医院传染病追踪器（HEpiTracker）：一款用于追踪医院工作人员中 COVID-19 情况的移动应用程序的描述和初步研究。
Hospital Epidemics Tracker (HEpiTracker): Description and pilot study of a mobile app to track COVID-19 in hospital workers.
机构信息
Hospital Universitario La Princesa, Universidad Autónoma de Madrid, Madrid, Spain.
Centro de Investigación en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.
出版信息
JMIR Public Health Surveill. 2020 Sep 21;6(3):e21653. doi: 10.2196/21653.
BACKGROUND
Hospital workers have been the most frequently and severely affected professional group during the COVID-19 pandemic, and have a big impact on transmission. In this context, innovative tools are required to measure the symptoms compatible with COVID-19, the spread of infection, and testing capabilities within hospitals in real time.
OBJECTIVE
We aimed to develop and test an effective and user-friendly tool to identify and track symptoms compatible with COVID-19 in hospital workers.
METHODS
We developed and pilot tested Hospital Epidemics Tracker (HEpiTracker), a newly designed app to track the spread of COVID-19 among hospital workers. Hospital staff in 9 hospital centers across 5 Spanish regions (Andalusia, Balearics, Catalonia, Galicia, and Madrid) were invited to download the app on their phones and to register their daily body temperature, COVID-19-compatible symptoms, and general health score, as well as any polymerase chain reaction and serological test results.
RESULTS
A total of 477 hospital staff participated in the study between April 8 and June 2, 2020. Of note, both health-related (n=329) and non-health-related (n=148) professionals participated in the study; over two-thirds of participants (68.8%) were health workers (43.4% physicians and 25.4% nurses), while the proportion of non-health-related workers by center ranged from 40% to 85%. Most participants were female (n=323, 67.5%), with a mean age of 45.4 years (SD 10.6). Regarding smoking habits, 13.0% and 34.2% of participants were current or former smokers, respectively. The daily reporting of symptoms was highly variable across participating hospitals; although we observed a decline in adherence after an initial participation peak in some hospitals, other sites were characterized by low participation rates throughout the study period.
CONCLUSIONS
HEpiTracker is an already available tool to monitor COVID-19 and other infectious diseases in hospital workers. This tool has already been tested in real conditions. HEpiTracker is available in Spanish, Portuguese, and English. It has the potential to become a customized asset to be used in future COVID-19 pandemic waves and other environments.
TRIAL REGISTRATION
ClinicalTrials.gov NCT04326400; https://clinicaltrials.gov/ct2/show/NCT04326400.
背景
在 COVID-19 大流行期间，医院工作人员一直是受影响最频繁和最严重的专业群体，并且对传播有很大的影响。在这种情况下，需要创新工具来实时测量与 COVID-19 相符的症状、感染传播情况和医院的检测能力。
目的
我们旨在开发和测试一种有效且易于使用的工具，以识别和跟踪医院工作人员中与 COVID-19 相符的症状。
方法
我们开发并试点测试了 Hospital Epidemics Tracker（HEpiTracker），这是一种新设计的应用程序，用于跟踪医院工作人员中 COVID-19 的传播。邀请 5 个西班牙地区（安达卢西亚、巴利阿里群岛、加泰罗尼亚、加利西亚和马德里）的 9 家医院中心的医院工作人员在手机上下载该应用程序，并登记他们的每日体温、与 COVID-19 相符的症状和一般健康评分，以及聚合酶链反应和血清学检测结果。
结果
共有 477 名医院工作人员于 2020 年 4 月 8 日至 6 月 2 日参加了这项研究。值得注意的是，健康相关专业人员（n=329）和非健康相关专业人员（n=148）都参加了这项研究；超过三分之二的参与者（68.8%）是卫生工作者（43.4%为医生，25.4%为护士），而按中心划分，非卫生相关工作人员的比例从 40%到 85%不等。大多数参与者为女性（n=323，67.5%），平均年龄为 45.4 岁（SD 10.6）。关于吸烟习惯，分别有 13.0%和 34.2%的参与者为当前或曾经吸烟者。参与医院的症状每日报告差异很大；尽管我们在一些医院观察到最初参与高峰后的依从性下降，但其他医院在整个研究期间的参与率都很低。
结论
HEpiTracker 是一种已经可用的监测医院工作人员中 COVID-19 和其他传染病的工具。该工具已经在真实条件下进行了测试。HEpiTracker 有西班牙语、葡萄牙语和英语三种版本。它有可能成为未来 COVID-19 大流行浪潮和其他环境中使用的定制资产。
试验注册
ClinicalTrials.gov NCT04326400；https://clinicaltrials.gov/ct2/show/NCT04326400。
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