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Published on: November 10, 2023
COVID-19 Symptoms and Deaths among Healthcare Workers, United States
Insights
Older, male, and minority healthcare workers faced higher COVID-19 death risks. Severe symptoms and clinical indicators also predicted fatal outcomes in this vulnerable population.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- The COVID-19 pandemic disproportionately affected healthcare workers (HCWs).
- Understanding risk factors for COVID-19 mortality among HCWs is crucial for targeted interventions.
Purpose of the Study:
- To identify demographic and clinical predictors of COVID-19 death among US healthcare workers.
- To compare mortality risk in HCWs with various control groups.
Main Methods:
- Case-control study design utilizing patient-level data from January 1, 2020, to October 12, 2021.
- Involved logistic regression analysis with control for confounding variables.
- Compared COVID-19 deaths in HCWs against three control groups: HCW non-deaths, non-HCW deaths, and non-HCW non-deaths.
Main Results:
- Individuals over 50 years old, males, Black, and Asian HCWs showed significantly higher death rates.
- HCWs who died exhibited increased risks associated with severe clinical indicators.
- Key predictive symptoms included pre-existing medical conditions, shortness of breath, fever, cough, and gastrointestinal issues.
Conclusions:
- Minority, male, and older healthcare workers faced a greater risk of COVID-19 mortality.
- Severe clinical indicators and specific symptoms are potential predictors of fatal COVID-19 outcomes in HCWs.
Abstract:
We evaluated whether demographics and COVID-19 symptoms predicted COVID-19 deaths among healthcare workers (HCWs) in the United States by comparing COVID-19 deaths in HCWs with 3 control groups (HCW nondeaths, non-HCW deaths, and non-HCW nondeaths) using a case-control design. We obtained patient-level data of 33 variables reported during January 1, 2020-October 12, 2021, in all US states. We used logistic regression analysis while controlling for confounders. We found that persons who were >50 years of age, male, Black, or Asian experienced significantly more deaths than matched controls. In addition, HCWs who died had higher risks for the most severe clinical indicators. We also found that the most indicative symptoms were preexisting medical conditions, shortness of breath, fever, cough, and gastrointestinal symptoms. In summary, minority, male, and older HCWs had greater risk for COVID-19 death. Severe clinical indicators and specific symptoms may predict COVID-19-related deaths among HCWs.
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