医护人员新冠后综合征的流行率、决定因素和后果:一项横断面调查。

The prevalence, determinants, and consequences of post-COVID in healthcare workers: A cross-sectional survey.

机构信息

Occupational Diseases, CHU de Rennes, Université de Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, Rennes, France.

Infectious diseases and intensive care unit, CHU de Rennes, Université de Rennes, Inserm U1230, Rennes, France.

出版信息

J Med Virol. 2024 Jun;96(6):e29725. doi: 10.1002/jmv.29725.

Abstract

Data on post-coronavirus disease (COVID) in healthcare workers (HCWs) are scarce. We aimed to assess prevalence, determinants, and consequences of post-COVID in HCWs. In fall 2022, we performed a cross-sectional survey in a tertiary care hospital with a web-based questionnaire sent to HCWs. Post-COVID was defined as persistent/new symptoms 3 months after acute COVID. Propensity score weighting was performed to assess the impact of post-COVID on return-to-work. 1062 HCWs completed the questionnaire, 713 (68%) reported at least one COVID, and 109 (10%) met the definition for post-COVID, with workplace contamination reported in 51 (47%). On multivariable analysis, risk factors for post-COVID were female gender (p = 0.047), ≥50 years (p = 0.007), immunosuppression (p = 0.004), ≥2 COVID episodes (p = 0.003), and ≥5 symptoms during acute COVID (p = 0.005). Initial sick leave was prescribed for 94 HCWs (86% post-COVID), for a median duration of 7 [7-9] days, and extended for 23. On return-to-work, 91 (84%) had residual symptoms, primarily asthenia/fatigue (72%) and cognitive impairment (25%). Cognitive impairment at return-to-work was associated with post-COVID. Ten HCWs (9%) received a medical diagnosis of post-COVID, 8 consulted the occupational physician, and four required work adaptation. Post-COVID affected 10% of HCWs. Long-term consequences included repeated sick leaves and residual symptoms on return-to-work.

摘要

关于医护人员(HCWs)新冠病毒病(COVID)后的数据很少。我们旨在评估 HCWs 中 COVID 后的患病率、决定因素和后果。2022 年秋季,我们在一家三级保健医院进行了一项横断面调查,通过网络问卷向 HCWs 发送问卷。COVID 后被定义为急性 COVID 后 3 个月持续/新发症状。进行倾向评分加权以评估 COVID 后对重返工作岗位的影响。1062 名 HCWs 完成了问卷,713 名(68%)报告至少有一次 COVID,109 名(10%)符合 COVID 后定义,其中 51 名(47%)报告工作场所污染。多变量分析显示,COVID 后发生的危险因素为女性(p=0.047)、≥50 岁(p=0.007)、免疫抑制(p=0.004)、≥2 次 COVID 发作(p=0.003)和急性 COVID 期间≥5 种症状(p=0.005)。94 名 HCWs(86%COVID 后)开具初始病假,中位持续时间为 7[7-9]天,并延长了 23 天。在重返工作岗位时,91 名(84%)有残留症状,主要为乏力/疲劳(72%)和认知障碍(25%)。重返工作岗位时的认知障碍与 COVID 后有关。10 名 HCWs(9%)被诊断为 COVID 后,8 名咨询了职业医生,4 名需要工作适应。10%的 HCWs 受到 COVID 后影响。长期后果包括反复请病假和重返工作岗位时仍有残留症状。

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