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COVID-19 research briefs: Frontline health-care workers and their families are at an increased risk of hospitalization
Question clinique
Does working in health care increase the risk of being hospitalized with COVID-19?
L’Essentiel
Frontline health-care workers and their families are at an increased risk of hospitalization from COVID-19. 2c
Référence
Plan de l'etude: Cohort (retrospective)
Financement:
Cadre: Population-based
Sommaire
Research Brief #72: These researchers identified 158,445 health-care workers between the ages of 18 and 65 years who were employed by Scotland's National Health Service. They used Scottish employment databases to create linkages to other health-related databases and to identify members of their households (n = 229,905). Additionally, the researchers used these same databases to identify persons from the general population. They mined the databases to identify hospitalizations for COVID-19 between March 1, 2020 (when cases of COVID-19 were first identified in Scotland) and June 6, 2020. Among the health-care workers, 90,733 (57.3%) had direct patient contact (they use the term "patient-facing") and 79% were women. The authors identified 6346 total hospitalizations for COVID-19 during the study period, 2097 of which occurred in persons between 18 and 65 years of age. Of these, 1737 (82.8%) occurred in the general population, and health-care workers and their household members accounted for 243 (11.6%) and 117 (5.6%) hospitalizations, respectively. After adjusting for age, sex, ethnicity, socioeconomic factors, and comorbidities, the overall risk of hospitalization for all health-care workers and their households was similar to that of the general population. However, among patient-facing health-care workers, although the numbers were small, the risk of hospitalization was much higher (hazard ratio [HR] 3.30; 95% CI 2.13 - 5.13) as was the risk for their household members (HR 1.79; 1.10 - 2.91). These data support previous data regarding COVID-19 as a cause of excess mortality in the United States and illustrate the risk to health-care workers, their families, and the public. It's hard to imagine how any profit could be gained from falsely naming COVID-19 as a cause of death.
Reviewer
Henry C. Barry, MD, MS
Professor
Michigan State University
East Lansing, MI
Commentaires
risks
The paper makes sense.
Profit and excess mortality???
The POEM writer’s comment about profit and cause of death/excess mortality and COVID-19 came out of left field and had no relevance whatsoever to the study. The study was exclusively about hospitalization and not about mortality or excess mortality due to Covid-19 and profits. It is absurd that you even put this in.
Unsupported comment re profit and mortality
As per the prior comment, there is no reference to this whatever within the article.
Additionally, a key point of the article is missed, that which outlines and separates the risk of the "front door" staff viz:
Our findings from the “first wave” in Scotland show that healthcare workers in patient facing roles—especially those in “front door” roles—are, along with their households, at particular risk.
incidence of hospital admits with health care workers
I continue to attend nursing home patients, in full PPE and understand the risk
Disposable force
In Airforce, a trained and experienced pilot is worth at least five Fighter planes. So much for dispensable physicians.
COVID hospitalization rates in health care workers.
I think it's important to note that the increased risk is in those workers with face-to-face contact with patients. These are the people who need priority for vaccination.