How does the community COVID-19 level of risk impact on that of a care home?

Nightingale, G., Laxton, M. and Illian, J. B. (2021) How does the community COVID-19 level of risk impact on that of a care home? PLoS ONE, 16(12), e0260051. (doi: 10.1371/journal.pone.0260051) (PMID:34972103) (PMCID:PMC8719703)

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Objectives: To model the risk of COVID-19 mortality in British care homes conditional on the community level risk. Methods: A two stage modeling process (“doubly latent”) which includes a Besag York Mollie model (BYM) and a Log Gaussian Cox Process. The BYM is adopted so as to estimate the community level risks. These are incorporated in the Log Gaussian Cox Process to estimate the impact of these risks on that in care homes. Results: For an increase in the risk at the community level, the number of COVID-19 related deaths in the associated care home would be increased by exp (0.833), 2. This is based on a simulated dataset. In the context of COVID-19 related deaths, this study has illustrated the estimation of the risk to care homes in the presence of background community risk. This approach will be useful in facilitating the identification of the most vulnerable care homes and in predicting risk to new care homes. Conclusions: The modeling of two latent processes have been shown to be successfully facilitated by the use of the BYM and Log Gaussian Cox Process Models. Community COVID-19 risks impact on that of the care homes embedded in these communities.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Laxton, Ms Megan and Illian, Professor Janine
Creator Roles:
Laxton, M.Data curation, Formal analysis, Methodology, Resources, Validation, Visualization, Writing – review and editing
Illian, J. B.Methodology, Resources, Supervision, Validation, Writing – review and editing
Authors: Nightingale, G., Laxton, M., and Illian, J. B.
College/School:College of Science and Engineering > School of Mathematics and Statistics > Statistics
Journal Name:PLoS ONE
Publisher:Public Library of Science
ISSN (Online):1932-6203
Copyright Holders:Copyright © 2021 Nightingale et al.
First Published:First published in PLoS ONE 16(12): e0260051
Publisher Policy:Reproduced under a Creative Commons License

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