- Title
- It's time: Delivering optimal emergency care of residents of aged care facilities in the era of COVID-19
- Creator
- Burkett, Ellen; Carpenter, Christopher R.; Hullick, Carolyn; Arendts, Glenn; Ouslander, Joseph G.
- Relation
- EMA - Emergency Medicine Australasia Vol. 33, Issue 1, p. 131-137
- Publisher Link
- http://dx.doi.org/10.1111/1742-6723.13683
- Publisher
- Wiley
- Resource Type
- journal article
- Date
- 2021
- Description
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which manifests clinically as coronavirus disease (COVID-19), has exposed the pre-existing vulnerabilities in healthcare delivery to RACF residents, mostly frail people with atypical disease presentations living amidst staff and resource shortages. Mortality from COVID-19 in aged care residents ranges from 5 to 47%, with the mortality in Australian RACF residents reported at 33%. In Australia, in September 2020, 75% of all COVID-19 deaths are in residents of RACFs,8 while across European countries this cohort accounts for 37 to 66% of all COVID-19-related deaths. Variance in reported mortality in this population is contributed to by: 1. Differences in resident complexity and frailty across countries. ; 2. Resourcing of the sector and preparedness and training for outbreak management.; 3. Disparity in testing rates and reporting of COVID-related mortality in this cohort. 4. Cultural acceptance of a palliative approach to care.; 5. Disparities in policies, including those that may restrict access to hospital and life-sustaining care for RACF residents.
- Subject
- emergency care; aged care facilities; COVID-19
- Identifier
- http://hdl.handle.net/1959.13/1461116
- Identifier
- uon:46111
- Identifier
- ISSN:1742-6731
- Language
- eng
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