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COVID-19 与医生的死亡率。

COVID-19 and mortality in doctors.

机构信息

Southport and Ormskirk NHS Trust, Southport, PR8 6PN, UK.

Department of Pulmonary, Critical Care and Sleep Medicine, VMMC and Safdarjung Hospital, New Delhi, India.

出版信息

Diabetes Metab Syndr. 2020 Nov-Dec;14(6):1743-1746. doi: 10.1016/j.dsx.2020.09.003. Epub 2020 Sep 3.

Abstract

BACKGROUND AND AIMS

COVID-19 disease appear to have been associated with significant mortality amongst doctors and health care workers globally. We explore the various risk factors associated with this occupational risk, especially focusing on India. This may elucidate lessons to protect these frontline workers during the COVID-19 pandemic.

METHODS

We carried out a comprehensive review of the literature using suitable keywords such as 'COVID-19', 'pandemics', 'physicians' 'mortality' and 'health personnel' on the search engines of PubMed, SCOPUS, Google Scholar and ResearchGate in the month of July 2020 during the current COVID-19 pandemic and assessed mortality data.

RESULTS

Mortality in health care professionals has been on the rise. The countries which faced the pandemic in the early months of 2020 have had a huge surge in mortality amongst doctors due to COVID-19. India continues to show a rising trend in COVID-19 cases, however although compared to the western world India has seen a comparatively favourable statistic. Male gender, elderly doctors and those belonging to Black, Asian, and Minority Ethnic (BAME) community seem to be predisposing factors in the western world.

CONCLUSION

COVID-19 has been associated with an increased mortality in doctors and health care workers. Until an effective cure/vaccine is developed, risk assessments at work, mitigating confounding factors, adequate supply of personal protective equipment (PPE) and enhanced protection against infection are necessary to protect health care professionals on the coronavirus frontline. Otherwise this occupational risk can lead to further untimely mortality and become another unintended consequence of the COVID-19 pandemic.

摘要

背景与目的

COVID-19 疾病似乎与全球医生和医护人员的高死亡率有关。我们探讨了与这种职业风险相关的各种风险因素,特别是关注印度。这可能阐明了在 COVID-19 大流行期间保护这些一线工作人员的经验教训。

方法

我们在 COVID-19 大流行期间的 2020 年 7 月,使用合适的关键词,如“COVID-19”、“大流行”、“医生”、“死亡率”和“卫生人员”,在 PubMed、SCOPUS、Google Scholar 和 ResearchGate 等搜索引擎上进行了全面的文献回顾,并评估了死亡率数据。

结果

医护人员的死亡率一直在上升。在 2020 年初面临大流行的国家,由于 COVID-19,医生的死亡率大幅上升。印度的 COVID-19 病例仍呈上升趋势,但与西方世界相比,印度的统计数据相对有利。男性、老年医生以及属于黑人、亚洲和少数族裔(BAME)社区的医生似乎是西方世界的易感因素。

结论

COVID-19 与医生和医护人员的死亡率增加有关。在开发出有效的治疗方法/疫苗之前,需要在工作中进行风险评估、减轻混杂因素、充分供应个人防护设备(PPE)以及加强对冠状病毒一线医护人员的感染防护,以保护医护人员。否则,这种职业风险可能导致更多的非预期死亡,并成为 COVID-19 大流行的另一个意外后果。

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