Admissions of COVID-positive patients to US nursing homes with personal protective equipment or staffing shortages.

Journal of the American Geriatrics Society
Diane M Gibson, Jessica Greene

Abstract

US nursing homes are required to follow Centers for Disease Control guidance for COVID-19 transmission-based precautions (TBP) when admitting COVID-positive patients. To assess how frequently nursing homes had shortages of personal protective equipment (PPE) or staffing in weeks when they admitted COVID-positive patients, which likely made it more difficult to follow TBP, and to compare facility characteristics by admissions practices. Facility-level data from the Nursing Home COVID-19 Public File for the period between June 7, 2020 and March 7, 2021 was combined with additional data. The percentages of nursing homes that admitted COVID-positive patients and that had shortages when admitting were calculated for each week. Descriptive statistics and logistic regression models were used to examine the relationship between facility characteristics and the likelihood of admitting COVID-positive patients. Facilities were categorized as having admitted COVID-positive patients in a week if one or more admissions requiring TBP were reported for that week. Facilities that reported having less than a 1-week supply of any type of PPE or being short any type of staff in a week were defined, respectively, as having a PPE shortage or staffin...Continue Reading

References

Jul 1, 2004·The Milbank Quarterly·Vincent MorSusan C Miller
Jan 15, 2016·Medical Care·Kai YouJane Banaszak-Holl
Jun 3, 2020·Journal of the American Geriatrics Society·Hannah R AbramsDavid C Grabowski
Jul 17, 2020·Journal of the American Geriatrics Society·Elizabeth M WhiteVincent Mor
Aug 10, 2020·Journal of the American Geriatrics Society·Rebecca J Gorges, R Tamara Konetzka
Sep 18, 2020·MMWR. Morbidity and Mortality Weekly Report·David P BuiAmy Atkins
Oct 7, 2020·Journal of the American Geriatrics Society·Diane M Gibson, Jessica Greene
Nov 13, 2020·Journal of the American Geriatrics Society·R Tamara Konetzka, Rebecca J Gorges

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