雅加达西部医院医护人员感染 COVID-19 的风险因素和存活率分析。

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL
Acta medica Indonesiana Pub Date : 2024-04-01
Virmandiani Virmandiani, Asri C Adisasmita, Febby Elvanesa Sandra Dewi
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引用次数: 0

摘要

背景:2020年3月2日,印度尼西亚首次发现两例2019年冠状病毒病(COVID-19)病例。医护人员(HCWs)有感染COVID-19的风险。本研究分析了风险因素,比较了医护人员和非医护人员的COVID-19感染率,并研究了描述COVID-19时间风险的生存分析:这项前瞻性队列研究从医院监测小组(雅加达西部最大的医院之一)获取数据,并采用描述性分析、双变量分析、Kaplan-Meier 法生存分析和多变量 Cox 分析进行分析:从 2021 年 3 月至 2022 年 3 月,对 1080 名员工进行了观察。有 192 名(17.78%)40±11 岁的员工在 COVID-18 检测中呈阳性,其中 126 例(16.84%)为 40 岁以下的人机工程人员,以女性为主。高危工人与非高危工人之间没有差异;ARR=1.08;[95% IK,0.83-1.43];P=0.591。轮班工人(每周工作时间大于 38 小时)可能受到 COVID-19 的影响,RR=1.37;[95% IK,1.06-1.78];P=0.018。卡普兰-梅耶法和对数秩检验显示,轮班组和非轮班组之间的差异为 HR=1.43;[95% IK 1.06-1.94];P=0.019。哮喘或慢性阻塞性肺病是感染 COVID-19 的独立因素,RR=1.82;[95% IK,1.10-3.02];P=0.031:高危工人和非高危工人感染 COVID-19 的概率相同。轮班工作的员工感染 COVID-19 的概率更高。生存分析表明,轮班工人与非轮班工人之间的危险比存在统计学差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk Factors and Survival Analysis of COVID-19 Among Health Care Workers in West Jakarta Hospital.

Background: The first two cases of Coronavirus Disease 2019 (COVID-19) were identified in Indonesia on March 2nd, 2020. Health Care workers (HCWs) are at risk of contracting COVID-19 infection. This study analyzed the risk factors, compared the prevalence rate of COVID-19 between HCWs and non-HCWs, and investigated survival analysis describing the time risk of COVID-19.

Methods: This prospective cohort study retrieved data from the Hospital Surveillance Team (one of the largest hospitals in West Jakarta) which were analyzed using descriptive, bivariate analysis, Survival Analysis through the Kaplan-Meier method, and multivariate Cox analysis.

Results: Observations were conducted on 1,080 employees from March 2021 to March 2022. There were 192 employees (17.78%) of 40±11 years tested positive for COVID-18, of which 126 cases (16.84%) were HCWs of ≤ 40 years of age, with females dominating. There was no difference between HCW and Non-HCW; ARR=1.08; [95% IK, 0.83-1.43]; p=0.591. Workers on shift work (> 38 hours in a week) were likely to be affected by COVID-19 with RR=1.37; [95% IK, 1.06-1.78]; p=0.018. Kaplan-Meier method and the log-rank test showed the difference between Shift and Non-shift groups HR=1.43; [95% IK 1.06-1.94]; p=0.019. Asthma or Chronic Obstructive Pulmonary Disease appeared as the independent factor of COVID-19 infection with RR=1.82; [95% IK, 1.10-3.02]; p=0.031.

Conclusion: The probability of contracting COVID-19 was found equal to HCW and Non-HCW. Employees who are on shifts have a greater probability of contracting COVID-19. Survival analysis showed a statistically different Hazard Ratio between shifts with Non-shift workers.

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来源期刊
Acta medica Indonesiana
Acta medica Indonesiana MEDICINE, GENERAL & INTERNAL-
CiteScore
2.30
自引率
0.00%
发文量
61
审稿时长
12 weeks
期刊介绍: Acta Medica Indonesiana – The Indonesian Journal of Internal Medicine is an open accessed online journal and comprehensive peer-reviewed medical journal published by the Indonesian Society of Internal Medicine since 1968. Our main mission is to encourage the novel and important science in the clinical area in internal medicine. We welcome authors for original articles (research), review articles, interesting case reports, special articles, clinical practices, and medical illustrations that focus on the clinical area of internal medicine. Subjects suitable for publication include, but are not limited to the following fields of: -Allergy and immunology -Emergency medicine -Cancer and stem cells -Cardiovascular -Endocrinology and Metabolism -Gastroenterology -Gerontology -Hematology -Hepatology -Tropical and Infectious Disease -Virology -Internal medicine -Psychosomatic -Pulmonology -Rheumatology -Renal and Hypertension -Thyroid
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