COVID-19 Transmission in a Psychiatric Long-Term Care Rehabilitation Facility

Autor: MarieChristi Candido, Peter Beilenson, Glen Xiong, Kelly Moquin, Michael Wasserman, Donald M. Hilty, Alec Atkin, Olivia Kasirye, Patricia Blum
Rok vydání: 2020
Předmět:
Bipolar Disorder
Bipolar I disorder
Psychiatric rehabilitation
Comorbidity
California
COVID-19 Testing
Mass Screening
Smoking
Hispanic or Latino
General Medicine
Middle Aged
Schizophrenia
Hypertension
Gastroesophageal Reflux
Psychotherapy
Group

Coronavirus Infections
Adult
medicine.medical_specialty
Pneumonia
Viral

education.educational_degree
Vital signs
Hyperlipidemias
Schizoaffective disorder
Psychiatric Rehabilitation
Rehabilitation Centers
White People
Betacoronavirus
Hypothyroidism
Diabetes Mellitus
medicine
Humans
Obesity
education
Psychiatry
Pandemics
Mass screening
Infection Control
Asian
Clinical Laboratory Techniques
SARS-CoV-2
business.industry
COVID-19
Rehabilitation
Vocational

Visitors to Patients
medicine.disease
Mental illness
Long-Term Care
Black or African American
Psychotic Disorders
Recreation
business
Zdroj: The Primary Care Companion For CNS Disorders. 22
ISSN: 2155-7780
DOI: 10.4088/pcc.20m02765
Popis: Objective To report the clinical characteristics and transmission rate of coronavirus disease 2019 (COVID-19) in a community inpatient long-term care psychiatric rehabilitation facility designed for persons with serious mental illness to provide insight into transmission and symptom patterns and emerging testing protocols, as well as medical complications and prognosis. Methods This study examined a cohort of 54 residents of a long-term care psychiatric rehabilitation program from March to April 2020. Baseline demographics, clinical diagnoses, and vital signs were examined to look for statistical differences between positive versus negative severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) groups. During the early phase of the pandemic, the facility closely followed the local shelter-in-place order (starting March 19, 2020) and symptom-based testing. Results Of the residents, the primary psychiatric diagnoses were schizoaffective disorder: 28 (51.9%), schizophrenia: 21 (38.9%), bipolar I disorder: 3 (5.5%), and unspecified psychotic disorder: 2 (3.7%). Forty (74%) of 54 residents tested positive for SARS-COV-2, with a doubling time of 3.9 days. There were no statistical differences between the positive SARS-COV-2 versus negative groups for age or race/ethnicity. Psychiatric and medical conditions were not significantly associated with contracting SARS-COV-2, with the exception of obesity (n = 17 [43%] positive vs n = 12 [86%] negative, P = .01). Medical monitoring of vital signs and symptoms did not lead to earlier detection. All of the residents completely recovered, with the last resident no longer showing any symptoms 24 days from the index case. Conclusion Research is needed to determine optimal strategies for long-term care mental health settings that incorporate frequent testing and personal protective equipment use to prevent rapid transmission of SARS-COV-2.
Databáze: OpenAIRE