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10.1111/jgs.17434 http://scihub22266oqcxt.onion/10.1111/jgs.17434 34549415!8631348!34549415     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=34549415&cmd=llinks): Failed to open stream: HTTP request failed! 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A systematic review of long-term care facility characteristics associated with COVID-19 outcomes |pdf=|usr=}}{{34549415}} gab.com Text A systematic review of long-term care facility characteristics associated with COVID-19 outcomes JO: J Am Geriatr Soc http://www.kidney.de/pget.php?&tw=1&pmid=34549415 #FOAvip BACKGROUND/OBJECTIVES: The coronavirus disease 2019 (COVID-19) pandemic has taken a disproportionate toll on long-term care facility residents and staff. Our objective was to review the empirical evidence on facility characteristics associated with COVID-19 cases and deaths. DESIGN: Systematic review. SETTING: Long-term care facilities (nursing homes and assisted living communities). PARTICIPANTS: Thirty-six empirical studies of factors associated with COVID-19 cases and deaths in long-term care facilities published between January 1, 2020 and June 15, 2021. MEASUREMENTS: Outcomes included the probability of at least one case or death (or other defined threshold); numbers of cases and deaths, measured variably. RESULTS: Larger, more rigorous studies were fairly consistent in their assessment of risk factors for COVID-19 outcomes in long-term care facilities. Larger bed size and location in an area with high COVID-19 prevalence were the strongest and most consistent predictors of facilities having more COVID-19 cases and deaths. Outcomes varied by facility racial composition, differences that were partially explained by facility size and community COVID-19 prevalence. More staff members were associated with a higher probability of any outbreak; however, in facilities with known cases, higher staffing was associated with fewer deaths. Other characteristics, such as Nursing Home Compare 5-star ratings, ownership, and prior infection control citations, did not have consistent associations with COVID-19 outcomes. CONCLUSION: Given the importance of community COVID-19 prevalence and facility size, studies that failed to control for these factors were likely confounded. Better control of community COVID-19 spread would have been critical for mitigating much of the morbidity and mortality long-term care residents and staff experienced during the pandemic. Traditional quality measures such as Nursing Home Compare 5-Star ratings and past deficiencies were not consistent indicators of pandemic preparedness, likely because COVID-19 presented a novel problem requiring extensive adaptation by both long-term care providers and policymakers. Twit Text FOAVip A systematic review of long-term care facility characteristics associated with COVID-19 outcomes ????J Am Geriatr Soc http://www.kidney.de/pget.php?&tw=1&pmid=34549415 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=34549415 #FOAvip English Wikipedia <ref>{{Cite pmid|34549415}}</ref> A systematic review of long-term care facility characteristics associated with COVID-19 outcomes #MMPMID34549415 Konetzka RT; White EM; Pralea A; Grabowski DC; Mor V J Am Geriatr Soc 2021[Oct]; 69 (10): 2766-2777 PMID34549415show ga BACKGROUND/OBJECTIVES: The coronavirus disease 2019 (COVID-19) pandemic has taken a disproportionate toll on long-term care facility residents and staff. Our objective was to review the empirical evidence on facility characteristics associated with COVID-19 cases and deaths. DESIGN: Systematic review. SETTING: Long-term care facilities (nursing homes and assisted living communities). PARTICIPANTS: Thirty-six empirical studies of factors associated with COVID-19 cases and deaths in long-term care facilities published between January 1, 2020 and June 15, 2021. MEASUREMENTS: Outcomes included the probability of at least one case or death (or other defined threshold); numbers of cases and deaths, measured variably. RESULTS: Larger, more rigorous studies were fairly consistent in their assessment of risk factors for COVID-19 outcomes in long-term care facilities. Larger bed size and location in an area with high COVID-19 prevalence were the strongest and most consistent predictors of facilities having more COVID-19 cases and deaths. Outcomes varied by facility racial composition, differences that were partially explained by facility size and community COVID-19 prevalence. More staff members were associated with a higher probability of any outbreak; however, in facilities with known cases, higher staffing was associated with fewer deaths. Other characteristics, such as Nursing Home Compare 5-star ratings, ownership, and prior infection control citations, did not have consistent associations with COVID-19 outcomes. CONCLUSION: Given the importance of community COVID-19 prevalence and facility size, studies that failed to control for these factors were likely confounded. Better control of community COVID-19 spread would have been critical for mitigating much of the morbidity and mortality long-term care residents and staff experienced during the pandemic. Traditional quality measures such as Nursing Home Compare 5-Star ratings and past deficiencies were not consistent indicators of pandemic preparedness, likely because COVID-19 presented a novel problem requiring extensive adaptation by both long-term care providers and policymakers. |*COVID-19/mortality/prevention & control[MESH] |*Long-Term Care/methods/trends[MESH] |*Risk Adjustment[MESH] |Aged[MESH] |Civil Defense/organization & administration[MESH] |Homes for the Aged/*organization & administration[MESH] |Humans[MESH] |Infection Control/methods/standards[MESH] |Nursing Homes/*organization & administration[MESH] |Outcome Assessment, Health Care[MESH] |SARS-CoV-2[MESH]A systematic review of long-term care facility characteristics associa(epmc).pdf DeepDyve Pubget Overpricing