Care homes and COVID-19 in Hong Kong: how the lessons from SARS were used to good effect.

Abstract:

:In Hong Kong, about 15% of older people (aged 80 and above) live in care homes, one of the highest proportions in the world. During the spread of severe acute respiratory syndrome in 2003, the crude fatality rate for older people in care homes that were infected was 72%. After taking the advice of a team of international experts, the Hong Kong Government implemented comprehensive preventive measures to cope with the future epidemics. This commentary evaluates the effectiveness of these measures in coping with both influenza outbreaks and COVID-19 and suggests the lessons learnt are relevant to both developed and less developed countries? Lockdown in care homes is very effective under two conditions. Healthcare workers must wear surgical masks in the care home. Hospitals must adopt a strict policy to prevent virus transmission by discharged patients. Care homes situated within high-rise residential towers are particularly vulnerable to COVID-19 transmission; their residents can more easily be infected by asymptomatic carriers from the community. Airborne virus can also be transmitted more swiftly in care homes with open-plan layouts. Lockdown had been shown to significantly reduce influenza outbreaks in care homes. On the other hand, lockdown causes loneliness to residents. Care homes allow residents to move freely within the care home though with the risk of spreading the virus by resident who is an asymptomatic carrier. Finally, lockdown may cause family members to have guilty feelings. Family members can only make video call or window visit to residents.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Chow L

doi

10.1093/ageing/afaa234

subject

Has Abstract

pub_date

2021-01-08 00:00:00

pages

21-24

issue

1

eissn

0002-0729

issn

1468-2834

pii

5920217

journal_volume

50

pub_type

杂志文章
  • Low-molecular-weight heparin-associated fat necrosis of the breast.

    abstract::Fat necrosis of the breast is a well-recognised complication of unfractionated heparin. The following is a case of fat necrosis due to low-molecular-weight heparin in a 91-year-old woman admitted to hospital with unstable angina. ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afi032

    authors: Das AK

    更新日期:2005-03-01 00:00:00

  • Older age is associated with less cancer treatment: a longitudinal study of English cancer patients.

    abstract:Background:making informed decisions about cancer care provision for older cancer patients can be challenging and complex. Evidence suggests cancer care varies by age, however the relationship between age and care experiences from diagnosis to death for cancer patients within the UK has not previously been examined in ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afy094

    authors: Craigs CL,Bennett MI,Hurlow A,West RM,Ziegler LE

    更新日期:2018-11-01 00:00:00

  • Exploring patterns of daily physical and sedentary behaviour in community-dwelling older adults.

    abstract:BACKGROUND:recent evidence suggests that the interaction between periods of sedentary and activity behaviour is important for health; providing distinctive information to assessment of activity alone. This study quantified activity and sedentary behaviour in older, community-dwelling adults. METHODS:fifty-six communit...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ageing/afq166

    authors: Lord S,Chastin SF,McInnes L,Little L,Briggs P,Rochester L

    更新日期:2011-03-01 00:00:00

  • Doege-Potter syndrome: hypoglycaemic coma in a 90-year old due to a solitary fibrous tumour.

    abstract::Solitary fibrous tumour of the pleura (SFTP) is a rare primary tumour of the pleura associated with 4% of cases with a paraneoplastic hypoglycaemia, termed Doege-Potter syndrome (DPS). We report a case of DPS presenting with severe coma in a 90-year-old woman. The cause was a malignant SFTP treated with surgical resec...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afw221

    authors: Avramenko A,Lahjibi-Paulet H,Gibault L,Roussel A,Grand B,Le Pimpec-Barthes F

    更新日期:2017-05-01 00:00:00

  • Prognostic factors for continued or rebleeding and death from gastrointestinal haemorrhage in the elderly.

    abstract::We analysed 103 episodes of upper gastrointestinal bleeding in 88 elderly patients (age 76 +/- 7.7 years) to determine which of a group of 52 clinical and laboratory variables, measured on admission, best predicted continued or rebleeding, and death in these patients. Variables which related directly to the size of th...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/16.4.208

    authors: Booker JA,Johnston M,Booker CI,Tydd T,Mitchell R

    更新日期:1987-07-01 00:00:00

  • Short- and long-term prognosis for very old stroke patients. The Copenhagen Stroke Study.

    abstract:BACKGROUND AND PURPOSE:The very old are expected to become a growing part of the stroke population in the industrialised part of the world. The aims of this study were to evaluate clinical characteristics of patients aged 85 years or more at stroke onset and to investigate very old age as an independent predictor of sh...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afh052

    authors: Kammersgaard LP,Jørgensen HS,Reith J,Nakayama H,Pedersen PM,Olsen TS,Copenhagen Stroke Study.

    更新日期:2004-03-01 00:00:00

  • Determinants of outcome in elderly patients admitted to the intensive care unit.

    abstract:BACKGROUND:Age is thought to be strongly associated with intensive care outcomes, but this relationship may be confounded by many clinical variables. OBJECTIVES:To compare clinical characteristics of elderly patients (> or = 65 years) admitted to the intensive care unit (ICU) with those in younger patients and to iden...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afi037

    authors: Vosylius S,Sipylaite J,Ivaskevicius J

    更新日期:2005-03-01 00:00:00

  • An unusual presentation of sporadic Creutzfeldt-Jakob disease.

    abstract::Sporadic Creutzfeld-Jakob disease (CJD) is a rare neurodegenerative disorder. It is uniformly fatal. Clinical signs include myoclonus, visual disturbances, cerebellar ataxia, akinetic mutism and pyramidal/extrapyramidal signs in addition to a rapidly progressive dementia. Premortem diagnosis is challenging due to the ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa013

    authors: Podger H,Ipe A

    更新日期:2020-04-27 00:00:00

  • Spindle cell sarcoma: a rare cause of a large abdominal mass.

    abstract::A 73-year-old man presented with a huge intra-abdominal mass. Initially a gastrointestinal stromal tumour (GIST) was diagnosed, but his tumour was subsequently classified as a spindle cell sarcoma. Difficulties in the classification of rare intra-abdominal tumours are discussed. ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afi002

    authors: Bills V,Iqbal R,Haqqani M,Clague JE

    更新日期:2005-01-01 00:00:00

  • Myocardial contractility in aged rats.

    abstract::The elastic and mechanical behaviour of isolated papillar muscle was studied in aged and in young rats. The spontaneous fall in tension (stress relaxation phenomenon) and the duration of the active state of the contractile element during the isometric and isotonic contraction were greater in aged than in young rats. T...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/5.2.71

    authors: Minelli R,Reggiani C,De Nicola P

    更新日期:1976-05-01 00:00:00

  • Hospital use, institutionalisation and mortality associated with delirium.

    abstract:BACKGROUND:Delirium is a disorder affecting consciousness, which gives rise to core clinical features and associated symptoms. Older patients are particularly prone, owing to higher rates of pre-existing cognitive impairment, frailty, co-morbidity and polypharmacy. OBJECTIVES:The aim of this study was to investigate t...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afq052

    authors: Eeles EM,Hubbard RE,White SV,O'Mahony MS,Savva GM,Bayer AJ

    更新日期:2010-07-01 00:00:00

  • Drug compliance amongst psychiatric day hospital attenders.

    abstract::Drug compliance was assessed amongst all 91 patients attending a psychogeriatric day hospital during July 1988. Of the 86 patients taking medication, the 57 functionally and 29 organically ill patients were interviewed at home, the latter with their carers. A disparity in results was shown when compliance was measured...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/19.3.191

    authors: Rosenvinge HP,Groarke EP,Bradshaw JW

    更新日期:1990-05-01 00:00:00

  • Pyogenic liver abscesses: a comparison of older and younger patients.

    abstract:OBJECTIVE:To evaluate whether older patients with pyogenic liver abscess have distinctive presenting features or if their management differs from that of younger patients. DESIGN:Retrospective chart review of all cases occurring from 1982 to 1992. SETTING:A regional trauma centre and two large community hospitals. P...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/27.4.443

    authors: Smoger SH,Mitchell CK,McClave SA

    更新日期:1998-07-01 00:00:00

  • A general population survey of rest cramps.

    abstract::Two hundred and eighteen subjects, out of 250 individuals taken from a general practice register, returned completed questionnaires giving details about rest cramps, and a further 15 were contacted by telephone. The overall prevalence of rest cramps in the survey population was 37%. The symptom was more prevalent in o...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/23.5.418

    authors: Naylor JR,Young JB

    更新日期:1994-09-01 00:00:00

  • Contribution of the elderly to a district hospital combined gastroenterology clinic.

    abstract::The contribution of the elderly to the workload of a combined consultative District Hospital Gastroenterology Clinic has been studied over a 12-year period. The elderly group comprise 24% of the total referrals with a gradually increasing trend over successive years. The service implications are discussed and the main...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/17.1.49

    authors: Purkayastha SK,Salter RH,Holmes KM

    更新日期:1988-01-01 00:00:00

  • Utilisation of diagnostic computerised tomography imaging and immediate clinical outcomes in older people with stroke before and after introduction of the National Service Framework for older people. A comparative study of hospital-based stroke registry d

    abstract:INTRODUCTION:how the National Service Framework (NSF) for older people in England might be associated with changes in clinically relevant stroke outcome has not been investigated. We looked for changes in computerised tomography (CT) scan rate, inpatient case-fatality rate (CFR), length of acute hospital stay and disch...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afl030

    authors: Myint PK,Vowler SL,Redmayne O,Fulcher RA

    更新日期:2006-07-01 00:00:00

  • Medical conditions as risk factors for pressure ulcers in an outpatient setting.

    abstract:OBJECTIVES:the purpose of this study was to evaluate the likelihood that the presence of certain medical conditions in older ambulatory patients are associated with the risk of developing a new pressure ulcer. DESIGN:a cohort study. SETTING AND SUBJECTS:a large outpatient record database from the United Kingdom calle...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/32.3.259

    authors: Margolis DJ,Knauss J,Bilker W,Baumgarten M

    更新日期:2003-05-01 00:00:00

  • Socio-demographic correlates of mobility disability in older Brazilians: results of the first national survey.

    abstract:INTRODUCTION:Socio-economic differences in mobility disability prevalence in old age have been reported from the US and Europe. Brazil is characterised by gross socio-economic inequalities, but there have been no previous national data on disability prevalence. AIM:This study aimed to estimate disability rates and exp...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afh075

    authors: Melzer D,Parahyba MI

    更新日期:2004-05-01 00:00:00

  • Predicting incident delirium diagnoses using data from primary-care electronic health records.

    abstract:IMPORTANCE:risk factors for delirium in hospital inpatients are well established, but less is known about whether delirium occurring in the community or during an emergency admission to hospital care might be predicted from routine primary-care records. OBJECTIVES:identify risk factors in primary-care electronic healt...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa006

    authors: Bowman K,Jones L,Masoli J,Mujica-Mota R,Strain D,Butchart J,Valderas JM,Fortinsky RH,Melzer D,Delgado J

    更新日期:2020-04-27 00:00:00

  • Neighbourhood deprivation and incident mobility disability in older adults.

    abstract:OBJECTIVE:to assess whether incident mobility disability and neighbourhood deprivation in older people are associated independent of the effects of individual socio-economic status, health behaviours and health status. METHODS:prospective cohort study with a 2-year follow-up. SETTING:the English Longitudinal Study of...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afn092

    authors: Lang IA,Llewellyn DJ,Langa KM,Wallace RB,Melzer D

    更新日期:2008-07-01 00:00:00

  • Duodenal ulcer disease in the elderly: a retrospective study.

    abstract::A retrospective study was performed of 163 patients aged 65 years and over with a diagnosis of duodenal ulceration admitted to one Health District over a period of six years. Eighty per cent of the patients were admitted with acute complications, 50% bled and 30% were perforated. A large proportion of these patients w...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/14.4.225

    authors: Watson RJ,Hooper TL,Ingram G

    更新日期:1985-07-01 00:00:00

  • Dual-task effects of talking while walking on velocity and balance following a stroke.

    abstract:BACKGROUND:Therapists and nurses often use verbal instruction in the rehabilitation of mobility following stroke. This study aimed to determine whether performing a verbal cognitive task while walking adversely affected patients' balance and velocity. METHODS:There were two counterbalanced conditions: walking only and...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/30.4.319

    authors: Bowen A,Wenman R,Mickelborough J,Foster J,Hill E,Tallis R

    更新日期:2001-07-01 00:00:00

  • Attitudes towards the care of the aged and to a career with elderly patients among students attached to a geriatric and general medical firm.

    abstract::Studies in the United States have suggested that medical students' bias against older patients is not influenced by ad hoc courses in geriatrics. If the suggestion is correct then there should be no difference between the attitudes towards the care of the aged and to a career with elderly patients among students attac...

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ageing/11.3.196

    authors: Peach H,Pathy MS

    更新日期:1982-08-01 00:00:00

  • Systematic review of definitions and methods of measuring falls in randomised controlled fall prevention trials.

    abstract:OBJECTIVE:to review systematically the range of case definitions and methods used to measure falls in randomised controlled trials. DESIGN/METHODS:a Cochrane review of fall prevention interventions was used to identify fall definitions in published trials. Secondary searches of various databases were used to identify ...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审

    doi:10.1093/ageing/afi218

    authors: Hauer K,Lamb SE,Jorstad EC,Todd C,Becker C,PROFANE-Group.

    更新日期:2006-01-01 00:00:00

  • The Hospital Frailty Risk Score-outcomes in specialised services.

    abstract:BACKGROUND:Frailty is increasingly used to risk stratify older people, but across specialised services there is no standardised approach. The aim of this study was to assess if the Hospital Frailty Risk Score (HFRS) could describe outcomes for older people within English specialised services. DESIGN:A retrospective co...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa156

    authors: Imam T,Konstant-Hambling R,Fluck R,Hall N,Palmer J,Conroy S

    更新日期:2020-09-08 00:00:00

  • Sports injuries in elderly athletes: a three-year prospective, controlled study.

    abstract::A 3-year prospective, controlled study of sports injuries in elderly athletes (over 60 years of age) treated at an outpatient sports clinic was carried out in order to determine the number, profile, and specific features of these injuries compared with those of young athletes (between 21 and 25 years). During the stud...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/18.4.263

    authors: Kannus P,Niittymäki S,Järvinen M,Lehto M

    更新日期:1989-07-01 00:00:00

  • Outcomes of Mobilisation of Vulnerable Elders in Ontario (MOVE ON): a multisite interrupted time series evaluation of an implementation intervention to increase patient mobilisation.

    abstract:Background:older patients admitted to hospitals are at risk for hospital-acquired morbidity related to immobility. The aim of this study was to implement and evaluate an evidence-based intervention targeting staff to promote early mobilisation in older patients admitted to general medical inpatient units. Methods:the ...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ageing/afx128

    authors: Liu B,Moore JE,Almaawiy U,Chan WH,Khan S,Ewusie J,Hamid JS,Straus SE,MOVE ON Collaboration.

    更新日期:2018-01-01 00:00:00

  • Falls presenting to the accident and emergency department: types of presentation and risk factor profile.

    abstract::The aim of this study was to evaluate the type and frequency of falls presenting to an inner city casualty department, and to identify modifiable risk factors in these patients. A prospective descriptive study evaluated those over 65 years presenting to an inner city casualty department with falls. Over a 4-week recru...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/25.5.362

    authors: Davies AJ,Kenny RA

    更新日期:1996-09-01 00:00:00

  • Secrets and lies: the dilemma of disclosing the diagnosis to an adult with dementia.

    abstract::Guidelines state that doctors should reveal the diagnosis to the carer and the person with dementia. Carers may, however, not wish the diagnosis to be disclosed. We investigated carer and patient characteristics associated with the wish for disclosure. Fifty-four per cent of 100 carers wished the diagnosis to be revea...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/32.4.439

    authors: Fahy M,Wald C,Walker Z,Livingston G

    更新日期:2003-07-01 00:00:00

  • Health-related quality of life and antihypertensive medication adherence among older adults.

    abstract:PURPOSE:health-related quality of life (HRQOL) is an important psycho-social characteristic which may impact an individual's ability to manage their chronic disease. We examined the association between HRQOL and antihypertensive medication adherence in older adults. METHODS:participants were part of a cohort study of ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afq040

    authors: Holt EW,Muntner P,Joyce CJ,Webber L,Krousel-Wood MA

    更新日期:2010-07-01 00:00:00