{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T04:00:54Z","timestamp":1750737654850,"version":"3.41.0"},"reference-count":27,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T00:00:00Z","timestamp":1750636800000},"content-version":"unspecified","delay-in-days":173,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ASHE"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S2732494X25100417_as1\">\n\t    <jats:title>Objective:<\/jats:title>\n\t    <jats:p>To quantify the impact of a changing cohort strategy on COVID-19 transmission in an acute inpatient behavioral health facility.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2732494X25100417_as2\">\n\t    <jats:title>Design:<\/jats:title>\n\t    <jats:p>Cohort study.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2732494X25100417_as3\">\n\t    <jats:title>Patients:<\/jats:title>\n\t    <jats:p>Behavioral health inpatients exposed to COVID-19.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2732494X25100417_as4\">\n\t    <jats:title>Interventions:<\/jats:title>\n\t    <jats:p>This cohort project compared COVID-19 conversion rates during two periods. In the first period (July 2020\u2013April 2022), exposed patients (regardless of vaccination status) were cohorted separately from unexposed individuals. In the second period (May 2022\u2013September 2022), exposed vaccinated patients remained with unexposed patients. COVID-19 conversion was identified through post-exposure asymptomatic testing or test-confirmed symptom development, with rates quantified per all admissions, per 10,000 patient days at risk, and per patient-specific exposure.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2732494X25100417_as5\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>The 27-month project included 11,761 admissions and 164,762 patient days of care. The proportion of patients up-to-date on COVID-19 vaccination at admission and discharge ranged from 11%\u201319%. The second period showed an increased risk of SARS-CoV-2 conversion per admission (1.87% vs 0.36%, <jats:italic>P<\/jats:italic> &lt; 0.001) and per 1,000 patient-days at risk (1.44 vs 0.27 conversions per 1,000 patient days, <jats:italic>P<\/jats:italic> &lt; 0.001), but not per exposure (3.44% vs 3.13%, <jats:italic>P<\/jats:italic> = 0.68).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2732494X25100417_as6\">\n\t    <jats:title>Conclusions:<\/jats:title>\n\t    <jats:p>Reducing the population of patients cohorted after a SARS-COV-2 exposure is associated with increased risk of SARS-COV-2 transmission in inpatient psychiatric settings.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/ash.2025.10041","type":"journal-article","created":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T06:26:58Z","timestamp":1750660018000},"source":"Crossref","is-referenced-by-count":0,"title":["The impact of less restrictive quarantine for exposed COVID-19 patients in inpatient psychiatric settings: a cohort analysis"],"prefix":"10.1017","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7470-3900","authenticated-orcid":false,"given":"Krishnendu","family":"Mangal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4352-9777","authenticated-orcid":false,"given":"Mikaela","family":"Kluver","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5562-8880","authenticated-orcid":false,"given":"Graham M.","family":"Snyder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janina-Marie","family":"Huss","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,6,23]]},"reference":[{"key":"S2732494X25100417_ref18","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2021.127"},{"key":"S2732494X25100417_ref1","doi-asserted-by":"publisher","DOI":"10.1186\/s12991-022-00403-4"},{"key":"S2732494X25100417_ref2","doi-asserted-by":"publisher","DOI":"10.1038\/s41586-023-06634-z"},{"key":"S2732494X25100417_ref10","unstructured":"10. Pennsylvania Department of Health. UPDATE: Response to an Outbreak and Residents with Exposure to COVID - 19 for Long - term Care Facilities (2\/15\/2022). Accessible at: https:\/\/www.health.pa.gov\/topics\/Documents\/HAN\/2022-627-2-15-UPD-LTCF%20OB%20Response.pdf."},{"key":"S2732494X25100417_ref27","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.29441"},{"key":"S2732494X25100417_ref5","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2020.86"},{"key":"S2732494X25100417_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2023.102138"},{"key":"S2732494X25100417_ref12","unstructured":"12. Pennsylvania Department of Health. Public health Information System (n.d.). 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