Short-Stay Admissions Associated With Large COVID-19 Outbreaks in Maryland Nursing Homes.
AuthorMattingly, T Joseph
Lydecker, Alison D
Kim, Justin J
Yoon, Jung Min
JournalGerontology & Geriatric Medicine
PublisherSAGE Publications Inc.
MetadataShow full item record
AbstractAt the beginning of the COVID-19 pandemic, some nursing homes (NHs) in Maryland suffered larger outbreaks than others. This study examined how facility characteristics influenced outbreak size. We conducted a retrospective analysis of secondary data from Maryland NHs to identify characteristics associated with large outbreaks, defined as when total resident cases exceeded 10% of licensed beds, from January 1, 2020, through July 1, 2020. Our dataset was unique in its inclusion of short-stay residents as a measure of resident type and family satisfaction as a measure of quality. Facility characteristics were collected prior to 2020. Like other studies, we found that large outbreaks were more likely to occur in counties with high cumulative incidence of COVID-19, and in NHs with more licensed beds or fewer daily certified nursing assistant (CNA) hours. We also found that NHs with a greater proportion of short-stay residents were more likely to have large outbreaks, even after adjustment for other facility characteristics. Lower family satisfaction was not significantly associated with large outbreaks after adjusting for CNA hours. Understanding the characteristics of NHs with large COVID-19 outbreaks can guide facility re-structuring to prevent the spread of respiratory infections in future pandemics.
Rights/Terms© The Author(s) 2021.
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/17742
- Characteristics of Nursing Homes by COVID-19 Cases Among Staff: March to August 2020.
- Authors: Ryskina KL, Yun H, Wang H, Chen AT, Jung HY
- Issue date: 2021 May
- The impact of organisational characteristics of staff and facility on infectious disease outbreaks in care homes: a systematic review.
- Authors: Liljas AEM, Morath LP, Burström B, Schön P, Agerholm J
- Issue date: 2022 Mar 15
- Nontraditional Small House Nursing Homes Have Fewer COVID-19 Cases and Deaths.
- Authors: Zimmerman S, Dumond-Stryker C, Tandan M, Preisser JS, Wretman CJ, Howell A, Ryan S
- Issue date: 2021 Mar
- Association Between CMS Quality Ratings and COVID-19 Outbreaks in Nursing Homes - West Virginia, March 17-June 11, 2020.
- Authors: Bui DP, See I, Hesse EM, Varela K, Harvey RR, August EM, Winquist A, Mullins S, McBee S, Thomasson E, Atkins A
- Issue date: 2020 Sep 18
- Asymptomatic carriage rates and case fatality of SARS-CoV-2 infection in residents and staff in Irish nursing homes.
- Authors: Kennelly SP, Dyer AH, Noonan C, Martin R, Kennelly SM, Martin A, O'Neill D, Fallon A
- Issue date: 2021 Jan 8