scholarly journals Risk Factors for COVID-19 Morbidity and Mortality in Institutionalised Elderly People

2021 ◽  
Vol 18 (19) ◽  
pp. 10221
Author(s):  
Ander Burgaña Agoües ◽  
Marta Serra Gallego ◽  
Raquel Hernández Resa ◽  
Beatriz Joven Llorente ◽  
Maria Lloret Arabi ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Elderly People ◽  
Barthel Index ◽  
Morbidity And Mortality ◽  
Test Results ◽  
Polymerase Chain ◽  
Home Workers ◽  
Adequate Management ◽  
Pcr Test

Background: SARS-CoV-2 has caused a high mortality in institutionalised individuals. There are very few studies on the involvement and the real impact of COVID-19 in nursing homes. This study analysed factors related to morbidity and mortality of COVID-19 in institutionalised elderly people. Methods: This cohort study included 842 individuals from 12 nursing homes in Sant Cugat del Vallès (Spain) from 15 March to 15 May 2020. We evaluated individual factors (demographic, dependence, clinical, and therapeutic) and those related to the nursing homes (size and staff) associated with infection and mortality by SARS-CoV-2. Infection was diagnosed by molecular biology test. Results: Of the 842 residents included in the analysis, 784 underwent a Polymerase Chain Reaction (PCR) test; 74.2% were women, the mean age was 87.1 years, and 11.1% died. The PCR test was positive in 44%. A total of 33.4% of the residents presented symptoms compatible with COVID-19 and of these, 80.9% were PCR-positive for SARS-CoV-2. Infection by SARS-CoV-2 among residents was associated with the rate of staff infected in the homes. Mortality by SARS-CoV-2 was related to male sex and a greater grade of dependence measured with the Barthel index. Conclusions: SARS-Cov-2 infection in institutionalised people is associated with the infection rate in nursing home workers and mortality by SARS-Cov-2 with sex and greater dependency according to the Barthel index. Adequate management of nursing home staff and special attention to measures of infection control, especially of individuals with greater dependence, are keys for successful management of future pandemic situations.

Death and COVID-19 Anxiety in Home-Quarantined Individuals Aged 65 and Over During the Pandemic

2021 ◽  
pp. 003022282110598
Author(s):  
Hümeyra Aslaner ◽  
Betül Özen ◽  
Zeliha K. Erten ◽  
Mebrure Beyza Gökçek
Keyword(s):  
Polymerase Chain Reaction ◽  
Death Anxiety ◽  
Short Form ◽  
Anxiety Score ◽  
Test Results ◽  
Rt Pcr ◽  
Chain Reaction ◽  
Polymerase Chain ◽  
Test Result ◽  
Pcr Test

Urgent measures were taken for those at the age of 65 and over who were at the risk group all over the world due to the COVID-19 pandemic. It is known that many individuals at the age of 65 and over have experienced anxiety due to the uncertainties. This study aimed to determine the anxiety and death anxiety in individuals aged 65 and over who were isolation at home due to being diagnosed with COVID-19 or being in contact during the pandemic process. The study is descriptive and cross-sectional. It was performed with 656 home-quarantined individuals aged between 65–80 years with positive or negative real-time polymerase chain reaction (RT-PCR) test result. A form including questions about the death anxiety and the Coronavirus Anxiety Scale Short Form prepared by the researchers were administered to the individuals by phone call. Of the participants, 49.5% were male. Median COVID-19 anxiety score was 4 (0–18). Anxiety scores of the male and female participants were similar. Participants with negative polymerase chain reaction (PCR) results and those with death anxiety had higher COVID anxiety scores. Death anxiety has increased by 1.661 times in male gender, 1.983 times in RT-PCR positivity and 0.146 times in the presence of symptoms. Individuals with positive COVID-19 test results or those aged 65 and over who had death anxiety and negative COVID-19 test result but who were in home-isolation due to being a contact had higher anxiety score. For this reason, those with death anxiety can be supported in line with their religious beliefs to reduce anxiety. Those with negative PCR test results in quarantine can be adequately informed about the COVID-19.

Getting to Zero-Lift in Washington State Nursing Homes

2000 ◽  
Vol 44 (30) ◽  
pp. 5-430-5-433 ◽  
Author(s):  
Kathleen Rockefeller ◽  
Barbara Silverstein ◽  
Ninica Howard
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Strong Evidence ◽  
Washington State ◽  
Nursing Assistants ◽  
Shoulder Injuries ◽  
Risk Of Injury ◽  
Caring Environment ◽  
Home Workers

The huge toll caused by back and shoulder injuries among nursing home workers (nursing assistants) has been well documented. These injuries have been related primarily to tasks involving lifting and handling of the residents. There is strong evidence that reduction in load would decrease the risk of injury. “Zero-lift” programs are designed to reduce these loads and involve several components: support of management and participation of employees; acquisition of equipment; policies surrounding the use of equipment; training; and management of injuries that do occur. There appears to be a significant disparity between the availability of technology to reduce the hazards associated with handling tasks and the adoption of the technology by the industry. The challenge for nursing homes is to effectively implement programs that reduce physical loads on nursing assistants while maintaining a safe and caring environment for the residents.

scholarly journals Evaluating the bacterial culture technique by Polymerase chain reaction for the diagnosis of Brucella abortus in milk of cows suspected with brucellosis.

2016 ◽  
Vol 40 (1) ◽  
pp. 5-8
Author(s):  
Bashar Sadeq Noomy
Keyword(s):  
Polymerase Chain Reaction ◽  
Brucella Abortus ◽  
Bacterial Culture ◽  
Culture Technique ◽  
Test Results ◽  
Chain Reaction ◽  
Culture Techniques ◽  
Milk Samples ◽  
Polymerase Chain ◽  
Pcr Test

      The aim of this study is to determine the sensitivity of bacterial culture technique in the detection of Brucella abortus in milk samples of aborted cows. Sixty samples of milk were collected from aborted cows during a period which did not exceed two months after the abortion. All of them were positive for rose bengal test. Results showed that Brucella abortus was isolated from 7 out of 60 (11.6%) from the milk of aborted cows, while PCR test showed that 32 out of 60 (53.3%) milk sample contained Brucella abortus. The specificity of culture techniques was 10%, but its sensitivity was only 21.8%. Beside the cautions in dealing with live Brucella abortus (as culture), it is also less sensitive than PCR, though it is better to use PCR technique in the diagnosis of brucellosis in aborted cows milk.

The Illusory Home, or the 24 Percent Fallacy

1989 ◽  
Vol 28 (3) ◽  
pp. 175-183 ◽  
Author(s):  
Joan Retsinas ◽  
Lauralee Thompson ◽  
Patricia Garrity
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Elderly People ◽  
Death Certificates

Although many elderly people live for years in nursing homes, death certificates routinely obliterate nursing home residence. Data gathered from records of one proprietary nursing home show that of 128 residents, from 45 percent to 66 percent could be classified as “permanent,” depending on the definition. Nevertheless, the death certificates for those 128 residents list the nursing home as the residence for only 24 percent. This article explores that bias.

How does gatekeeper training improve suicide prevention for elderly people in nursing homes? A controlled study in 24 centres

2016 ◽  
Vol 37 ◽  
pp. 56-62 ◽  
Author(s):  
N. Chauliac ◽  
N. Brochard ◽  
C. Payet ◽  
Y. Margue ◽  
P. Bordin ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Elderly People ◽  
Suicide Prevention ◽  
Controlled Study ◽  
Prevention Measures ◽  
Gatekeeper Training ◽  
Quasi Experimental ◽  
Trained Staff ◽  
The Impact

AbstractBackgroundThe death rate due to suicide in elderly people is particularly high. As part of suicide selective prevention measures for at-risk populations, the WHO recommends training “gatekeepers”.MethodsIn order to assess the impact of gatekeeper training for members of staff, we carried out a controlled quasi-experimental study over the course of one year, comparing 12 nursing homes where at least 30% of the staff had undergone gatekeeper training with 12 nursing homes without trained staff. We collected data about the residents considered to be suicidal, their management further to being identified, as well as measures taken at nursing home level to prevent suicide.ResultsThe two nursing home groups did not present significantly different characteristics. In the nursing homes with trained staff, the staff were deemed to be better prepared to approach suicidal individuals. The detection of suicidal residents relied more on the whole staff and less on the psychologist alone when compared to nursing homes without trained staff. A significantly larger number of measures were taken to manage suicidal residents in the trained nursing homes. Suicidal residents were more frequently referred to the psychologist. Trained nursing homes put in place significantly more suicide prevention measures at an institutional level.ConclusionsHaving trained gatekeepers has an impact not only for the trained individuals but also for the whole institution where they work, both in terms of managing suicidal residents and routine suicide prevention measures.

scholarly journals Assessing Sex Differential in COVID-19 Mortality Rate by Age and Polymerase Chain Reaction Test Results; An Iranian Multi-Center Study

2021 ◽  
Author(s):  
Mehdi Azizmohammad Looha ◽  
Mostafa Rezaei-Tavirani ◽  
Mohammad Rostami-Nejad ◽  
Shahriar Janbazi ◽  
Elaheh Zarean ◽  
...  
Keyword(s):  
Polymerase Chain Reaction ◽  
Mortality Rate ◽  
Differential Effect ◽  
Death Rate ◽  
Age Groups ◽  
Test Results ◽  
Chain Reaction ◽  
Negative Test ◽  
Polymerase Chain ◽  
Pcr Test

Abstract Background: Males are more likely to die from COVID-19 than females. In addition, the mortality rate among positive and suspected COVID-19 patients were reported in many literatures. The aim of this study is to evaluate the sex differential effect in the COVID-19 mortality by different age groups and polymerase chain reaction (PCR) test results. Methods: in a multicenter cross-sectional study from 55 hospitals in Tehran, Iran, patients were categorized as the positive, negative and suspected cases. Age group, sex and hospital wards were also assessed in analysis. Results: A total of 25481 cases (14791 males) were included in the study with the mortality rate of 12.0%. The mortality rate in positive, negative and suspected cases were 20.55%, 9.97% and 7.31%, respectively. Although the mortality in negative test group was considerable, sex was not associated with the death rate in this group. Using Cox regression model, sex had a significant effect on the hazard of death due to COVID-19 in adults and senior patients having positive and suspected PCR test results. However, sex was not found as significant factor for mortality in patients with negative PCR test occurring to different age groups. Conclusion: Regardless of other risk factors, we found that sex differential effect in COVID-19 mortality varies significantly in different age groups; therefore, appropriate strategies should be designed to protect adult and senior men from this deadly infectious disease. Furthermore, owing to the considerable death rate of COVID-19 patients with negative test results, new policies should be launched increase the accuracy of diagnosis tests.

scholarly journals Research on Acoustic Environment in the Building of Nursing Homes Based on Sound Preference of the Elderly People: A Case Study in Harbin, China

2021 ◽  
Vol 12 ◽  
Author(s):  
Peng Cui ◽  
Jun Zhang ◽  
Ting Ting Li
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Public Space ◽  
Elderly People ◽  
The Elderly ◽  
Sound Perception ◽  
Acoustic Environment ◽  
Health Care Center ◽  
Living Space ◽  
Income Status

Nursing homes are the facilities where the elderly conduct their daily activities. This may lead to a complicated acoustic environment which would potentially affect the ability of the elderly to function. In this study, the main indoor public space of a nursing home in Harbin was taken as the research object, and the methods of field observation, sound measurement, and questionnaire survey were used to explore the sound perception and preference of the elderly. The results revealed that in terms of the temporal and spatial distribution of sound pressure level (SPL), the unit living space had the highest SPL, which was above 60 dB (A). The reverberation time (RT) of the unit living space, medical and health care center corridor, was 2.15 and 2.13 s, respectively, at a frequency of 1,000 Hz, which was within the discomfort range. The results also revealed that an acoustic environment had a strong correlation with humidity and a weak correlation with temperature. However, no significant correlation could be assessed with a luminous environment. The elderly people were generally willing to accept the natural sound sources. The factors of gender and offspring numbers had no significant impact on the evaluation of acoustic environment comfort, whereas marriage and income status affected the comfort. This study may help improve the quality of life of the elderly in the nursing home and provide a reference for the construction and design of pension facilities.

scholarly journals Clinical Suspicion of COVID-19 in Nursing Home residents: symptoms and mortality risk factors

2020 ◽  
Author(s):  
Jeanine J.S. Rutten ◽  
Anouk M. van Loon ◽  
Janine van Kooten ◽  
Laura W. van Buul ◽  
Karlijn J. Joling ◽  
...  
Keyword(s):  
Risk Factors ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Rt Pcr ◽  
Atypical Symptoms ◽  
Low Threshold ◽  
Polymerase Chain ◽  
Reduced Kidney Function ◽  
Essential Prerequisite ◽  
Pcr Test

AbstractObjectivesTo describe symptomatology, mortality and risk factors for mortality in a large group of Dutch nursing home (NH) residents with clinically-suspected COVID-19 who were tested with a Reverse Transcription Polymerase Chain Reaction (RT-PCR) test.DesignProspective cohort study.Setting and participantsResidents of Dutch NHs with clinically-suspected COVID-19 and who received RT-PCR test.MethodsWe collected data of NH residents with clinically-suspected COVID-19, via electronic health records between March 18th and May 13th, 2020. Registration was performed on diagnostic status (confirmed (COVID-19+)/ruled out (COVID-19-)) and symptomatology (typical and atypical symptoms). Information on mortality and risk factors for mortality were extracted from usual care data.ResultsIn our sample of residents with clinically-suspected COVID-19 (N=4007), COVID-19 was confirmed in 1538 residents (38%). Although, symptomatology overlapped between residents with COVID-19+ and COVID-19-, those with COVID-19+ were three times more likely to die within 30 days (hazard ratio (HR), 3·1; 95% CI, 2·7 to 3·6). Within this group, mortality was higher for men than for women (HR, 1·8; 95%, 1·5-2·2) and we observed a higher mortality for residents with dementia, reduced kidney function, and Parkinson’s Disease, even when corrected for age, gender, and comorbidities.Conclusions and implicationsAbout 40% of the residents with clinically-suspected COVID-19 actually had COVID-19, based on the RT-PCR test. Despite an overlap in symptomatology, mortality rate was three times higher for residents with COVID-19+. This emphasizes the importance of using low-threshold testing in NH residents which is an essential prerequisite to using limited personal protective equipment and isolation measures efficiently.

scholarly journals The association between the quality of life and depression of elderly in a nursing home institutional setting

2016 ◽  
Vol 6 (3) ◽  
pp. 162-167
Author(s):  
Ľubica Ilievová ◽  
Peter Žitný ◽  
Jana Jakobejova
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Nursing Homes ◽  
Elderly People ◽  
Rating Scale ◽  
Short Form ◽  
Institutional Setting ◽  
Depression Symptoms ◽  
Mild Depression

Introduction: The quality of life is perceived individually and subjectively. The quality of life of elderly people in nursing home nursing homes depends on the degree to which their needs are fulfilled. The need to adapt to a new environment in an older age is a risky situation and may result in depression. The aim of the study was to analyze the change of quality of life and level of depression, as well as possible association of quality of life and level of depression, in elderly people admitted for the first time to nursing home.Methods: The research included 38 participants (10 men and 28 women). The data were obtained using the Geriatric Depression Rating Scale Short Form (GDS-SF) and a short form of the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-SF).Results: The average age was 79.2 (SD = 6.9) with a variation span of 30 years, minimum age was 62 (n = 1) and maximum age was 92 years (n = 1).The participants experienced a clinically significant reduction in depression symptoms, moving from a mild depression zone (8-12 points) to the zone of clinical standard (7 points or less). An essential finding was a strong negative correlation between the quality of life and depression.Conclusions: Obtaining information on depression and the quality of life of elderly in nursing home settings should be introduced as a standard part of nursing activities in order to improve the quality of customer care in the nursing homes.

scholarly journals Viral Shedding among Re-Positive Severe Acute Respiratory Syndrome Coronavirus-2 Positive Individuals in Republic of Korea

Viruses ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 2089
Author(s):  
Jeong-Min Kim ◽  
Boyeong Ryu ◽  
Young June Choe ◽  
Hye-Jun Jo ◽  
Hyeokjin Lee ◽  
...  
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Neutralizing Antibodies ◽  
Index Patient ◽  
Test Results ◽  
Serological Tests ◽  
Past Infection ◽  
Viral Shedding ◽  
Viral Culture ◽  
Polymerase Chain ◽  
Pcr Test

This study investigated the infectivity of severe acute respiratory syndrome (SARS-CoV-2) in individuals who re-tested positive for SARS-CoV-2 RNA after recovering from their primary illness. We investigated 295 individuals with re-positive SARS-CoV-2 polymerase chain reaction (PCR) test results and 836 of their close contacts. We attempted virus isolation in individuals with re-positive SARS-CoV-2 PCR test results using cell culture and confirmed the presence of neutralizing antibodies using serological tests. Viral culture was negative in all 108 individuals with re-positive SARS-CoV-2 PCR test results in whom viral culture was performed. Three new cases of SARS-CoV-2 infection were identified among household contacts using PCR. Two of the three new cases had had contact with the index patient during their primary illness, and all three had antibody evidence of past infection. Thus, there was no laboratory evidence of viral shedding and no epidemiological evidence of transmission among individuals with re-positive SARS-CoV-2 PCR test results.

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