Characteristics of US Nursing Homes withCOVID-19 Cases
Characteristics of US Nursing Homes withCOVID-19 Cases
复制标题
DOI：
10.1111/jgs.16661
复制
发表时间：
2020-07-07
影响因子：
6.3
通讯作者：
Grabowski, David C.
中科院分区：
文献类型：
--
作者：
Abrams, Hannah R.;Loomer, Lacey;Grabowski, David C.
背景/目标 美国大部分疗养院均记录了 2019 年冠状病毒病 (COVID-19)，导致居民死亡率较高。为了了解如何预防和减轻未来的疫情爆发，我们必须了解哪些疗养院更有可能出现 COVID-19 病例。我们的目的是调查 30 个州报告受影响的个别设施中记录有 COVID-19 病例的疗养院的特征。设计 我们通过与州卫生部门的通信和公开报告，构建了截至 2020 年 5 月 11 日已核实 COVID-19 病例的疗养院数据库。我们将这些信息与疗养院特征联系起来，并使用回归分析来检查这些特征与记录的 COVID-19 病例的可能性之间的关联。设置 来自 30 个州的所有在设施层面报告了 COVID-19 病例的疗养院。参与者 报告数据的各州疗养院居民。测量 疗养院是否报告了 COVID-19 病例（是/否），并以有病例为条件，疗养院的病例数。结果 在我们样本中的 9,395 家疗养院中，有 2,949 家 (31.4%) 有记录的 COVID-19 病例。较大的设施规模、城市位置、非裔美国居民比例较高、非连锁状态和州与 COVID-19 病例概率增加显着相关 (P < .05)。五星级评级、既往感染违规情况、医疗补助依赖和所有权没有显着相关。结论 疗养院中的 COVID-19 病例与设施位置和规模有关，而不是与星级和先前感染控制引用等传统质量指标有关。
BACKGROUND/OBJECTIVES The 2019 coronavirus disease (COVID-19) has been documented in a large share of nursing homes throughout the United States, leading to high rates of mortality for residents. To understand how to prevent and mitigate future outbreaks, it is imperative that we understand which nursing homes are more likely to experience COVID-19 cases. Our aim was to examine the characteristics of nursing homes with documented COVID-19 cases in the 30 states reporting the individual facilities affected. DESIGN We constructed a database of nursing homes with verified COVID-19 cases as of May 11, 2020, via correspondence with and publicly available reports from state departments of health. We linked this information to nursing home characteristics and used regression analysis to examine the association between these characteristics and the likelihood of having a documented COVID-19 case. SETTING All nursing homes from 30 states that reported COVID-19 cases at the facility-level. PARTICIPANTS Nursing home residents in states reporting data. MEASUREMENTS Whether a nursing home had a reported COVID-19 case (yes/no), and conditional on having a case, the number of cases at a nursing home. RESULTS Of 9,395 nursing homes in our sample, 2,949 (31.4%) had a documented COVID-19 case. Larger facility size, urban location, greater percentage of African American residents, non-chain status, and state were significantly (P < .05) related to the increased probability of having a COVID-19 case. Five-star rating, prior infection violation, Medicaid dependency, and ownership were not significantly related. CONCLUSION COVID-19 cases in nursing homes are related to facility location and size and not traditional quality metrics such as star rating and prior infection control citations.