查策略减少COVID-19在养老院的死亡率
Shirley Dong1, Eric Jutkowitz1,2,3, John Giardina4
1Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, Rhode Island.
JAMA health forum
|April 26, 2024
概括
这项研究发现,在养老院定期进行COVID-19查是降低死亡的成本效益,特别是在社区传播高或增强剂吸收低期间. 这些发现有助于管理人员规划有效的干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 养老院居民面临不成比例的高COVID-19发病率和死亡率.
- 尽管他们占美国人口的0.4%,但在2023年,他们占COVID-19死亡的9%.
研究的目的:
- 评估不同COVID-19查策略在养老院的成本效益.
- 确定最佳的查频率,以减少死亡率.
主要方法:
- 一个基于代理的模型模拟了SARS-CoV-2在典型的美国养老院的传播.
- 参数由CMS,CDC和养老院研究 (2010-2023) 的数据提供信息.
- 模拟改变了查频率 (没有,每周一次,每周两次) 针对社区发病率,增强剂摄入量和抗病毒使用.
主要成果:
- 每周/每周两次查的成本效益比率低于每年15万美元,在中等至高社区COVID-19发病率和不同增强剂吸收时获得的.
- 100%的抗病毒使用增加了成本效益比率,超过每年15万美元,当增强剂摄入量低,社区发病率高时.
结论:
- 养老院的COVID-19查可以在降低死亡率方面具有成本效益,特别是当社区发生率高或增强剂吸收率低时.
- 研究结果为管理SARS-CoV-2传播和干预的养老院管理人员提供了指导.
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