Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona 08830, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain; Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux 78180, France.
Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona 08830, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain; Institució Catalana de Recerca i Estudis Avançats (ICREA), Pg. Lluis Companys 23, 08010 Barcelona, Spain.
Int J Infect Dis. 2021 Aug;109:203-208. doi: 10.1016/j.ijid.2021.06.063. Epub 2021 Jul 2.
To investigate the prevalence of, and the factors associated with, long-term sick leave in working-age patients diagnosed with COVID-19 in general practices in Germany.
Patients aged 18-65 years diagnosed with COVID-19 in any of 1255 general practices in Germany between March 2020 and February 2021 were included in the study. Long-term sick leave was defined as sick leave of at least 4 weeks. The association between predefined independent variables and long-term sick leave was studied using an adjusted logistic regression model.
This study included 30 950 patients diagnosed with COVID-19 (51.7% women, mean (standard deviation) age 41.5 (±13.0) years). The prevalence of long-term sick leave was 5.8%. Female sex, older age, and several conditions (noninfective enteritis and colitis; reaction to severe stress, and adjustment disorders; atopic dermatitis; mononeuropathies; reflux diseases; diabetes mellitus; and hypertension) were positively and significantly associated with long-term sick leave.
Long-term sick leave was relatively rare in COVID-19 patients followed in general practices in Germany. These results should be confirmed or invalidated in other settings and countries.
调查在德国普通诊所中，年龄在 18-65 岁之间、被诊断患有 COVID-19 的工作年龄段患者长期请病假的情况及其相关因素。
研究纳入了 2020 年 3 月至 2021 年 2 月期间在德国 1255 家普通诊所中被诊断患有 COVID-19 的 18-65 岁患者。将至少请 4 周病假定义为长期病假。使用调整后的逻辑回归模型研究了预先定义的独立变量与长期病假之间的关联。
本研究共纳入了 30950 名被诊断患有 COVID-19 的患者（51.7%为女性，平均（标准差）年龄为 41.5（±13.0）岁）。长期病假的患病率为 5.8%。女性、年龄较大以及多种疾病（非传染性肠炎和结肠炎；严重应激、适应障碍的反应；特应性皮炎；单神经病；反流性疾病；糖尿病；和高血压）与长期病假显著正相关。
在德国普通诊所中随访的 COVID-19 患者中，长期病假相对较少。这些结果应在其他环境和国家中得到证实或否定。
