Ophthalmology, University of Toronto, 650 Sammon Avenue, K306, Toronto, ON, Canada.
Medical Student, University of British Columbia, Vancouver, BC, Canada.
Occup Med (Lond). 2020 Jul 17;70(5):370-374. doi: 10.1093/occmed/kqaa088.
The COVID-19 pandemic has caused much morbidity and mortality to patients but also health care providers.
We tabulated the cases of physician deaths from COVID-19 associated with front-line work in hopes of mitigating future events.
On 15 April 2020, a Google internet search was performed using the keywords 'doctor', 'physician', 'death', 'COVID' and 'coronavirus' in English and Farsi, and Chinese using the Baidu search engine. The age, sex and medical speciality of physicians who died from COVID-19 in the line of duty were recorded. Individuals greater than 90 years of age were excluded.
We found 278 physicians who died with COVID-19 infection, but complete details were missing for 108 individuals. The average age of the physicians was 63.7 years with a median age of 66 years, and 90% were male (235/261). General practitioners and emergency room doctors (108/254), respirologists (5/254), internal medicine specialists (13/254) and anaesthesiologists (6/254) comprised 52% of those dying. Two per cent of the deceased were epidemiologists (5/254), 2% were infectious disease specialists (4/254), 6% were dentists (16/254), 4% were ENT (9/254) and 3% were ophthalmologists (8/254). The countries with the most reported physician deaths were Italy (121/278; 44%), Iran (43/278; 15%), Philippines (21/278; 8%), Indonesia (17/278; 6%), China (16/278; 6%), Spain (12/278; 4%), USA (12/278; 4%) and UK (11/278;4%).
Physicians from all specialities may die from COVID. Lack of personal protective equipment was cited as a common cause of death. Consideration should be made to exclude older physicians from front-line work.
COVID-19 大流行给患者和医疗保健提供者带来了大量的发病率和死亡率。
我们对与一线工作相关的 COVID-19 相关医生死亡病例进行了汇总,以期减轻未来的事件。
2020 年 4 月 15 日,我们使用英文和波斯文的 Google 互联网搜索,以及中文的百度搜索引擎,使用了“医生”、“医师”、“死亡”、“COVID”和“冠状病毒”等关键词进行了互联网搜索。记录了在一线工作中因 COVID-19 而死亡的医生的年龄、性别和医疗专业。我们排除了 90 岁以上的个体。
我们发现了 278 名因 COVID-19 感染而死亡的医生,但有 108 名医生的详细信息缺失。医生的平均年龄为 63.7 岁,中位数为 66 岁,90%为男性(235/261)。全科医生和急诊医生(108/254)、呼吸科医生(5/254)、内科专家(13/254)和麻醉师(6/254)占死亡人数的 52%。2%的死者为流行病学家(5/254)、2%为传染病专家(4/254)、6%为牙医(16/254)、4%为耳鼻喉科医生(9/254)和 3%为眼科医生(8/254)。报告医生死亡人数最多的国家是意大利(121/278;44%)、伊朗(43/278;15%)、菲律宾(21/278;8%)、印度尼西亚(17/278;6%)、中国(16/278;6%)、西班牙(12/278;4%)、美国(12/278;4%)和英国(11/278;4%)。
所有专业的医生都可能死于 COVID。缺乏个人防护设备被认为是死亡的常见原因。应考虑将年长的医生排除在一线工作之外。