医疗保健工作者使用职业健康的COVID-19监测过程
J C Crosby1, R A Lee2, G McGwin3
1Department of Emergency Medicine, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, 35233, USA.
适应监测COVID-19的医疗保健工作者 (HCWs) 的医院职业健康计划显示出有希望的结果. 这一策略可以改善医疗护理的获取,并有可能降低HCW患者的住院和死亡率.
科学领域:
- 职业健康 职业健康 职业健康
- 传染病流行病学 传染病流行病学
- 公共卫生 公共卫生
背景情况:
- 基于医院的职业健康 (HBOH) 服务对于预防严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 传播和管理医疗保健工作者 (HCW) 的冠状病毒病2019 (COVID-19) 管理至关重要.
- 适应HBOH服务对于应对COVID-19流行病带来的独特挑战至关重要.
研究的目的:
- 描述一个适应的HBOH监测程序,用于HCWs与SARS-CoV-2.
- 评估临床结果,并确定监测HCWs住院预测因素.
- 将监测HCW的结果与HCW的国家COVID-19数据进行比较.
主要方法:
- 一项回顾性队列研究,涉及4814名在2020年3月至2021年12月期间被诊断患有COVID-19的HCW.
- 实施每日评估和治疗监测计划,用于HCWs.
- 利用Firth回归来分析临床因素和住院之间的关联.
主要成果:
- 整体住院率为2% (119名HCW),有6人死亡 (0.12%).
- 住院预测因素包括并发症和特定症状.
- 与国家数据相比,监测的HCW (疫苗前/单克隆抗体) 显示的并发病率 (19%vs. 44%),住院率 (3%vs. 8%) 和病例死亡率 (0.11%vs. 0.95%) 显著降低.
结论:
- 在HCW中开发的COVID-19监测策略对于HBOH系统似乎是可行的.
- 这种方法可以提高感染HCW的护理机会.
- 需要进一步的研究,以确定这种策略是否能改善临床结果.
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