Temperature in Nursing Home Residents Systematically Tested for SARS-CoV-2.

Journal of the American Medical Directors Association
James L RudolphStefan Gravenstein

Abstract

Many nursing home residents infected with SARS-CoV-2 fail to be identified with standard screening for the associated COVID-19 syndrome. Current nursing home COVID-19 screening guidance includes assessment for fever, defined as a temperature of at least 38.0°C. The objective of this study was to describe the temperature changes before and after universal testing for SARS-CoV-2 in nursing home residents. Cohort study. The Veterans Administration (VA) operates 134 Community Living Centers (CLC), similar to nursing homes, that house residents who cannot live independently. VA guidance to CLCs directed daily clinical screening for COVID-19 that included temperature assessment. All CLC residents (n = 7325) underwent SARS-CoV-2 testing. We report the temperature in the window of 14 days before and after universal SARS-CoV-2 testing among CLC residents. Baseline temperature was calculated for 5 days before the study window. SARS-CoV-2 was identified in 443 (6.0%) residents. The average maximum temperature in SARS-CoV-2-positive residents was 37.66 (0.69) compared with 37.11 (0.36) (P = .001) in SARS-CoV-2-negative residents. Temperatures in those with SARS-CoV-2 began rising 7 days before testing and remained elevated during the 14-da...Continue Reading

References

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Apr 1, 2011·Journal of the American Medical Directors Association·Jennifer Gonik Chester, James L Rudolph
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Mar 29, 2020·The New England Journal of Medicine·Temet M McMichaelUNKNOWN Public Health–Seattle and King County, EvergreenHealth, and CDC COVID-19 Investigation Team
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Citations

Oct 10, 2020·Journal of the American Geriatrics Society·Kevin W McConeghyStefan Gravenstein
Oct 27, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Cameron G Gmehlin, L Silvia Munoz-Price
Dec 29, 2020·International Journal of Geriatric Psychiatry·Flavia L LombardoUNKNOWN Italian National Institute of Health Nursing Home Study Group
Jun 18, 2021·Nature Communications·Daniel B LarremoreRoy Parker
Jun 18, 2021·European Geriatric Medicine·Shamik GiriRoman Romero-Ortuno
Dec 2, 2020·Journal of the American Medical Directors Association·Christine E KistlerSheryl Zimmerman
Aug 25, 2021·Journal of the American Medical Directors Association·Sally Hall DykgraafMichael Kidd
Aug 11, 2021·Journal of the American Geriatrics Society·Taissa BejRobin L P Jump

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Methods Mentioned

BETA
PCR

Software Mentioned

R
ggplot2

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