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Centers for Disease Control and Prevention (CDC)

COVID-19 Hospitalization and Death by Race/Ethnicity

Long-Term Effects of COVID-19

World Health Organization (WHO)

Coronavirus disease (COVID-19) pandemic

NATIONAL ACADEMY OF MEDICINE

Emerging Stronger After COVID-19

Wanga et al. in the MMWR describe long-term symptoms for adults testing positive for SARS-CoV-2. In this sample, 65.9% of adults testing positive reported symptoms persisting after 4 weeks from diagnosis. Long-Term Symptoms Among Adults Tested for SARS-CoV-2 — United States, January 2020–April 2021 (MMWR, September 10, 2021)

Bundorf et al. discuss trends in healthcare coverage across the US during the COVID-19 pandemic. This study reports increased rates of employer-sponsored insurance and uninsured persons, while non-employer-sponsored insurance rates increased during the pandemic. Trends in US Health Insurance Coverage During the COVID-19 Pandemic (JAMA Health Forum, September 3, 2021)

Smulowitz et al. discuss trends in ED visits, admissions, and mortality in Medicare patients nationally during the COVID-19 pandemic. Decreases in ED visits were largest in April of 2020. The authors also describe the generally constant admission rates for serious illnesses combined with increased mortality rates, representing the admission of higher-acuity patients, which could be attributed to delays in seeking medical care. National Trends In ED Visits, Hospital Admissions, And Mortality For Medicare Patients During The COVID-19 Pandemic (Health Affairs, September 2021)

Czeisler et al. report on mental health and substance abuse among people with disabilities during the COVID pandemic. This population, which is already at increased risk for COVID-19, reported higher rates of depression, anxiety, and substance abuse when compared to adults without disabilities. Mental Health and Substance Use Among Adults with Disabilities During the COVID-19 Pandemic — United States, February–March 2021 (MMWR, August 27, 2021)

Nichter et al. comment on prevalence and trends in suicidal behavior among US veterans during the pandemic. Despite concerns that the isolation of the pandemic might worsen mental health and suicidality, this study found finds that SI has decreased overall during the pandemic. However, patients with a history of COVID-19 were two times as likely to report SI. Prevalence and Trends in Suicidal Behavior Among US Military Veterans During the COVID-19 Pandemic (JAMA Psychiatry, August 25, 2021)

Gale et al. comment on public perceptions on seeking emergency care during the COVID-19 pandemic. In this sample, 16.9% of individuals reporting symptoms of MI, and 25.5% of individuals reporting symptoms of appendicitis reported avoiding the ED to prevent COVID-19 exposure. Public Perspectives on Decisions About Emergency Care Seeking for Care Unrelated to COVID-19 During the COVID-19 Pandemic (JAMA Netw Open, August 19, 2021)

Nanduri et al. describe COVID-19 vaccine efficacy before and during Delta variant circulation in a nursing home population. In this study, before circulation of the Delta variant, vaccines were 74.7% effective in fully vaccinated individuals. During a period of high Delta variant circulation, efficacy dropped to 53.1%. Effectiveness of Pfizer-BioNTech and Moderna Vaccines in Preventing SARS-CoV-2 Infection Among Nursing Home Residents Before and During Widespread Circulation of the SARS-CoV-2 B.1.617.2 (Delta) Variant — National Healthcare Safety Network, March 1–August 1, 2021 (MMWR, August 18, 2021)

Kadri & Simpson comment on implications for rural areas and hospital. With many rural areas reporting vaccination rates under 25%, the authors suggest the continuation of vaccination efforts and early involvement from hospital leaders to prepare for possible patient overflow. Potential Implications of SARS-CoV-2 Delta Variant Surges for Rural Areas and Hospitals (JAMA, August 12, 2021)

Moline et al. update COVID-19 vaccine effectiveness for adults 65-74 years old. Vaccines continue to be highly effective at preventing hospitalizations. Effectiveness of COVID-19 Vaccines in Preventing Hospitalization Among Adults Aged ≥65 Years — COVID-NET, 13 States, February–April 2021 (MMWR, August 6, 2021)

Thomson et al. report on factors associated with telehealth satisfaction in rural-dwelling adults during the COVID-19 pandemic. This study showed that use and satisfaction with telehealth were associated with internet access, higher health literacy, and increased perceived stress. Factors Associated With Use of and Satisfaction With Telehealth by Adults in Rural Virginia During the COVID-19 Pandemic (JAMA Netw Open, August 5, 2021)

Moucheraud et al. discuss the low levels of trust in governments and health workers globally, and its impact on health information and vaccinations. In this study, only 25% of global respondents reported having “a lot” of trust in their government. Less than half of global respondents reported that they had “a lot” of trust in doctors and nurses. Trust In Governments And Health Workers Low Globally, Influencing Attitudes Toward Health Information, Vaccines (Health Affairs, August 1, 2021)

Lee et al. report on disparities in COVID vaccination in LTC health professionals in the MMWR. In this study, vaccination coverage was lowest among health aids and in settings with high social vulnerability. Disparities in COVID-19 Vaccination Coverage Among Health Care Personnel Working in Long-Term Care Facilities, by Job Category, National Healthcare Safety Network — United States, March 2021 (MMWR, July 30, 2021)

Ceban et al. author a systematic review and meta-analysis on the association between mood disorders and risk of COVID-19 infection, hospitalization, and death in JAMA Internal Medicine. People living with mood disorders displayed significantly higher odds of COVID hospitalization and death compared to those with no mood disorders. Association Between Mood Disorders and Risk of COVID-19 Infection, Hospitalization, and Death: A Systematic Review and Meta-analysis (JAMA Psychiatry, July 28, 2021)

Wallace et al. discuss changes in racial and ethnic disparities in access to care among 65-year-old adults. This study found that eligibility for Medicare at age 65 years was associated with reductions in racial and ethnic disparities in insurance coverage, access to care, and self-reported health across the US. Changes in Racial and Ethnic Disparities in Access to Care and Health Among US Adults at Age 65 Years (JAMA Intern. Med., July 26, 2021)

Olsen et al. discuss non-COVID-19 respiratory virus activity during the pandemic. Through May 2021, influenza viruses circulated at historically low rates; however, other respiratory virus activity has increased throughout 2021. Authors suggest the continuation of preventative actions, as well as consideration of multi-pathogen testing for clinicians. Changes in Influenza and Other Respiratory Virus Activity During the COVID-19 Pandemic — United States, 2020–2021 (MMWR, July 23, 2021)

Miller, Wherry & Mazumder estimate mortality increases during the COVID-19 pandemic by SES, race, and ethnicity. Mortality increases were largest for those living in correctional facilities or healthcare-related group establishments, as well as those with occupations with limited work-from-home options. Estimated Mortality Increases During The COVID-19 Pandemic By Socioeconomic Status, Race, And Ethnicity (Health Affairs, July 21, 2021)

Powers et al. comment on the association between primary care payment models and telemedicine use for Medicare Advantage enrollees during the pandemic. This study discusses lower rates of telemedicine use in fee-for-service organizations compared to primary care payment models. Association Between Primary Care Payment Model and Telemedicine Use for Medicare Advantage Enrollees During the COVID-19 Pandemic (JAMA Health Forum, July 16, 2021)

McGarry et al. discuss the association between larger nursing home staff and increased COVID-19 diagnoses. The authors discuss the impact of part-time vs. full-time staff on nursing home residents’ exposure to the COVID-19 virus. Larger Nursing Home Staff Size Linked To Higher Number Of COVID-19 Cases In 2020 (Health Affairs, July 14, 2021)

Cortez et al. discuss changes in office-based and telemedicine visits during the COVID-19 pandemic. The authors reported that telemedicine accounted for 23.9% of care in the second half of 2020. Telemedicine was most commonly utilized with established patients, and less for preventative cases. Changes in Short-term, Long-term, and Preventive Care Delivery in US Office-Based and Telemedicine Visits During the COVID-19 Pandemic (JAMA Netw Open, July 9, 2021)

Thomas, Gebeloff, and Silver-Greenburg for the NYT discuss the rates of antipsychotic use in nursing homes. The authors describe the recent steep increases in schizophrenia diagnoses and the 21% of residents who are currently prescribed antipsychotics and the implications of potentially false diagnoses. Phony Diagnoses Hide High Rates of Drugging at Nursing Homes (NYT, September 11, 2021)

Hick et al. discuss standards of care during the pandemic. The report highlights the importance of equity, surge planning, and clinical decision-making. Crisis Standards of Care and COVID-19: What Did We Learn? How Do We Ensure Equity? What Should We Do? (National Academy of Medicine, August 30, 2021)

Otraliza et al. present brief on COVID-19’s continued presence as a leading cause of death in the US. After falling behind unintentional injuries, stroke, and respiratory disease in June and July, COVID’s resurgence has returned COVID to the third leading cause of death in the US. COVID-19 continues to be a leading cause of death in the U.S. in August 2021 (Peterson KFF, August 27, 2021)

Andrew Jacobs discusses the impact of new COVID-19 cases on inpatient nurses. Jacobs presents the complex challenges presented by increasing COVID-19 cases amidst nursing staff shortages and burnout. ‘Nursing Is in Crisis’: Staff Shortages Put Patients at Risk (NYT, August 21, 2021)

Susan Jaffee reports on new state laws intended to protect nursing home residents. In response to the COVID-19 crisis, new legislation supports mandatory telehealth options, improved staffing, and updated visitation rules in nursing homes. After Pandemic Ravaged Nursing Homes, New State Laws Protect Residents (Kaiser Health News, August 20, 2021)

Tara Parker-Pope discusses the possibility of long-covid following vaccination. This article covers a recent study published in NEJM where roughly 2.6% of the vaccinated sample experienced breakthrough COVID-19 infection. Although few vaccinated individuals experienced long-covid symptoms after breakthrough infections, researchers recommend further study. Can the Vaccinated Develop Long Covid After a Breakthrough Infection? (NYT, August 16, 2021)

The Commonwealth Fund reports on the impact of missed opportunities to vaccinate individuals in Florida and Texas. This report claims that 4,700 lives may have been saved with improved vaccination rates. Increasing COVID-19 Vaccination Rates in Florida and Texas Could Have Saved 4,700 Lives Through July (The Commonwealth Fund, August 12, 2021)

Phil Galewitz discusses the high COVID-19 vaccination rates among seniors 65 and older living in the US. Galewitz shares that although 90% of this population is now at least partially vaccinated, the motivators for vaccination in this group may not be shared among younger populations. ‘Wisdom and Fear’ Lead 90% of U.S. Seniors to Covid Vaccines (Kaiser Health News, August 4, 2021)

Judith Grahm discusses the impact of COVID-19 on seniors. This review of recent research highlights the vulnerability of older adults not residing in nursing homes. Clarity on Covid Count: Pandemic’s Toll on Seniors Extended Well Beyond Nursing Homes (Kaiser Health News, August 6, 2021)

KFF reports on COVID-19 cases and deaths in LTC facilities through June 2021. While most states have continued to see cases at record lows, 5 reporting states have seen increased cases. Additionally, most states are now reporting higher death rates outside of LTC facilities. COVID-19 Cases and Deaths in Long-Term Care Facilities through June 2021 (KFF, August 2, 2021)

Ramirez et al. review early 2022 insurer filings in a KFF brief. These filings suggest insurers expect healthcare utilization to return to pre-pandemic rates in 2022. Insurer filings suggest COVID-19 pandemic will not drive health spending in 2022 (KFF, July 19, 2021)

Collins, Aboulafia & Gunja for the Commonwealth Fund comment on the state of health care coverage and affordability during the COVID-19 pandemic. One-third of adults reported decreased income during the pandemic, and 10% of adults were left uninsured during early 2021. As the Pandemic Eases, What Is the State of Health Care Coverage and Affordability in the U.S.? (The Commonwealth Fund, July 16, 2021)

Apoorva Mandavilli shares new research detailing the increased odds of COVID-19 in those living with HIV. COVID Is Especially Risky for People with H.I.V., Large Study Finds(NYT, July 15, 2021)

CAPC offers an expanded toolkit of COVID-19 resources in their COVID-19 Rapid Resource Hub. (CAPC)

Rogers-Brown et al. compare outcomes among patients enrolled in cancer rehabilitation programs with post-acute COVID patients enrolled in rehab programs. The post-acute COVID patients demonstrated worse physical health and significantly higher health care use, suggesting that post-acute COVID patients may require tailored rehabilitation services. Outcomes Among Patients Referred to Outpatient Rehabilitation Clinics After COVID-19 diagnosis — United States, January 2020–March 2021 (MMWR, July 9, 2021)

Reed Abelson covers the continued impact of social isolation in the US despite improvements in vaccinations. Findings from a 50-state COVID-19 survey found that men are more socially isolated than women when considering caring and emotional support, and that populations with lower incomes and less education appeared to recover from isolation more slowly. Social isolation in the U.S. rose even as the Covid crisis began to subside, new research shows (NYT, July 8, 2021)

Richardson and Coppin share their healthcare systems path to implementing the Transitional Care Model in an Advisor Series brief for the American Nurse. Collaboration and skilled transitional care nurses are key to improved outcomes.  A CNS-driven transitional care model in a rural community (June 29, 2021)

The Commonwealth Fund covers the expansion of telemedicine during COVID-19 at the state level and shares policy considerations for the future. States’ Actions to Expand Telemedicine Access During COVID-19 and Future Policy Considerations (The Commonwealth Fund, June 23, 2021)

Laura Holson updates her recovery experience from long-Covid and her continued effort to shed light on the helplessness so many Americans are still living with a year later. I’ve Recovered From Long Covid. I’m One of the Lucky Ones. (NYT, June 21, 2021)

Pam Belluck covers the results of a FAIR Health White Paper discussing private healthcare claims data on long-haul COVID patients. In this sample, 23% of patients sought medical treatment for a new condition a month or more after the initial infection. Many Post-Covid Patients Are Experiencing New Medical Problems, Study Finds (NYT, June 15, 2021)

Ted Alcorn writes on the challenges presented by home-care nursing shortages for caregivers and how that particularly impacts disabled children. To Keep Their Son Alive, They Sleep in Shifts. And Hope a Nurse Shows Up. (NYT, June 4, 2021)

Paula Span discusses how COVID-19 has been a barrier to additional care for older adults and the subsequent pressure this puts on family caregivers. Family Caregivers Feel the Pandemic’s Weight (NYT, May 21, 2021)

The National Academy of Medicine has released the first discussion paper in a new series “Emerging Stronger After COVID-19: Priorities for Health System Transformation,” assessing nine key sectors. In this first perspective, McClellan et al. identify opportunities to align health care payment incentives to address health inequities and chronic diseases in a shift to value-based care. Health Care Payers COVID-19 Impact Assessment: Lessons Learned and Compelling Needs (National Academy Medicine, May 17, 2021)

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