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Risk for transfer to a hospital due to infection or for any reason lower with universal decolonization versus routine care
The authors say that the lower use of registered nurses likely drives differences in hospitalization and emergency department use.
Employment rebounded during the course of 2020, apart from nursing homes, where it remained lower in June 2021 than February 2020.
Adjusted effectiveness was 53.1% against infection in nursing home residents during the period when delta strain was predominant.
Furthermore, the review found mixed to harmful effects on quality of care.
Aggressive end-of-life care used more often by nursing home residents than community-dwelling residents aged 66 years or older
An increase in vaccination rate was linked to fewer COVID-19 cases and deaths among residents and cases among staff members.
A minority of those overtreated or potentially overtreated have their medication regimens appropriately deintensified.
Rapid recovery was associated with reduced mortality and fewer hospitalizations.
Overall, 56.8% of healthcare personnel working at nursing homes had completed COVID-19 vaccination through April 4, 2021.