Jesús Díez-Manglano1, Marta Nataya Solís-Marquínez2, Andrea Álvarez García2, Nicolás Alcalá-Rivera1, Irene Maderuelo Riesco2, Martín Gericó Aseguinolaza1, José Luis Beato Pérez3, Manuel Méndez Bailón4, Ane-Elbire Labirua-Iturburu Ruiz5, Miriam García Gómez6, Carmen Martínez Cilleros7, Paula María Pesqueira Fontan8, Lucy Abella Vázquez9, Julio César Blázquez Encinar10, Ramon Boixeda11, Ricardo Gil Sánchez12, Andrés de la Peña Fernández13, José Loureiro Amigo14, Joaquín Escobar Sevilla15, Marcos Guzmán Garcia16, María Dolores Martín Escalante17, Jeffrey Oskar Magallanes Gamboa18, Ángel Luis Martínez González19, Carlos Lumbreras Bermejo20, Juan Miguel Antón Santos21. 1. Internal Medicine Department, Royo Villanova Hospital, Zaragoza, Spain. 2. Internal Medicine Department, San Agustin University Hospital, Avilés, Asturias, Spain. 3. Internal Medicine Department, Albacete University Hospital, Albacete, Spain. 4. Internal Medicine Department, San Carlos Clinical Hospital, Madrid, Spain. 5. Internal Medicine Department, Santa Marina Hospital, Bilbao, Spain. 6. Internal Medicine Department, Urduliz Alfredo Espinosa Hospital, Urdúliz, Vizcaya, Spain. 7. Internal Medicine Department, HLA Moncloa Hospital, Madrid, Spain. 8. Internal Medicine Department, Santiago Clinical Hospital, Santiago de Compostela, A Coruña, Spain. 9. Internal Medicine Department, Nuestra Señora Candelaria University Hospital, Santa Cruz de Tenerife, Spain. 10. Internal Medicine Department, Torrevieja University Hospital, Torrevieja, Alicante, Spain. 11. Internal Medicine Department, Mataró Hospital, Mataró, Barcelona, Spain. 12. Internal Medicine Department, La Fe University Hospital, Valencia, Spain. 13. Internal Medicine Department, Son Llàtzer University Hospital, Palma de Mallorca, Spain. 14. Internal Medicine Department, Moisès Broggi Hospital, Sant Joan Despí, Barcelona, Spain. 15. Internal Medicine Department, Virgen de las Nieves University Hospital, Granada, Spain. 16. Internal Medicine Department, San Juan de la Cruz Hospital, Úbeda, Jaén, Spain. 17. Internal Medicine Department, Costa del Sol Hospital, Marbella, Málaga, Spain. 18. Internal Medicine Department, Nuestra Señora del Prado Hospital, Talavera de la Reina, Toledo, Spain. 19. Internal Medicine Department, León University Hospital, León, Spain. 20. Internal Medicine Department, 12 de Octubre University Hospital, Madrid, Spain. 21. Internal Medicine Department, Infanta Cristina University Hospital, Parla, Madrid, Spain.
Abstract
AIM: To determine whether healthcare workers (HCW) hospitalized in Spain due to COVID-19 have a worse prognosis than non-healthcare workers (NHCW). METHODS: Observational cohort study based on the SEMI-COVID-19 Registry, a nationwide registry that collects sociodemographic, clinical, laboratory, and treatment data on patients hospitalised with COVID-19 in Spain. Patients aged 20-65 years were selected. A multivariate logistic regression model was performed to identify factors associated with mortality. RESULTS: As of 22 May 2020, 4393 patients were included, of whom 419 (9.5%) were HCW. Median (interquartile range) age of HCW was 52 (15) years and 62.4% were women. Prevalence of comorbidities and severe radiological findings upon admission were less frequent in HCW. There were no difference in need of respiratory support and admission to intensive care unit, but occurrence of sepsis and in-hospital mortality was lower in HCW (1.7% vs. 3.9%; p = 0.024 and 0.7% vs. 4.8%; p<0.001 respectively). Age, male sex and comorbidity, were independently associated with higher in-hospital mortality and healthcare working with lower mortality (OR 0.211, 95%CI 0.067-0.667, p = 0.008). 30-days survival was higher in HCW (0.968 vs. 0.851 p<0.001). CONCLUSIONS: Hospitalized COVID-19 HCW had fewer comorbidities and a better prognosis than NHCW. Our results suggest that professional exposure to COVID-19 in HCW does not carry more clinical severity nor mortality.
AIM: To determine whether healthcare workers (HCW) hospitalized in Spain due to COVID-19 have a worse prognosis than non-healthcare workers (NHCW). METHODS: Observational cohort study based on the SEMI-COVID-19 Registry, a nationwide registry that collects sociodemographic, clinical, laboratory, and treatment data on patients hospitalised with COVID-19 in Spain. Patients aged 20-65 years were selected. A multivariate logistic regression model was performed to identify factors associated with mortality. RESULTS: As of 22 May 2020, 4393 patients were included, of whom 419 (9.5%) were HCW. Median (interquartile range) age of HCW was 52 (15) years and 62.4% were women. Prevalence of comorbidities and severe radiological findings upon admission were less frequent in HCW. There were no difference in need of respiratory support and admission to intensive care unit, but occurrence of sepsis and in-hospital mortality was lower in HCW (1.7% vs. 3.9%; p = 0.024 and 0.7% vs. 4.8%; p<0.001 respectively). Age, male sex and comorbidity, were independently associated with higher in-hospital mortality and healthcare working with lower mortality (OR 0.211, 95%CI 0.067-0.667, p = 0.008). 30-days survival was higher in HCW (0.968 vs. 0.851 p<0.001). CONCLUSIONS: Hospitalized COVID-19 HCW had fewer comorbidities and a better prognosis than NHCW. Our results suggest that professional exposure to COVID-19 in HCW does not carry more clinical severity nor mortality.
Authors: Vilanice Alves de Araújo Püschel; Jack Roberto Silva Fhon; Lilia de Souza Nogueira; Vanessa de Brito Poveda; Larissa Bertacchini de Oliveira; Marina de Góes Salvetti; Cassiane de Santana Lemos; Camila Quartim de Moraes Bruna; Fernanda Rodrigues Lima; Ana Beatriz Pandolfo da Silva; Fábio da Costa Carbogim Journal: Rev Lat Am Enfermagem Date: 2022
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