Impact of the COVID-19 Pandemic on Healthcare Workers' Risk of Infection and Outcomes in a Large, Integrated Health System.

ABSTRACT:

Background

Understanding the impact of the COVID-19 pandemic on healthcare workers (HCW) is crucial.

Objective

Utilizing a health system COVID-19 research registry, we assessed HCW risk for COVID-19 infection, hospitalization, and intensive care unit (ICU) admission.

Design

Retrospective cohort study with overlap propensity score weighting.

Participants

Individuals tested for SARS-CoV-2 infection in a large academic healthcare system (N?=?72,909) from March 8-June 9, 2020, stratified by HCW and patient-facing status.

Main measures

SARS-CoV-2 test result, hospitalization, and ICU admission for COVID-19 infection.

Key results

Of 72,909 individuals tested, 9.0% (551) of 6145 HCW tested positive for SARS-CoV-2 compared to 6.5% (4353) of 66,764 non-HCW. The HCW were younger than the non-HCW (median age 39.7 vs. 57.5, p?ConclusionsIn a large healthcare system, HCW had similar odds for testing SARS-CoV-2 positive, but lower odds of hospitalization compared to non-HCW. Patient-facing HCW had higher odds of a positive test. These results are key to understanding HCW risk mitigation during the COVID-19 pandemic.

SUBMITTER: Misra-Hebert AD 

PROVIDER: S-EPMC7462108 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature