与澳大利亚维多利亚州 COVID-19 暴发和居民死亡率相关的养老院特征。
Characteristics of nursing homes associated with COVID-19 outbreaks and mortality among residents in Victoria, Australia.
机构信息
Health Law and Ageing Research Unit, Department of Forensic Medicine, Monash University, Southbank, Vic., Australia.
出版信息
Australas J Ageing. 2021 Sep;40(3):283-292. doi: 10.1111/ajag.12982. Epub 2021 Jul 19.
Abstract
OBJECTIVE
To determine nursing home characteristics associated with COVID-19 outbreak, outbreak size and mortality, during the second wave in Victoria, Australia.
METHOD
Population-based cross-sectional study of all nursing homes in Victoria between 7 July and 13 November 2020.
RESULTS
There were one or more resident cases of COVID-19 in 9.7% of nursing homes (74/766). COVID-19 intrusion was more likely in larger metropolitan facilities, privately owned by large chains, with a past history of regulatory non-compliance, located close to high-risk industry. Larger outbreaks were associated with homes in metropolitan areas, accommodating 91 or more residents, with shared rooms, owned by private providers operating many (11 or more) facilities. The highest case-fatality rates were observed in homes owned by not-for-profit providers operating many facilities, located close to high-risk industry.
CONCLUSION
Stratifying nursing homes according to characteristics associated with morbidity and mortality can inform risk management, prioritising emergency responses and optimising future nursing home operations.
摘要
目的
在澳大利亚维多利亚州第二波疫情期间，确定与 COVID-19 爆发、爆发规模和死亡率相关的养老院特征。
方法
这是一项针对 2020 年 7 月 7 日至 11 月 13 日期间维多利亚州所有养老院的基于人群的横断面研究。
结果
在 9.7%的养老院（74/766）中出现了一例或多例居民 COVID-19 病例。在较大的大都市设施中，在过去有违规行为记录、靠近高风险行业的大型连锁机构拥有的养老院中，COVID-19 更容易侵入。更大的疫情爆发与容纳 91 名或更多居民、有共享房间、由经营多个（11 个或更多）设施的私营供应商拥有的养老院有关。在靠近高风险行业、由经营多个设施的非营利性供应商拥有的养老院中，观察到的病死率最高。
结论
根据与发病率和死亡率相关的特征对养老院进行分层，可以为风险管理提供信息，优先考虑紧急应对，并优化未来的养老院运营。
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