Variation in SARS-CoV-2 Prevalence in U.S. Skilled Nursing Facilities.

Journal of the American Geriatrics Society
Elizabeth M WhiteVincent Mor

Abstract

To identify county and facility factors associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreaks in skilled nursing facilities (SNFs). Cross-sectional study linking county SARS-CoV-2 prevalence data, administrative data, state reports of SNF outbreaks, and data from Genesis HealthCare, a large multistate provider of post-acute and long-term care. State data are reported as of April 21, 2020; Genesis data are reported as of May 4, 2020. The Genesis sample consisted of 341 SNFs in 25 states, including a subset of 64 SNFs that underwent universal testing of all residents. The non-Genesis sample included all other SNFs (n = 3,016) in the 12 states where Genesis operates that released the names of SNFs with outbreaks. For Genesis and non-Genesis SNFs: any outbreak (one or more residents testing positive for SARS-CoV-2). For Genesis SNFs only: number of confirmed cases, SNF case fatality rate, and prevalence after universal testing. One hundred eighteen (34.6%) Genesis SNFs and 640 (21.2%) non-Genesis SNFs had outbreaks. A difference in county prevalence of 1,000 cases per 100,000 (1%) was associated with a 33.6 percentage point (95% confidence interval (CI) = 9.6-57.7 percentage point; P = .008) differe...Continue Reading

References

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
Apr 17, 2020·Nature Medicine·Xi HeGabriel M Leung
Apr 18, 2020·JAMA : the Journal of the American Medical Association·Eric J ChowAgam K Rao
Apr 25, 2020·The New England Journal of Medicine·Melissa M AronsUNKNOWN Public Health–Seattle and King County and CDC COVID-19 Investigation Team
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Jun 20, 2020·Journal of the American Geriatrics Society·Yue LiXueya Cai
Jul 18, 2020·Journal of the American Medical Directors Association·Mengying HeFang Fang

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Citations

Aug 10, 2020·Journal of the American Geriatrics Society·Rebecca J Gorges, R Tamara Konetzka
Aug 1, 2020·Journal of the American Geriatrics Society·Joseph G Ouslander, David C Grabowski
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
Sep 22, 2020·Journal of the American Geriatrics Society·Yue LiHelena Temkin-Greener
Nov 13, 2020·Journal of the American Geriatrics Society·R Tamara Konetzka, Rebecca J Gorges
Dec 17, 2020·Proceedings of the National Academy of Sciences of the United States of America·M Keith ChenElisa F Long
Jan 22, 2021·Journal of the American Medical Directors Association·Kamil MalikovMichael P Hillmer
Jan 29, 2021·American Journal of Public Health·R Tamara Konetzka
Jan 30, 2021·Journal of General Internal Medicine·Cyrus M Kosar, Momotazur Rahman
Mar 4, 2021·The Lancet. Healthy Longevity·Morgan J Katz
Mar 15, 2021·Public Health Nursing·Deanna Gray-MiceliMarie Boltz
Apr 5, 2021·Journal of the American Medical Directors Association·Katherine E M MillerCourtney H Van Houtven
Apr 19, 2021·Journal of the American Medical Directors Association·Joël BelminKostas Danis
May 2, 2021·Journal of the American Medical Directors Association·George A HeckmanHein van Hout
Jun 2, 2021·Journal of the American Medical Directors Association·Shubing CaiOrna Intrator
Jun 9, 2021·Journal of the American Geriatrics Society·Diane M Gibson, Jessica Greene
Sep 29, 2020·Journal of the American Medical Directors Association·Sandra M ShiSarah D Berry
Jul 15, 2021·Health Affairs·Brian E McGarryMichael Lawrence Barnett
Aug 25, 2021·Journal of the American Medical Directors Association·Sally Hall DykgraafMichael Kidd
Aug 28, 2021·International Journal of Environmental Research and Public Health·Lucia CazzolettiEmanuele Torri
Aug 22, 2021·Journal of the American Medical Directors Association·Ashley Z RitterMary D Naylor
Sep 23, 2021·Journal of the American Geriatrics Society·R Tamara KonetzkaVincent Mor

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