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Predicting past and future SARS-CoV-2-related sick leave using discrete time Markov modelling
Jiayao Lei1, Mark Clements2, Miriam Elfström1
1Karolinska University Laboratory, Karolinska University Hospital, Stockholm, Sweden.
Predicting sick leave for healthcare workers (HCWs) due to SARS-CoV-2 is crucial for epidemic response. A Markov model using testing data quantified COVID-19 related sick leave in HCWs, aiding future outbreak planning.
Area of Science:
- Epidemiology
- Public Health
- Infectious Disease Modeling
Background:
- Healthcare worker (HCW) sick leave prediction is vital for managing epidemics.
- SARS-CoV-2 (COVID-19) significantly impacted healthcare systems globally.
Purpose of the Study:
- To develop a predictive model for SARS-CoV-2-induced sick leave among HCWs.
- To quantify COVID-19 related sick leave using testing data.
Main Methods:
- A discrete-time Markov model was developed.
- Utilized data from 9449 HCWs in Stockholm, Sweden, including SARS-CoV-2 RNA, antibody, and sick leave data for 2020.
- Compared transition probabilities of sick leave during and after the outbreak relative to PCR and serology results.
Main Results:
- Healthy HCWs testing positive for SARS-CoV-2 showed significantly higher probabilities of transitioning to sick leave.
- The proportion of all sick leaves attributed to COVID-19 during the outbreak was up to 55%.
Conclusions:
- A robust Markov model effectively uses SARS-CoV-2 testing data to quantify sick leave.
- This model provides a basis for healthcare planning during outbreaks.
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