Home-Based Primary Care Led-Outbreak Mitigation in Assisted Living Facilities in the First 100 Days of Coronavirus Disease 2019.
Aged
Aged, 80 and over
Assisted Living Facilities
/ organization & administration
COVID-19
Cohort Studies
Communicable Disease Control
/ organization & administration
Coronavirus Infections
/ epidemiology
Delivery of Health Care
/ organization & administration
Female
Home Care Services
/ organization & administration
Humans
Male
Nursing Homes
/ organization & administration
Outcome Assessment, Health Care
Pandemics
/ prevention & control
Pneumonia, Viral
/ epidemiology
Primary Health Care
/ methods
Program Evaluation
Retrospective Studies
Risk Assessment
United States
COVID-19
Coronavirus
assisted living
home-based primary care
outbreak
Journal
Journal of the American Medical Directors Association
ISSN: 1538-9375
Titre abrégé: J Am Med Dir Assoc
Pays: United States
ID NLM: 100893243
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
14
05
2020
revised:
08
06
2020
accepted:
08
06
2020
entrez:
18
7
2020
pubmed:
18
7
2020
medline:
31
7
2020
Statut:
ppublish
Résumé
Residents of congregate care settings have been severely impacted by the current Coronavirus disease 2019 (COVID-19) pandemic. In this report, we describe the methods our home-based primary care practice has developed to mitigate the spread of COVID-19 in assisted living facilities (ALFs) and we present an initial evaluation of this innovation. Shortly after the first COVID-19 case was reported in the United States, our organization assembled an outbreak committee, designed to support the 1794 ALF residents and the 101 communities in which they reside. The committee led the development and deployment of a comprehensive COVID-19 prevention and suppression strategy. The average age of the cohort was 83 ± 11 years, and 74% were female. Seven individuals (0.4% of census) tested positive for SARS-CoV-2. The positive individuals were located in 3 ALFs, representing 3% of our total number of ALFs. There has been 1 death. Home-based primary care-led outbreak mitigation may be an enabler to suppress COVID-19 in ALFs.
Identifiants
pubmed: 32674826
pii: S1525-8610(20)30519-3
doi: 10.1016/j.jamda.2020.06.014
pmc: PMC7287415
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
951-953Informations de copyright
Copyright © 2020 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.
Références
N Engl J Med. 2020 Feb 20;382(8):727-733
pubmed: 31978945
Lancet Infect Dis. 2020 May;20(5):533-534
pubmed: 32087114
J Am Med Dir Assoc. 2020 May;21(5):572-575
pubmed: 32334770