Coronavirus Disease 2019 Outcomes in French Nursing Homes That Implemented Staff Confinement With Residents.
Identifieur interne : 000681 ( Main/Curation ); précédent : 000680; suivant : 000682Coronavirus Disease 2019 Outcomes in French Nursing Homes That Implemented Staff Confinement With Residents.
Auteurs : Joël Belmin [France] ; Nathavy Um-Din [France] ; Cristiano Donadio [France] ; Maurizio Magri [France] ; Quoc Duy Nghiem [France] ; Bruno Oquendo [France] ; Sylvie Pariel [France] ; Carmelo Lafuente-Lafuente [France]Source :
- JAMA network open [ 2574-3805 ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Betacoronavirus (MeSH), Coronavirus (MeSH), Enquêtes et questionnaires (MeSH), France (épidémiologie), Humains (MeSH), Infections à coronavirus (mortalité), Infections à coronavirus (prévention et contrôle), Infections à coronavirus (virologie), Isolement social (MeSH), Maisons de repos (MeSH), Maisons de retraite médicalisées (MeSH), Pandémies (prévention et contrôle), Personnel infirmier (MeSH), Pneumopathie virale (mortalité), Pneumopathie virale (prévention et contrôle), Pneumopathie virale (virologie), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Établissements de soins qualifiés (MeSH), Études rétrospectives (MeSH).
- MESH :
- mortalité : Infections à coronavirus, Pneumopathie virale.
- prévention et contrôle : Infections à coronavirus, Pandémies, Pneumopathie virale.
- virologie : Infections à coronavirus, Pneumopathie virale.
- épidémiologie : France.
- Adulte, Betacoronavirus, Coronavirus, Enquêtes et questionnaires, Humains, Isolement social, Maisons de repos, Maisons de retraite médicalisées, Personnel infirmier, Sujet âgé, Sujet âgé de 80 ans ou plus, Établissements de soins qualifiés, Études rétrospectives.
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Betacoronavirus (MeSH), Coronavirus (MeSH), Coronavirus Infections (mortality), Coronavirus Infections (prevention & control), Coronavirus Infections (virology), France (epidemiology), Homes for the Aged (MeSH), Humans (MeSH), Nursing Homes (MeSH), Nursing Staff (MeSH), Pandemics (prevention & control), Pneumonia, Viral (mortality), Pneumonia, Viral (prevention & control), Pneumonia, Viral (virology), Retrospective Studies (MeSH), Skilled Nursing Facilities (MeSH), Social Isolation (MeSH), Surveys and Questionnaires (MeSH).
- MESH :
- geographic , epidemiology : France.
- mortality : Coronavirus Infections, Pneumonia, Viral.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- virology : Coronavirus Infections, Pneumonia, Viral.
- Adult, Aged, Aged, 80 and over, Betacoronavirus, Coronavirus, Homes for the Aged, Humans, Nursing Homes, Nursing Staff, Retrospective Studies, Skilled Nursing Facilities, Social Isolation, Surveys and Questionnaires.
Abstract
Importance
Coronavirus disease 2019 (COVID-19) is a major threat to nursing homes. During the COVID-19 pandemic wave that hit France in March and April 2020, staff members of some French nursing homes decided to confine themselves with their residents on a voluntary basis to reduce the risk of entry of the severe acute respiratory syndrome coronavirus 2 into the facility.
Objective
To investigate COVID-19-related outcomes in French nursing homes that implemented voluntary staff confinement with residents.
Design, Setting, and Participants
This retrospective cohort study was conducted in French nursing homes from March 1 to May 11, 2020. Participants included residents and staff members of the nursing homes where staff participated in voluntary self-confinement as well as those of the facilities for elderly people where staff did not practice self-confinement. Rates of COVID-19 cases and mortality in the cohort of nursing homes with self confinement were compared with those derived from a population-based survey of nursing homes conducted by French health authorities.
Exposures
Nursing homes with staff who self-confined were identified from the media and included if the confinement period of staff with residents was longer than 7 days.
Main Outcomes and Measures
Mortality related to COVID-19 among residents and COVID-19 cases among residents and staff members. COVID-19 was diagnosed by primary care or hospital physicians on the basis of fever and respiratory signs (eg, cough, dyspnea) or a clinical illness compatible with COVID-19; COVID-19 diagnoses were considered confirmed if real-time reverse transcriptase-polymerase chain reaction testing for severe acute respiratory syndrome coronavirus 2 on nasopharyngeal swab was positive and considered possible if the test had not been performed or results were negative. Cases of COVID-19 were recorded by a telephone interview with the directors of nursing homes with staff who self-confined and by a nationwide declaration survey to health authorities for all facilities.
Results
This study included 17 nursing homes in which 794 staff members confined themselves to the facility with their 1250 residents. The national survey included 9513 facilities with 385 290 staff members and 695 060 residents. Only 1 nursing home with staff who self-confined (5.8%) had cases of COVID-19 among residents, compared with 4599 facilities in the national survey (48.3%) (P < .001). Five residents (0.4%) in the nursing homes with staff who self-confined had confirmed COVID-19, compared with 30 569 residents (4.4%) with confirmed COVID-19 in the national survey (P < .001); no residents of facilities with self-confinement had possible COVID-19, compared with 31 799 residents (4.6%) with possible COVID-19 in the national survey (P < .001). Five residents (0.4%) in the nursing homes with staff who self-confined died of COVID-19, compared with 12 516 (1.8%) in the national survey (odds ratio, 0.22; 95% CI, 0.09-0.53; P < .001). Twelve staff members (1.6%) from the facilties with self-confinement had confirmed or possible COVID-19, compared with 29 463 staff members (7.6%) in the national survey (P < .001).
Conclusions and Relevance
In this cohort study of French nursing homes during the COVID-19 pandemic, mortality rates related to COVID-19 were lower among nursing homes that implemented staff confinement with residents compared with those in a national survey. These findings suggest that self-confinement of staff members with residents may help protect nursing home residents from mortality related to COVID-19 and residents and staff from COVID-19 infection.
DOI: 10.1001/jamanetworkopen.2020.17533
PubMed: 32789517
PubMed Central: PMC7426749
Links toward previous steps (curation, corpus...)
- to stream Main, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000681
Links to Exploration step
pubmed:32789517Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Coronavirus Disease 2019 Outcomes in French Nursing Homes That Implemented Staff Confinement With Residents.</title>
<author><name sortKey="Belmin, Joel" sort="Belmin, Joel" uniqKey="Belmin J" first="Joël" last="Belmin">Joël Belmin</name>
<affiliation wicri:level="1"><nlm:affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Faculté de Médecine Sorbonne Médecine, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Faculté de Médecine Sorbonne Médecine, Paris</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Um Din, Nathavy" sort="Um Din, Nathavy" uniqKey="Um Din N" first="Nathavy" last="Um-Din">Nathavy Um-Din</name>
<affiliation wicri:level="1"><nlm:affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Donadio, Cristiano" sort="Donadio, Cristiano" uniqKey="Donadio C" first="Cristiano" last="Donadio">Cristiano Donadio</name>
<affiliation wicri:level="1"><nlm:affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Magri, Maurizio" sort="Magri, Maurizio" uniqKey="Magri M" first="Maurizio" last="Magri">Maurizio Magri</name>
<affiliation wicri:level="1"><nlm:affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Nghiem, Quoc Duy" sort="Nghiem, Quoc Duy" uniqKey="Nghiem Q" first="Quoc Duy" last="Nghiem">Quoc Duy Nghiem</name>
<affiliation wicri:level="1"><nlm:affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Oquendo, Bruno" sort="Oquendo, Bruno" uniqKey="Oquendo B" first="Bruno" last="Oquendo">Bruno Oquendo</name>
<affiliation wicri:level="1"><nlm:affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Faculté de Médecine Sorbonne Médecine, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Faculté de Médecine Sorbonne Médecine, Paris</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Pariel, Sylvie" sort="Pariel, Sylvie" uniqKey="Pariel S" first="Sylvie" last="Pariel">Sylvie Pariel</name>
<affiliation wicri:level="1"><nlm:affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Lafuente Lafuente, Carmelo" sort="Lafuente Lafuente, Carmelo" uniqKey="Lafuente Lafuente C" first="Carmelo" last="Lafuente-Lafuente">Carmelo Lafuente-Lafuente</name>
<affiliation wicri:level="1"><nlm:affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Faculté de Médecine Sorbonne Médecine, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Faculté de Médecine Sorbonne Médecine, Paris</wicri:regionArea>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2020">2020</date>
<idno type="RBID">pubmed:32789517</idno>
<idno type="pmid">32789517</idno>
<idno type="doi">10.1001/jamanetworkopen.2020.17533</idno>
<idno type="pmc">PMC7426749</idno>
<idno type="wicri:Area/Main/Corpus">000681</idno>
<idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000681</idno>
<idno type="wicri:Area/Main/Curation">000681</idno>
<idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000681</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Coronavirus Disease 2019 Outcomes in French Nursing Homes That Implemented Staff Confinement With Residents.</title>
<author><name sortKey="Belmin, Joel" sort="Belmin, Joel" uniqKey="Belmin J" first="Joël" last="Belmin">Joël Belmin</name>
<affiliation wicri:level="1"><nlm:affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Faculté de Médecine Sorbonne Médecine, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Faculté de Médecine Sorbonne Médecine, Paris</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Um Din, Nathavy" sort="Um Din, Nathavy" uniqKey="Um Din N" first="Nathavy" last="Um-Din">Nathavy Um-Din</name>
<affiliation wicri:level="1"><nlm:affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Donadio, Cristiano" sort="Donadio, Cristiano" uniqKey="Donadio C" first="Cristiano" last="Donadio">Cristiano Donadio</name>
<affiliation wicri:level="1"><nlm:affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Magri, Maurizio" sort="Magri, Maurizio" uniqKey="Magri M" first="Maurizio" last="Magri">Maurizio Magri</name>
<affiliation wicri:level="1"><nlm:affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Nghiem, Quoc Duy" sort="Nghiem, Quoc Duy" uniqKey="Nghiem Q" first="Quoc Duy" last="Nghiem">Quoc Duy Nghiem</name>
<affiliation wicri:level="1"><nlm:affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Oquendo, Bruno" sort="Oquendo, Bruno" uniqKey="Oquendo B" first="Bruno" last="Oquendo">Bruno Oquendo</name>
<affiliation wicri:level="1"><nlm:affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Faculté de Médecine Sorbonne Médecine, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Faculté de Médecine Sorbonne Médecine, Paris</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Pariel, Sylvie" sort="Pariel, Sylvie" uniqKey="Pariel S" first="Sylvie" last="Pariel">Sylvie Pariel</name>
<affiliation wicri:level="1"><nlm:affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Lafuente Lafuente, Carmelo" sort="Lafuente Lafuente, Carmelo" uniqKey="Lafuente Lafuente C" first="Carmelo" last="Lafuente-Lafuente">Carmelo Lafuente-Lafuente</name>
<affiliation wicri:level="1"><nlm:affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Faculté de Médecine Sorbonne Médecine, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Faculté de Médecine Sorbonne Médecine, Paris</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series><title level="j">JAMA network open</title>
<idno type="eISSN">2574-3805</idno>
<imprint><date when="2020" type="published">2020</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Coronavirus (MeSH)</term>
<term>Coronavirus Infections (mortality)</term>
<term>Coronavirus Infections (prevention & control)</term>
<term>Coronavirus Infections (virology)</term>
<term>France (epidemiology)</term>
<term>Homes for the Aged (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Nursing Homes (MeSH)</term>
<term>Nursing Staff (MeSH)</term>
<term>Pandemics (prevention & control)</term>
<term>Pneumonia, Viral (mortality)</term>
<term>Pneumonia, Viral (prevention & control)</term>
<term>Pneumonia, Viral (virology)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Skilled Nursing Facilities (MeSH)</term>
<term>Social Isolation (MeSH)</term>
<term>Surveys and Questionnaires (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Coronavirus (MeSH)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>France (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (mortalité)</term>
<term>Infections à coronavirus (prévention et contrôle)</term>
<term>Infections à coronavirus (virologie)</term>
<term>Isolement social (MeSH)</term>
<term>Maisons de repos (MeSH)</term>
<term>Maisons de retraite médicalisées (MeSH)</term>
<term>Pandémies (prévention et contrôle)</term>
<term>Personnel infirmier (MeSH)</term>
<term>Pneumopathie virale (mortalité)</term>
<term>Pneumopathie virale (prévention et contrôle)</term>
<term>Pneumopathie virale (virologie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Établissements de soins qualifiés (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pandemics</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pandémies</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>France</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Betacoronavirus</term>
<term>Coronavirus</term>
<term>Homes for the Aged</term>
<term>Humans</term>
<term>Nursing Homes</term>
<term>Nursing Staff</term>
<term>Retrospective Studies</term>
<term>Skilled Nursing Facilities</term>
<term>Social Isolation</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Betacoronavirus</term>
<term>Coronavirus</term>
<term>Enquêtes et questionnaires</term>
<term>Humains</term>
<term>Isolement social</term>
<term>Maisons de repos</term>
<term>Maisons de retraite médicalisées</term>
<term>Personnel infirmier</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Établissements de soins qualifiés</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>Importance</b>
</p>
<p>Coronavirus disease 2019 (COVID-19) is a major threat to nursing homes. During the COVID-19 pandemic wave that hit France in March and April 2020, staff members of some French nursing homes decided to confine themselves with their residents on a voluntary basis to reduce the risk of entry of the severe acute respiratory syndrome coronavirus 2 into the facility.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Objective</b>
</p>
<p>To investigate COVID-19-related outcomes in French nursing homes that implemented voluntary staff confinement with residents.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Design, Setting, and Participants</b>
</p>
<p>This retrospective cohort study was conducted in French nursing homes from March 1 to May 11, 2020. Participants included residents and staff members of the nursing homes where staff participated in voluntary self-confinement as well as those of the facilities for elderly people where staff did not practice self-confinement. Rates of COVID-19 cases and mortality in the cohort of nursing homes with self confinement were compared with those derived from a population-based survey of nursing homes conducted by French health authorities.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Exposures</b>
</p>
<p>Nursing homes with staff who self-confined were identified from the media and included if the confinement period of staff with residents was longer than 7 days.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Main Outcomes and Measures</b>
</p>
<p>Mortality related to COVID-19 among residents and COVID-19 cases among residents and staff members. COVID-19 was diagnosed by primary care or hospital physicians on the basis of fever and respiratory signs (eg, cough, dyspnea) or a clinical illness compatible with COVID-19; COVID-19 diagnoses were considered confirmed if real-time reverse transcriptase-polymerase chain reaction testing for severe acute respiratory syndrome coronavirus 2 on nasopharyngeal swab was positive and considered possible if the test had not been performed or results were negative. Cases of COVID-19 were recorded by a telephone interview with the directors of nursing homes with staff who self-confined and by a nationwide declaration survey to health authorities for all facilities.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Results</b>
</p>
<p>This study included 17 nursing homes in which 794 staff members confined themselves to the facility with their 1250 residents. The national survey included 9513 facilities with 385 290 staff members and 695 060 residents. Only 1 nursing home with staff who self-confined (5.8%) had cases of COVID-19 among residents, compared with 4599 facilities in the national survey (48.3%) (P < .001). Five residents (0.4%) in the nursing homes with staff who self-confined had confirmed COVID-19, compared with 30 569 residents (4.4%) with confirmed COVID-19 in the national survey (P < .001); no residents of facilities with self-confinement had possible COVID-19, compared with 31 799 residents (4.6%) with possible COVID-19 in the national survey (P < .001). Five residents (0.4%) in the nursing homes with staff who self-confined died of COVID-19, compared with 12 516 (1.8%) in the national survey (odds ratio, 0.22; 95% CI, 0.09-0.53; P < .001). Twelve staff members (1.6%) from the facilties with self-confinement had confirmed or possible COVID-19, compared with 29 463 staff members (7.6%) in the national survey (P < .001).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Conclusions and Relevance</b>
</p>
<p>In this cohort study of French nursing homes during the COVID-19 pandemic, mortality rates related to COVID-19 were lower among nursing homes that implemented staff confinement with residents compared with those in a national survey. These findings suggest that self-confinement of staff members with residents may help protect nursing home residents from mortality related to COVID-19 and residents and staff from COVID-19 infection.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32789517</PMID>
<DateCompleted><Year>2020</Year>
<Month>08</Month>
<Day>26</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>08</Month>
<Day>26</Day>
</DateRevised>
<Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2574-3805</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>3</Volume>
<Issue>8</Issue>
<PubDate><Year>2020</Year>
<Month>Aug</Month>
<Day>03</Day>
</PubDate>
</JournalIssue>
<Title>JAMA network open</Title>
<ISOAbbreviation>JAMA Netw Open</ISOAbbreviation>
</Journal>
<ArticleTitle>Coronavirus Disease 2019 Outcomes in French Nursing Homes That Implemented Staff Confinement With Residents.</ArticleTitle>
<Pagination><MedlinePgn>e2017533</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1001/jamanetworkopen.2020.17533</ELocationID>
<Abstract><AbstractText Label="Importance" NlmCategory="UNASSIGNED">Coronavirus disease 2019 (COVID-19) is a major threat to nursing homes. During the COVID-19 pandemic wave that hit France in March and April 2020, staff members of some French nursing homes decided to confine themselves with their residents on a voluntary basis to reduce the risk of entry of the severe acute respiratory syndrome coronavirus 2 into the facility.</AbstractText>
<AbstractText Label="Objective" NlmCategory="UNASSIGNED">To investigate COVID-19-related outcomes in French nursing homes that implemented voluntary staff confinement with residents.</AbstractText>
<AbstractText Label="Design, Setting, and Participants" NlmCategory="UNASSIGNED">This retrospective cohort study was conducted in French nursing homes from March 1 to May 11, 2020. Participants included residents and staff members of the nursing homes where staff participated in voluntary self-confinement as well as those of the facilities for elderly people where staff did not practice self-confinement. Rates of COVID-19 cases and mortality in the cohort of nursing homes with self confinement were compared with those derived from a population-based survey of nursing homes conducted by French health authorities.</AbstractText>
<AbstractText Label="Exposures" NlmCategory="UNASSIGNED">Nursing homes with staff who self-confined were identified from the media and included if the confinement period of staff with residents was longer than 7 days.</AbstractText>
<AbstractText Label="Main Outcomes and Measures" NlmCategory="UNASSIGNED">Mortality related to COVID-19 among residents and COVID-19 cases among residents and staff members. COVID-19 was diagnosed by primary care or hospital physicians on the basis of fever and respiratory signs (eg, cough, dyspnea) or a clinical illness compatible with COVID-19; COVID-19 diagnoses were considered confirmed if real-time reverse transcriptase-polymerase chain reaction testing for severe acute respiratory syndrome coronavirus 2 on nasopharyngeal swab was positive and considered possible if the test had not been performed or results were negative. Cases of COVID-19 were recorded by a telephone interview with the directors of nursing homes with staff who self-confined and by a nationwide declaration survey to health authorities for all facilities.</AbstractText>
<AbstractText Label="Results" NlmCategory="UNASSIGNED">This study included 17 nursing homes in which 794 staff members confined themselves to the facility with their 1250 residents. The national survey included 9513 facilities with 385 290 staff members and 695 060 residents. Only 1 nursing home with staff who self-confined (5.8%) had cases of COVID-19 among residents, compared with 4599 facilities in the national survey (48.3%) (P < .001). Five residents (0.4%) in the nursing homes with staff who self-confined had confirmed COVID-19, compared with 30 569 residents (4.4%) with confirmed COVID-19 in the national survey (P < .001); no residents of facilities with self-confinement had possible COVID-19, compared with 31 799 residents (4.6%) with possible COVID-19 in the national survey (P < .001). Five residents (0.4%) in the nursing homes with staff who self-confined died of COVID-19, compared with 12 516 (1.8%) in the national survey (odds ratio, 0.22; 95% CI, 0.09-0.53; P < .001). Twelve staff members (1.6%) from the facilties with self-confinement had confirmed or possible COVID-19, compared with 29 463 staff members (7.6%) in the national survey (P < .001).</AbstractText>
<AbstractText Label="Conclusions and Relevance" NlmCategory="UNASSIGNED">In this cohort study of French nursing homes during the COVID-19 pandemic, mortality rates related to COVID-19 were lower among nursing homes that implemented staff confinement with residents compared with those in a national survey. These findings suggest that self-confinement of staff members with residents may help protect nursing home residents from mortality related to COVID-19 and residents and staff from COVID-19 infection.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Belmin</LastName>
<ForeName>Joël</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Faculté de Médecine Sorbonne Médecine, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Um-Din</LastName>
<ForeName>Nathavy</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Donadio</LastName>
<ForeName>Cristiano</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Magri</LastName>
<ForeName>Maurizio</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Nghiem</LastName>
<ForeName>Quoc Duy</ForeName>
<Initials>QD</Initials>
<AffiliationInfo><Affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Oquendo</LastName>
<ForeName>Bruno</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Faculté de Médecine Sorbonne Médecine, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pariel</LastName>
<ForeName>Sylvie</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lafuente-Lafuente</LastName>
<ForeName>Carmelo</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Service Universitaire de Gériatrie, Hôpital Charles Foix, Groupe Hospitalier APHP Sorbonne Université, Ivry-sur-Seine, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Faculté de Médecine Sorbonne Médecine, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>08</Month>
<Day>03</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>JAMA Netw Open</MedlineTA>
<NlmUniqueID>101729235</NlmUniqueID>
<ISSNLinking>2574-3805</ISSNLinking>
</MedlineJournalInfo>
<SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName>
<SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName>
</SupplMeshList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017934" MajorTopicYN="N">Coronavirus</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006707" MajorTopicYN="Y">Homes for the Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009735" MajorTopicYN="Y">Nursing Homes</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009740" MajorTopicYN="Y">Nursing Staff</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012866" MajorTopicYN="N">Skilled Nursing Facilities</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012934" MajorTopicYN="Y">Social Isolation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year>
<Month>8</Month>
<Day>14</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2020</Year>
<Month>8</Month>
<Day>14</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>8</Month>
<Day>28</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>epublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">32789517</ArticleId>
<ArticleId IdType="pii">2769241</ArticleId>
<ArticleId IdType="doi">10.1001/jamanetworkopen.2020.17533</ArticleId>
<ArticleId IdType="pmc">PMC7426749</ArticleId>
</ArticleIdList>
<ReferenceList><Reference><Citation>J Am Geriatr Soc. 2020 Apr;68(4):681</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32154911</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>N Engl J Med. 2020 Apr 30;382(18):1708-1720</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32109013</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Lancet. 2020 Mar 28;395(10229):1054-1062</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32171076</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>J Nutr Health Aging. 2020;24(5):471-472</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32346683</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>MMWR Morb Mortal Wkly Rep. 2020 Mar 27;69(12):339-342</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32214083</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>N Engl J Med. 2020 May 21;382(21):2005-2011</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32220208</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Australas J Ageing. 2019 Mar;38(1):60-63</Citation>
<ArticleIdList><ArticleId IdType="pubmed">30537166</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>JAMA. 2013 Nov 27;310(20):2191-4</Citation>
<ArticleIdList><ArticleId IdType="pubmed">24141714</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>J Am Geriatr Soc. 2020 May;68(5):908-911</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32267538</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
</PubmedData>
</pubmed>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/CovidSeniorV1/Data/Main/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000681 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Curation/biblio.hfd -nk 000681 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Sante |area= CovidSeniorV1 |flux= Main |étape= Curation |type= RBID |clé= pubmed:32789517 |texte= Coronavirus Disease 2019 Outcomes in French Nursing Homes That Implemented Staff Confinement With Residents. }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Curation/RBID.i -Sk "pubmed:32789517" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Curation/biblio.hfd \ | NlmPubMed2Wicri -a CovidSeniorV1
![]() | This area was generated with Dilib version V0.6.37. | ![]() |