How Typical is the Spectrum of COVID-19 in Nursing Home Residents?

Older persons living in long-term care facilities are underrepresented in studies on the clinical spectrum of Coronavirus Disease 2019 (COVID-19), especially regarding the broad range of COVID-19 signs/symptoms and course over time. In the context of advance care planning and, in the Netherlands, older care physicians providing nursing home care, diagnostics, and optimal supportive care are mostly provided within the nursing home. In this setting, COVID-19 testing is dependent on either signaling signs/symptoms via medical history, observation, and physical examination, or known contact with a confirmed case.