Dataset Information

Characteristics of nursing homes and early preventive measures associated with risk of infection from COVID-19 in Lazio region, Italy: a retrospective case-control study.

ABSTRACT:

Objectives

To understand which organisational-structural characteristics of nursing homes-also referred to as long-term care facilities (LTCFs)-and the preventative measures adopted in response to the pandemic are associated with the risk of a COVID-19 outbreak.

Setting

LTCFs in Lazio region in Italy.

Design

The study adopts a case-control design.

Participants

We included 141 facilities and 100 provided information for the study. Cases were defined as facilities reporting a COVID-19 outbreak (two or more cases) in March-December 2020; controls were defined as LTCFs reporting one case or zero. The exposures include the structural-organisational characteristics of the LTCFs as reported by the facilities, preventative measures employed and relevant external factors.

Results

Twenty facilities reported an outbreak of COVID-19. In binary logistic regression models, facilities with more than 15 beds were five times more likely to experience an outbreak than facilities with less than 15 beds OR=5.60 (CI 1.61 to 25.12; p value 0.002); admitting new residents to facilities was associated with a substantially higher risk of an outbreak: 6.46 (CI 1.58 to 27.58, p value 0.004). In a multivariable analysis, facility size was the only variable that was significantly associated with a COVID-19 outbreak OR= 5.37 (CI 1.58 to 22.8; p value 0.012) for larger facilities (>15 beds) versus smaller (<15 beds). Other characteristics and measures were not associated with an outbreak.

Conclusion

There was evidence of a higher risk of COVID-19 in larger facilities and when new patients were admitted during the pandemic. All other structural-organisational characteristics and preventative measures were not associated with an outbreak. This finding calls into question existing policies, especially where there is a risk of harm to residents. One such example is the restriction of visitor access to facilities, resulting in the social isolation of residents.

SUBMITTER: Orlando S

PROVIDER: S-EPMC9170802 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Publications

Characteristics of nursing homes and early preventive measures associated with risk of infection from COVID-19 in Lazio region, Italy: a retrospective case-control study.

Orlando Stefano S Mazhari Tuba T Abbondanzieri Alessio A Cerone Gennaro G Ciccacci Fausto F Liotta Giuseppe G Mancinelli Sandro S Marazzi Maria Cristina MC Palombi Leonardo L

BMJ open 20220606 6

<h4>Objectives</h4>To understand which organisational-structural characteristics of nursing homes-also referred to as long-term care facilities (LTCFs)-and the preventative measures adopted in response to the pandemic are associated with the risk of a COVID-19 outbreak.<h4>Setting</h4>LTCFs in Lazio region in Italy.<h4>Design</h4>The study adopts a case-control design.<h4>Participants</h4>We included 141 facilities and 100 provided information for the study. Cases were defined as facilities repo ...[more]

PMID: 35667726

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Dataset Information

Characteristics of nursing homes and early preventive measures associated with risk of infection from COVID-19 in Lazio region, Italy: a retrospective case-control study.

Objectives

Setting

Design

Participants

Results

Conclusion

Publications

Characteristics of nursing homes and early preventive measures associated with risk of infection from COVID-19 in Lazio region, Italy: a retrospective case-control study.

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