SOCIAL PLACES: SHIFTING NEIGHBORHOOD PERCEPTIONS AMONG AGING AMERICANS DURING COVID-19

This study examines individual and community factors related to older adults' perceived losses in places to socialize with people of similar and different ages in their neighborhoods during COVID-19. In the 11-month wave of the COVID-19 Coping Study from March-April 2021, responses to perceived availability were "Less,” "About the Same,” or "More.” Most respondents reported less availability in places to socialize with those of similar (68.0%) or different (68.4%) ages. Ordinal logistic regressions showed respondents who lived alone perceived less availability in places to socialize with those of similar or different ages than those living with others (ORs 0.67, 95% CI 0.47, 0.97). Those living in metropolitan compared to non-metropolitan areas also perceived less availability in places to socialize with those of similar ages (OR 0.62, 95% CI 0.39, 0.98). These findings enhance our understanding of COVID-19-related losses in community resources that facilitate healthy aging in place.

Pressure Injury OutcOmes Of a PrOne-POsItIOnIng PrOtOcOl In PatIents WIth cOVID anD arDs

Background During the COVID-19 outbreak, standard methods for treating acute respiratory distress syndrome (ARDS) were used for patients presenting with ARDS. One such treatment method involves placing patients prone to improve oxygenation and reduce mortality risk. Chal-lenges in preventing pressure injuries in patients placed prone have been reported, and no studies have explored the effects of including a certified wound and skin care nurse as part of the care team on the incidence of pres-sure injuries in SARS-CoV-2-infected patients with ARDS. Objectives To evaluate the association between includ-ing a certified wound and skin care nurse on a multipro-fessional pronation team and prevention of pressure injuries in SARS-CoV-2-infected patients with ARDS. Methods This multicenter observational cohort study used retrospective data from the electronic health record. The intervention group consisted of SARS-CoV-2-infected patients diagnosed with ARDS who were treated by a multidisciplinary prone-positioning team that included a certified wound and skin care nurse specialist. The com-parison group of SARS-CoV-2-infected patients with ARDS was treated by a multidisciplinary prone-positioningteam that did not include a certified wound and skin care nurse specialist. Results As shown by multivariable logistic regression mixed-effect modeling, patients in the intervention group had a 97% lower adjusted odds ratio of a pressure injury developing than did patients in the comparison group (0.03 [95% CI, 0.01-0.14];P < .001). Conclusion The inclusion of a certified wound and skin care nurse on a multiprofessional prone-positioning team sig-nificantly reduced the odds of pressure injuries developing in patients infected with SARS-CoV-2. (American Journal of Critical Care. Published online September 13, 2021.)