Risk of COVID-19 outcomes among healthcare workers: Findings from the Philippine CORONA retrospective cohort study
https://doi.org/10.47895/amp.vi0.9316
- Author:
Adrian I. Espiritu
1
,
2
,
3
;
Carl Froilan D. Leochico
3
,
4
,
5
;
Isabella E. Supnet
4
;
Emilio Q. Villanueva III
6
;
Marie Charmaine C. Sy
2
;
Veeda Michelle M. Anlacan
2
;
Roland Dominic G. Jamora
2
Author Information
1. Department of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Manila, Philippines
2. Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines
3. Division of Neurology (Department of Medicine) and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
4. Department of Rehabilitation Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines
5. Department of Physical Medicine and Rehabilitation, St. Lukes Medical Center, Global City and Quezon City, Philippines
6. Department of Pathology, College of Medicine, University of the Philippines Manila, Manila, Philippines
- Publication Type:Journal Article
- Keywords:
Outcomes
- MeSH:
Health Personnel;
COVID-19;
SARS-CoV-2;
Cohort Studies
- From:
Acta Medica Philippina
2024;58(Early Access 2024):1-8
- CountryPhilippines
- Language:English
-
Abstract:
Objectives:While many healthcare workers (HCWs) contracted COVID-19 during the pandemic, more information is needed to fully understand the potential for adverse health effects in this population segment. The aim of the present study is to examine the association between healthcare worker status and neurologic and clinical outcomes in COVID-19 infected inpatients.
Methods:Using the nationwide database provided by the retrospective cohort Philippine CORONA study, we
extracted relevant data and performed a secondary analysis primarily focusing on the presentation and outcomes of healthcare workers. Propensity score matching in a 3:1 ratio was performed to match HCWs and non-HCWs. We performed multiple logistic and Cox regression analyses to determine the relationship between HCWs and COVID-19 clinical outcomes.
Results:We included 3,362 patients infected with COVID-19; of which, 854 were HCWs. Among the HCWs, a total
of 31 (3.63%) and 45 (5.27%) had the primary outcomes of in-hospital mortality and respiratory failure, respectively. For both overall and 3:1 propensity-matched cohorts, being an HCW significantly decreased the odds of the following outcomes: severe/critical COVID-19 at nadir; in-hospital mortality; respiratory failure; intensive care unit admission; and hospital stay >14 days.
Conclusion:We found that being an HCW is not associated with worse neurologic and clinical outcomes among
patients hospitalized for COVID-19.
- Full text:9316-Other-150679-1-10-20240320.pdf