ASSESSING THE INFLUENCE OF NURSING HOME SIZE AND CARE MODELS ON COVID-19: CASE AND MORTALITY RATES
2024

Impact of Nursing Home Size and Care Models on COVID-19 Rates

publication Evidence: moderate

Author Information

Author(s): Young Yuchi, Liu Yichun, Shayya Ashley, Chiu Wan-Yu, Hsu Wanhsiang, O’Grady Thomas

Primary Institution: State University of New York at Albany

Hypothesis

How do nursing home size and care models affect COVID-19 case and mortality rates?

Conclusion

Nursing home size and care models significantly influence COVID-19 transmission, with smaller, person-centered care settings showing lower infection rates.

Supporting Evidence

  • COVID-19 case and mortality rates were analyzed from June 1, 2020, to September 30, 2022.
  • Residents in CCRC-NHs had a higher average age compared to those in traditional nursing homes.
  • GHs experienced lower infection rates compared to traditional nursing homes.

Takeaway

This study found that smaller nursing homes with better care models had fewer COVID-19 cases, while larger, traditional nursing homes had more infections.

Methodology

The study used Poisson regression to compare COVID-19 case and mortality rates across different types of nursing homes.

Participant Demographics

Average age of residents was 84.4 years in CCRC-NHs, 83.1 years in GHs, and 77.5-77.6 years in traditional NHs, with a higher proportion of female and White residents in CCRC-NHs and GHs.

Statistical Information

P-Value

P<.0001

Confidence Interval

95% CI 1.10-2.07; 95% CI 1.14-2.15; 95% CI 1.32-2.47

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1093/geroni/igae098.1385

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