Authors Marie-Jeanne Kergoat Institut universitaire de gériatrie de Montréal (IUGM), Centre intégré universitaire de santé et de services sociaux (CIUSSS) du Centre-Sud-de-l’Île-de-Montréal; University of Montreal Bernard-Simon Leclerc Institut universitaire de gériatrie de Montréal (IUGM), Centre intégré universitaire de santé et de services sociaux (CIUSSS) du Centre-Sud-de-l’Île-de-Montréal; University of Montreal School of Public Health Aline Bolduc Institut universitaire de gériatrie de Montréal (IUGM), Centre intégré universitaire de santé et de services sociaux (CIUSSS) du Centre-Sud-de-l’Île-de-Montréal Jia Liu Institut universitaire de gériatrie de Montréal (IUGM), Centre intégré universitaire de santé et de services sociaux (CIUSSS) du Centre-Sud-de-l’Île-de-Montréal Agnès Cailhol Institut universitaire de gériatrie de Montréal (IUGM), Centre intégré universitaire de santé et de services sociaux (CIUSSS) du Centre-Sud-de-l’Île-de-Montréal; University of Montreal Stéphanie Langevin University of Montreal; CIUSSS du Centre-Sud-de-l’Île-de-Montréal DOI: https://doi.org/10.5770/cgj.27.677 Keywords: COVID-19, Time to care, Geriatrics, Mode of admission, Rehabilitation, Buffer zone, Quality assurance, Long-term care facility Abstract

Background

This quality assurance study was conducted during the COVID-19 pandemic to describe the profile of patients aged 65 years and older admitted to a transition unit in a long-term care (LTC) facility and to evaluate the impact of admission modalities, compliance with screening and hand hygiene practices, risk of COVID-19, and time to access a geriatric rehabilitation unit (GRU).

Methods

A prospective study was conducted using administrative and medical records from three Montreal public LTC facilities offering a rehabilitation program for 312 patients admit-ted between May 2020 and February 2021. The results are reported for the entire sample and compared according to the mode of admission.

Results

The incidence of COVID-19 during the transition unit stay was estimated to be 11 cases or 3.5% in 14 days. Assessment of screening compliance showed deficiencies for 41.3% of patients, and the frequency of hand hygiene audits was not strictly adhered to. More COVID-19 cases were recorded in patients admitted to the transition unit by bed availability than in the cohort mode. The time to access a rehabilitation unit was 7.2 days or 23.5% shorter for patients admitted by bed availability.

Conclusions

The study, conducted from a continuous practice improvement perspective, showed that the implementation of a transition unit in the LTC facilities helped control the transmission of COVID-19, but also revealed flaws in screening and hand hygiene practices.

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How to Cite

1.

Kergoat M-J, Leclerc B-S, Bolduc A, Liu J, Cailhol A, Langevin S. Quality Assurance and Prevention of COVID-19 Before Admission in Geriatric Rehabilitation Unit in Long-Term Care Facilities. Can Geriatr J [Internet]. 2024 Jun. 3 [cited 2024 Jun. 14];27(2):126-32. Available from: https://cgjonline.ca/index.php/cgj/article/view/677

Issue Section

Original Research