美国养老院居民的 COVID-19 感染:个人因素和环境因素的系统回顾。

IF 2.1 Q3 GERIATRICS & GERONTOLOGY
Gerontology and Geriatric Medicine Pub Date : 2024-02-15 eCollection Date: 2024-01-01 DOI:10.1177/23337214241229824
Cheng Yin, Elias Mpofu, Kaye Brock, Stan Ingman
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引用次数: 0

摘要

背景:这篇混合方法的系统性综述综述了养老院感染 COVID-19 风险的相关证据。研究方法检索了 2020 年 1 月至 2022 年 10 月期间的四个电子数据库(PubMed、Web of Science、Scopus 和 Sage Journals Online)。纳入标准是按地域、人口、养老院类型、人员配备和居民健康状况以及 COVID-19 疫苗接种情况对养老院 COVID-19 感染风险进行报告的研究。采用混合方法评估工具 (MMAT) 评估证据的质量水平,并采用叙述性综合方法按主题报告研究结果。结果:在最初的 579 篇文章中,有 48 篇被纳入综述。研究结果表明,人口密集的县城和城市地区发生 COVID-19 感染的可能性较高。与规模较小的养老院相比,规模较大且完全接种疫苗的居民比例较低的养老院感染 COVID-19 的风险也更高。高龄、少数种族和患有慢性疾病的居民感染 COVID-19 的风险更高。讨论与启示:研究结果表明,除了已知的 COVID-19 感染风险因素外,地理位置和居民人口统计也是预防性护理的重要考虑因素。弱势居民接种 COVID-19 疫苗应成为优先事项。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nursing Home Residents' COVID-19 Infections in the United States: A Systematic Review of Personal and Contextual Factors.

Background: This mixed methods systemic review synthesizes the evidence about nursing home risks for COVID-19 infections. Methods: Four electronic databases (PubMed, Web of Science, Scopus, and Sage Journals Online) were searched between January 2020 and October 2022. Inclusion criteria were studies reported on nursing home COVID-19 infection risks by geography, demography, type of nursing home, staffing and resident's health, and COVID-19 vaccination status. The Mixed Methods Appraisal Tool (MMAT) was used to assess the levels of evidence for quality, and a narrative synthesis for reporting the findings by theme. Results: Of 579 initial articles, 48 were included in the review. Findings suggest that highly populated counties and urban locations had a higher likelihood of COVID-19 infections. Larger nursing homes with a low percentage of fully vaccinated residents also had increased risks for COVID-19 infections than smaller nursing homes. Residents with advanced age, of racial minority, and those with chronic illnesses were at higher risk for COVID-19 infections. Discussion and implications: Findings suggest that along with known risk factors for COVID-19 infections, geographic and resident demographics are also important preventive care considerations. Access to COVID-19 vaccinations for vulnerable residents should be a priority.

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来源期刊
Gerontology and Geriatric Medicine
Gerontology and Geriatric Medicine Medicine-Geriatrics and Gerontology
CiteScore
2.90
自引率
3.70%
发文量
119
审稿时长
12 weeks
期刊介绍: Gerontology and Geriatric Medicine (GGM) is an interdisciplinary, peer-reviewed open access journal where scholars from a variety of disciplines present their work focusing on the psychological, behavioral, social, and biological aspects of aging, and public health services and research related to aging. The journal addresses a wide variety of topics related to health services research in gerontology and geriatrics. GGM seeks to be one of the world’s premier Open Access outlets for gerontological academic research. As such, GGM does not limit content due to page budgets or thematic significance. Papers will be subjected to rigorous peer review but will be selected solely on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, GGM facilitates the discovery of the connections between papers.
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