Evolution and effects of COVID-19 outbreaks in care homes: a population analysis in 189 care homes in one geographical region of the UK.

The Lancet. Healthy Longevity
Jennifer K BurtonBruce Guthrie

Abstract

COVID-19 has affected care home residents internationally, but detailed information on outbreaks is scarce. We aimed to describe the evolution of outbreaks of COVID-19 in all care homes in one large health region in Scotland. We did a population analysis of testing, cases, and deaths in care homes in the National Health Service (NHS) Lothian health region of the UK. We obtained data for COVID-19 testing (PCR testing of nasopharyngeal swabs for severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2]) and deaths (COVID-19-related and non-COVID-19-related), and we analysed data by several variables including type of care home, number of beds, and locality. Outcome measures were timing of outbreaks, number of confirmed cases of COVID-19 in care home residents, care home characteristics associated with the presence of an outbreak, and deaths of residents in both care homes and hospitals. We calculated excess deaths (both COVID-19-related and non-COVID-19-related), which we defined as the sum of deaths over and above the historical average in the same period over the past 5 years. Between March 10 and Aug 2, 2020, residents at 189 care homes (5843 beds) were tested for COVID-19 when symptomatic. A COVID-19 outbreak was confirmed...Continue Reading

Citations

Jun 24, 2021·Science Translational Medicine·Edward S KnockMarc Baguelin
Feb 7, 2021·Influenza and Other Respiratory Viruses·Chris EmmersonChris J Williams
Feb 14, 2021·Environmental Research·John P A IoannidisDespina G Contopoulos-Ioannidis
Apr 18, 2021·Biophysical Journal·Hamid KhataeeZoltan Neufeld
Apr 25, 2021·Aging Clinical and Experimental Research·Nicola VeroneseAlberto Pilotto
Apr 30, 2021·Age and Ageing·Jennifer K BurtonDavid A McAllister
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