新冠病毒病门诊管理：根据每日电子症状评估，医护人员恢复时间更短。
COVID-19 outpatient management: Shorter time to recovery in Healthcare workers according to an electronic daily symptoms assessment.
作者信息
Breugnon E, Thollot H, Fraissenon A, Saunier F, Labetoulle R, Pillet S, Lucht F, Berthelot P, Botelho-Nevers E, Gagneux-Brunon A
机构信息
Department of Hygiene and Infectious Diseases, University Hospital of Saint-Etienne, 42055 Saint-Etienne Cedex 2, France.
Department of Public health and biostatistics, University Hospital of Saint-Etienne, Saint-Etienne, France.
出版信息
Infect Dis Now. 2021 Feb;51(1):71-76. doi: 10.1016/j.medmal.2020.10.001. Epub 2020 Oct 7.
OBJECTIVES
Our aim is to compare the course of the disease between healthcare workers (HCWs) and non-HCWs suffering from covid-19 and eligible for outpatient management.
METHODS
Single-center prospective cohort of outpatients with covid-19, diagnosed between the 10th March and the 2nd April, 2020 with a daily collection of symptoms by an on-line auto-questionnaire.
RESULTS
A total of 186 patients were included (median age, 41 years [interquartile range, 19-78 years]; 74.2% female), of whom 132 (71%) were HCWs. The median follow-up after symptom onset was 14 (min 4-max 24) days. HCWs were significantly younger than non-HCWs (median age 40.3 years vs. 47.2 years [P<0.005]), and 81.8% were women. Four patients (2.2%) were hospitalized including one HCW. The median time to recovery was 9 days after symptom onset (95% CI 8-11) in the global population and respectively 8 (95% CI 8-9) and 13 (95% CI 11-15) days in HCWs and in non-HCWs (P<0.005). After adjusting for age, co-morbidities, and gender, the instantaneous risk ratio for symptom absence in HCWs was 1.76 compared with non-HCWs (95% CI [1.16-2.67], P=0.037).
CONCLUSION
HCWs suffering from covid-19 had favorable outcomes and had a shorter time to recovery than non HCWs.
目的
我们的目的是比较感染新冠病毒且适合门诊治疗的医护人员（HCWs）和非医护人员的疾病进程。
方法
对2020年3月10日至4月2日期间确诊的新冠病毒门诊患者进行单中心前瞻性队列研究，通过在线自动问卷每日收集症状。
结果
共纳入186例患者（中位年龄41岁[四分位间距，19 - 78岁]；74.2%为女性），其中132例（71%）为医护人员。症状出现后的中位随访时间为14（最短4 - 最长24）天。医护人员明显比非医护人员年轻（中位年龄40.3岁对47.2岁[P<0.005]），且81.8%为女性。4例患者（2.2%）住院，其中包括1名医护人员。总体人群症状出现后恢复的中位时间为9天（95%置信区间8 - 11），医护人员和非医护人员分别为8天（95%置信区间8 - 9）和13天（95%置信区间11 - 15）（P<0.005）。在调整年龄、合并症和性别后，医护人员无症状的瞬时风险比与非医护人员相比为1.76（95%置信区间[1.16 - 2.67]，P = 0.037）。
结论
感染新冠病毒的医护人员预后良好，恢复时间比非医护人员短。
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