welfare facilities and in non-medical/welfare facilities were significantly positively correlated with morbidity (/10(5) ), indicating relatively early identification of clusters in these facilities. Unlike in these facilities, cluster size in LTC hospitals/facilities was significantly positively correlated with morbidity, indicating that clusters in LTC hospitals/facilities were finally identified after already having grown to a large size in areas where infection was prevalent. Multivariate logistic regression analysis showed that both cluster number and cluster size only in LTC hospitals/facilities were independently associated with higher mortality (>/=median 0.64/10(5) subjects) after adjustment. CONCLUSIONS: Preventive efforts against COVID-19 outbreaks even at the early phase of the epidemic are critically important in LTC hospitals/facilities, as both the larger number and size of clusters only in LTC hospitals/facilities were independently linked to higher mortality in prefectures in Japan. Geriatr Gerontol Int 2020; 20: 715-719.
  • |*Coronavirus Infections/mortality/prevention & control[MESH]
  • |*Long-Term Care/methods/organization & administration/trends[MESH]
  • |*Pandemics/prevention & control[MESH]
  • |*Pneumonia, Viral/mortality/prevention & control[MESH]
  • |Aged[MESH]
  • |Betacoronavirus/isolation & purification[MESH]
  • |COVID-19[MESH]
  • |Cluster Analysis[MESH]
  • |Female[MESH]
  • |Hospitals, Chronic Disease/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Infection Control/organization & administration[MESH]
  • |Japan/epidemiology[MESH]
  • |Male[MESH]
  • |Mortality[MESH]
  • |SARS-CoV-2[MESH]


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