scholarly journals COVID-19 and Ontario’s Long-Term Care Homes

2020 ◽  
Author(s):  
Nathan M. Stall ◽  
Kevin A. Brown ◽  
Aaron Jones ◽  
Andrew P. Costa ◽  
Vanessa Allen ◽  
...  
Keyword(s):  
Working Conditions ◽  
Long Term Care ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Temporary Housing ◽  
Term Care ◽  
High Burden ◽  
Second Homes ◽  
Temporary Staffing

Ontario long-term care (LTC) home residents have experienced disproportionately high morbidity and mortality, both from COVID-19 and from the conditions associated with the COVID-19 pandemic. There are several measures that could be effective in preventing COVID-19 outbreaks, hospitalizations, and deaths in Ontario’s LTC homes, if implemented. First, temporary staffing could be minimized by improving staff working conditions. Second, homes could be further decrowded by a continued disallowance of three- and four-resident rooms and additional temporary housing for the most crowded homes. Third, the risk of SARS-CoV-2 infection in staff could be minimized by approaches that reduce the risk of transmission in communities with a high burden of COVID-19.

scholarly journals COVID-19 and Ontario’s Long-Term Care Homes

2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Nathan M. Stall
Keyword(s):  
Long Term Care ◽  
Morbidity And Mortality ◽  
Care Homes ◽  
High Morbidity ◽  
Term Care

Ontario long-term care (LTC) home residents have experienced disproportionately high morbidity and mortality, both from COVID-19 and from the conditions associated with the COVID-19 pandemic. As of July 10, 2021, a total of 3,975 LTC home residents have died of COVID-19, totaling 43.0% of all 9,245 COVID-19 deaths in Ontario.

scholarly journals High vaccine effectiveness against coronavirus disease 2019 (COVID-19) and severe disease among residents and staff of long-term care facilities in Norway, November 2020–June 2021

2022 ◽  
Vol 2 (1) ◽  
Author(s):  
Jostein Starrfelt ◽  
Anders Skyrud Danielsen ◽  
Oliver Kacelnik ◽  
Anita Wang Børseth ◽  
Elina Seppälä ◽  
...  
Keyword(s):  
Long Term Care ◽  
Severe Disease ◽  
Vaccine Effectiveness ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Term Care ◽  
Care Facilities

Abstract Coronavirus disease 2019 (COVID-19) causes high morbidity and mortality in long-term care facilities (LTCFs). COVID-19 vaccine effectiveness against infection was 81.5% and 81.4% among fully vaccinated residents and staff in LTCFs. The vaccine effectiveness against COVID-19-associated death was 93.1% among residents, and no hospitalizations occurred among fully vaccinated staff.

Lifting the ‘Violence Veil’: Examining Working Conditions in Long-term Care Facilities Using Iterative Mixed Methods

2011 ◽  
Vol 30 (2) ◽  
pp. 271-284 ◽  
Author(s):  
Tamara Daly ◽  
Albert Banerjee ◽  
Pat Armstrong ◽  
Hugh Armstrong ◽  
Marta Szebehely
Keyword(s):  
Nous Avons ◽  
Working Conditions ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
Conditions De Travail ◽  
Longue Duree ◽  
Longue Durée ◽  
Groupes De Discussion

RÉSUMÉLe présent document se concentre sur les méthodes mixtes nous avons utilisé pour comprendre conditions de travail de leur travailleurs dans les établissements de soins de longue durée. Nous avons mené une enquête auprès des syndiqués travailleurs de santé en Ontario (n= 917), et une autre enquête dans trois provinces (n= 948) et quatre pays Scandinaves (n= 1625). Neuf groupes de discussion avec les Canadiens ont eu lieu; les répondants ont été présentés avec des questions du sondage et aussi descriptive des résultats statistiques et ont été demandé: “Est-ce le reflet de votre expérience?” Les contraintes de temps pour les travailleurs et la fréquence des expériences des travailleurs de la violence physique et attentions sexuelles non désirées sont signalés. Nous discutons comment de le façon dont nous utilisé des méthodes qualitatives et quantitatives étè itératif. Nous avons trouvé pas seulement la cohérence des données mais aussi la divergence des données qui montrent comment une culture de la violence dans les établissements de soins de longue durée est acceptée par les travailleurs comme d’habitude. Comment le constat de la violence structurelle vu le jour et la signification profonde, le contexte et les idées qui proviennent de la combinaison de nos méthodes itératives sont discutées.

Nursing Working Conditions in Relation to Restraint Practices in Long-Term Care Units

Medical Care ◽  
2006 ◽  
Vol 44 (12) ◽  
pp. 1114-1120 ◽  
Author(s):  
Laura Pekkarinen ◽  
Marko Elovainio ◽  
Timo Sinervo ◽  
Harriet Finne-Soveri ◽  
Anja Noro
Keyword(s):  
Working Conditions ◽  
Long Term Care ◽  
Term Care

scholarly journals A methicillin-rezisztens Staphylococcus aureus gyakorisága és kockázati tényezői a bentlakásos szociális intézményekben. Nemzetközi kitekintés

2016 ◽  
Vol 157 (27) ◽  
pp. 1071-1078
Author(s):  
Rita Szabó
Keyword(s):  
Staphylococcus Aureus ◽  
Long Term Care ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Chronic Wounds ◽  
Cochrane Library ◽  
High Morbidity ◽  
Term Care ◽  
Methicillin Resistant ◽  
Care Facilities

Introduction: Methicillin-resistant Staphylococcus aureus is one of the most important pathogens of healthcare and long-term care-associated infections over the world, resulting high morbidity, mortality and extra costs in these settings. Aim: The authors analyze the prevalence and predisposing factors of methicillin-resistant Staphylococcus aureus in long-term care facilities. Method: Systematic review using PubMed, ScienceDirect and Cochrane Library CENTRAL databases between January 1, 2006 and December 31, 2015 was performed. Results: In the past ten years methicillin-resistant Staphylococcus aureus prevalence in European long-term care facilities (12.6%) was lower than in North America (33.9%). The most frequent predisposing factor was previous antimicrobial therapy, hospital admission and infection/colonisation, chronic wounds, and high care need. Conclusions: Based on the results, the prevention and control of methicillin-resistant Staphylococcus aureus is an important public health priority in the European and Hungarian long-term care facilities. Orv. Hetil., 2016, 157(27), 1071–1078.

scholarly journals COVID-19 morbimortality in long-term care facilities in the state of Bahia, Brazil

2021 ◽  
Vol 15 ◽  
Author(s):  
Meirelayne Borges Duarte ◽  
Isabela Lôbo Duarte ◽  
Lucas Maia Scardino Faria ◽  
Mônica Hupsel Frank ◽  
Helena Patáro de Oliveira Novaes ◽  
...  
Keyword(s):  
Ecological Study ◽  
Long Term Care ◽  
Global Analysis ◽  
Case Fatality ◽  
The State ◽  
Morbidity And Mortality ◽  
Term Care ◽  
Care Facilities ◽  
Stratified Analysis

OBJECTIVE: To describe coronavirus disease 2019 (COVID-19) morbidity and mortality in long-term care facilities (LTCFs) in the state of Bahia, Brazil. METHODS: This is an ecological study involving identified and active LTCFs in Bahia, monitored by the Intersectoral Monitoring Commission of LTCFs. Data analysis included COVID-19 incidence among older residents and workers and COVID-19 hospitalization, fatality, and mortality rates among older residents. In addition to a global analysis of data from Bahia, a stratified analysis compared (i) the East macroregion with the rest of Bahia, and (ii) private LTCFs with philanthropic ones. RESULTS: Our sample consisted of 175 LTCFs, more than half located in the East macroregion (n = 99). Most facilities declared themselves as philanthropic (n = 94) or private (n = 59). From April/2020 to June/2021, COVID-19 incidence was 30.71% among residents and 19.86% among LTCF workers. Considering older residents, mortality was 3.57% and fatality was 11.63%. Incidence was lower in the East macroregion, for older residents (relative risk [RR] = 0.77; 95% confidence interval [CI] 0.68–0.87) and LTCF workers (RR = 0.70; 95%CI 0.59–0.83). The hospitalization rate due to COVID-19 was 19.97%, being higher in private LTCFs (RR = 1.61; 95%CI 1.30–2.00). CONCLUSIONS: This study reveals that COVID-19 morbidity and mortality in LTCFs in Bahia were consistent with the wide ranges described in the literature, although case fatality was lower than expected. This demonstrates the importance of strategies to coordinate, identify, assess, and target support for LTCFs, highlighting the need for stronger public policies.

scholarly journals A rapid systematic review of measures to protect older people in long-term care facilities from COVID-19

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e047012
Author(s):  
Kate Frazer ◽  
Lachlan Mitchell ◽  
Diarmuid Stokes ◽  
Ella Lacey ◽  
Eibhlin Crowley ◽  
...  
Keyword(s):  
Systematic Review ◽  
Nursing Homes ◽  
Older People ◽  
Outcome Measures ◽  
Long Term Care ◽  
Morbidity And Mortality ◽  
Secondary Outcome ◽  
Term Care ◽  
Care Facilities

ObjectivesThe global COVID-19 pandemic produced large-scale health and economic complications. Older people and those with comorbidities are particularly vulnerable to this virus, with nursing homes and long term care facilities (LTCF) experiencing significant morbidity and mortality associated with COVID-19 outbreaks. The aim of this rapid systematic review was to investigate measures implemented in LTCF to reduce transmission of COVID-19 and their effect on morbidity and mortality of residents, staff and visitors.SettingLong-term care facilities.ParticipantsResidents, staff and visitors of facilities.Primary and secondary outcome measuresDatabases (PubMed, EMBASE, CINAHL, Cochrane Databases and repositories and MedRXiv prepublished database) were systematically searched from inception to 27 July 2020 to identify studies reporting assessment of interventions to reduce transmission of COVID-19 in nursing homes among residents, staff or visitors. Outcome measures include facility characteristics, morbidity data, case fatalities and transmission rates. Due to study quality and heterogeneity, no meta-analysis was conducted.ResultsThe search yielded 1414 articles, with 38 studies included. Reported interventions include mass testing, use of personal protective equipment, symptom screening, visitor restrictions, hand hygiene and droplet/contact precautions, and resident cohorting. Prevalence rates ranged from 1.2% to 85.4% in residents and 0.6% to 62.6% in staff. Mortality rates ranged from 5.3% to 55.3% in residents.ConclusionsNovel evidence in this review details the impact of facility size, availability of staff and practices of operating between multiple facilities, and for-profit status of facilities as factors contributing to the size and number of COVID-19 outbreaks. No causative relationships can be determined; however, this review provides evidence of interventions that reduce transmission of COVID-19 in LTCF.PROSPERO registration numberCRD42020191569.

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