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轻度 COVID-19 后加拿大医护人员缺勤持续时间的决定因素:一项前瞻性队列研究。

Determinants of Sickness Absence Duration After Mild COVID-19 in a Prospective Cohort of Canadian Healthcare Workers.

机构信息

From the Division of Occupational Medicine, Department of Medicine, University of Toronto, Toronto, Canada (A.A.); Division of Preventive Medicine, University of Alberta, Edmonton, Canada (Q.D.-M., T.Z., N.C.); Research Department, Institut de recherche Robert-Sauvé en santé et en sécurité du travail, Montreal, Canada (F.L.); and Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada (S.R.).

出版信息

J Occup Environ Med. 2023 Nov 1;65(11):958-966. doi: 10.1097/JOM.0000000000002945. Epub 2023 Aug 12.

Abstract

OBJECTIVE

The aim of the study is to identify modifiable factors associated with sickness absence duration after a COVID-19 infection.

METHODS

Participants in a prospective cohort of 4964 Canadian healthcare workers were asked how many working days they had missed after a positive COVID-19 test. Only completed episodes with absence ≤31 working day and no hospital admission were included. Cox regression estimated the contribution of administrative guidelines, vaccinations, work factors, personal characteristics, and symptom severity.

RESULTS

A total of 1520 episodes of COVID-19 were reported by 1454 participants. Days off work reduced as the pandemic progressed and were fewer with increasing numbers of vaccines received. Time-off was longer with greater symptom severity and shorter where there was a provision for callback with clinical necessity.

CONCLUSIONS

Vaccination, an important modifiable factor, related to shorter sickness absence. Provision to recall workers at time of clinical need reduced absence duration.

摘要

目的

本研究旨在确定与 COVID-19 感染后病假持续时间相关的可改变因素。

方法

4964 名加拿大医护人员前瞻性队列研究的参与者被问及他们在 COVID-19 检测呈阳性后错过了多少个工作日。仅纳入缺勤 ≤31 个工作日且无住院治疗的完整发作。Cox 回归估计了行政指导、疫苗接种、工作因素、个人特征和症状严重程度的贡献。

结果

1454 名参与者报告了 1520 例 COVID-19 发作。随着大流行的进展,休假天数减少,接种疫苗的次数增加,休假天数减少。症状严重程度越高,休假时间越长;有临床需要召回员工的规定,休假时间越短。

结论

疫苗接种是一个重要的可改变因素,与病假时间缩短有关。在临床需要时召回员工的规定减少了缺勤时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e7c/10662618/2d8c710f0e55/joem-65-0958-g001.jpg

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