scholarly journals Risk of hospitalization and risk of death for health care workers with COVID-19 in nine European countries, January 2020–January 2021

Author(s):  
Lisa Ferland ◽  
Carlos Carvalho ◽  
Joana Gomes Dias ◽  
Favelle Lamb ◽  
Cornelia Adlhoch ◽  
...  
Author(s):  
Lorena Guerrero-Torres ◽  
Yanink Caro-Vega ◽  
Brenda Crabtree-Ramírez ◽  
Juan G Sierra-Madero

Abstract Background We evaluated the risk of death for health-care workers (HCW) with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in Mexico City during the coronavirus disease 2019 (COVID-19) pandemic, and describe the associated factors in hospitalized HCW, compared with non-HCW. Methods We analyzed data from laboratory-confirmed SARS-CoV-2 cases registered from 27 February–31 August 2020 in Mexico City’s public database. Individuals were classified as non-HCW or HCW (subcategorized as physicians, nurses, and other HCW). In hospitalized individuals, a multivariate logistic regression model was used to analyze the potential factors associated with death and compare mortality risks among groups. Results A total of 125 665 patients were included. Of these, 13.1% were HCW (28% physicians, 38% nurses, and 34% other HCW). Compared with non-HCW, HCW were more frequently female, were younger, and had fewer comorbidities. Overall, 25 771 (20.5%) were treated as inpatients and 11 182 (8.9%) deaths were reported. Deaths in the total population (9.9% vs 1.9%, respectively; P < .001) and in hospitalized patients (39.6% vs 19.3%, respectively; P < .001) were significantly higher in non-HCW than in HCW. In hospitalized patients, using a multivariate model, the risk of death was lower in HCW in general (odds ratio [OR], 0.53) than in non-HCW, and the risks were also lower by specific occupation (OR for physicians, 0.60; OR for nurses, 0.29; OR for other HCW 0.61). Conclusions HCW represent an important proportion of individuals with SARS-CoV-2 infection in Mexico City. While the mortality risk is lower in HCW compared to non-HCW, a high mortality rate in hospitalized patients was observed in this study. Among HCW, nurses had a lower risk of death compared to physicians and other HCW.


2020 ◽  
Author(s):  
T. Volo ◽  
P. Stritoni ◽  
B. Zennaro ◽  
I. Battel ◽  
F. Lazzari ◽  
...  

Abstract PurposeThe need for prolonged invasive mechanical ventilation in COVID-19 patients is placing the Otorhinolaryngologist in front of an increasing request for tracheostomy. Nowadays, there is uncertainty regarding the timing of tracheostomy, the prognosis of these patients and safety of healthcare workers. The aim of this study is to evaluate the efficacy and safety of tracheostomy placement in patients with COVID-19. MethodsIt wasconducted a retrospective cohort study on 23 COVID 19 patients, in order to analyse the timing of tracheostomy, the risk factors associated with in-hospital death and theinfection of the involved health care workers. Early tracheostomy was defined as ≤ 10 days and late ones > 10 days.ResultsThe mortality rate of COVID-19 patients admitted to ICU that underwent tracheostomy was 18%. The overall mortality of patients admitted to ICU was 53%. The univariate analysis revealed that early tracheostomy, SOFA score > 6, D-Dimer level > 4 were significantly associated with a greater risk of death. At the multivariate analysis SOFA score > 6 and D-Dimer level > 4 resulted as significant factors for a higher risk of death. No health care workers associated with tracheostomy are confirmed to be infected by SARS- CoV2.ConclusionWe suggest to wait at least 14 days to perform tracheostomy. In patients with SOFA score > 6, and D dimer > 4 tracheostomy should not be performed or should be postponed. Optimized procedures and enhanced personal protective equipment can make the tracheostomy safe and beneficial in COVID-19 patients.


2013 ◽  
Author(s):  
Jane Lipscomb ◽  
Jeanne Geiger-Brown ◽  
Katherine McPhaul ◽  
Karen Calabro

2013 ◽  
Author(s):  
Erika L. Sabbath ◽  
Cassandra Okechukwu ◽  
David Hurtado ◽  
Glorian Sorensen

1999 ◽  
Author(s):  
P.A. Jensen ◽  
W. Uthaivorawit ◽  
D. Garrett ◽  
P. Zuber ◽  
K. Limpakarnjanarat

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