医院员工的“COVID-19 职业脆弱性指数”与 COVID-19 严重程度和后遗症之间的关联。
Association Between the "COVID-19 Occupational Vulnerability Index" and COVID-19 Severity and Sequelae Among Hospital Employees.
机构信息
Department of Occupational Medicine, Universidad de Navarra, Navarra (Mr Navarro-Font, Dr Fernandez-Montero); Department of Environmental Health, Harvard University T.H. Chan School of Public Health, Boston (Dr Kales, Dr Fernandez-Montero); Department of Occupational Medicine, Cambridge Health Alliance, Harvard Medical School, Cambridge (Dr Kales), Massachusetts; Asociación Española de Especialistas en Medicina del Trabajo (Dr Vicente-Herrero, Dr Rueda-Garrido, Dr Campo, Dr Reinoso-Barbero, Dr Fernandez-Montero); Occupational Health and safety Services of Correos, Valencia (Dr Vicente-Herrero); Saudi Basic Industries Corporation Medical Services, Cartagena (Dr Rueda-Garrido); Department of Occupational and Prevention at University Hospital Fundación Jiménez Díaz, Universidad Autónoma de Madrid (Dr Campo), Madrid; Faculty of Health Sciences, Universidad Internacional de la Rioja, La Rioja (Dr Reinoso-Barbero); Navarra Institute for Health Research (IdisNa), Navarra (Dr Fernandez-Montero), Spain.
出版信息
J Occup Environ Med. 2021 Oct 1;63(10):895-900. doi: 10.1097/JOM.0000000000002253.
OBJECTIVES
In addition to personal and health related factors, healthcare workers have an increased risk due to their work. We assessed the association of the score of the Occupational Vulnerability Index with the risk of suffering a severe COVID-19 and sequelae.
METHODS
Retrospective observational study carried out in healthcare workers. Among 119 employees infected, the COVID-19 Occupational Vulnerability Index (composed of 29 items regarding personal health, working conditions, and ability to comply with preventive measures) was calculated and correlated with COVID-19 severity/sequelae.
RESULTS
Workers with higher scores (six to seven points) had a significantly increased risk of developing severe disease (OR = 9.73; 95% CI, 1.53 to 35.56) and clinical sequelae (OR = 5.22; 95% CI, 1.80 to 15.16) than those with lower scores (0 to 3).
CONCLUSION
The "COVID-19 Occupational Vulnerability Index" may predict the risk of severe COVID-19 disease and clinical sequelae among healthcare workers.
目的
除了个人和健康相关因素外，医护人员因其工作而面临更高的风险。我们评估了职业脆弱性指数评分与患严重 COVID-19 和后遗症风险的相关性。
方法
在医护人员中进行回顾性观察性研究。在 119 名感染的员工中，计算了 COVID-19 职业脆弱性指数（由 29 项个人健康、工作条件和遵守预防措施的能力组成），并将其与 COVID-19 的严重程度/后遗症相关联。
结果
得分较高（6 至 7 分）的工人患重病（比值比 [OR] = 9.73；95%置信区间 [CI]，1.53 至 35.56）和临床后遗症（OR = 5.22；95%CI，1.80 至 15.16）的风险显著高于得分较低（0 至 3）的工人。
结论
“COVID-19 职业脆弱性指数”可能预测医护人员患严重 COVID-19 疾病和临床后遗症的风险。
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