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MMWR Reports on Healthcare Personnel Hospitalized with COVID-19 and Outcomes

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BACKGROUND AND PURPOSE:

  • Kambhampati et al. (MMWR, 2020) reports on the characteristics and outcomes of healthcare personnel (HCP) in the U.S. who were hospitalized for COVID-19

METHODS:

  • Data source
    • COVID-19–Associated Hospitalization Surveillance Network (COVID-NET)
  • Setting
    • US hospitals in 14 states between March 1 and May 31, 2020
  • Participants
    • Hospitalized patients with a positive PCR test for COVID-19 during hospitalization or in the 14 days prior to admission
  • Study design
    • HCP definition: Persons working in health care settings, home health care services, or health care occupations within other settings (e.g., school nurses) who have potential for exposure to patients or infectious materials
    • HCP were stratified by
      • Expected to have direct patient contact
      • Not expected to have direct patient contact

RESULTS:

  • 6,760 hospitalized adults had known HCP status
    • 5.9% of the overall cohort were classified as HCP
  • Demographics
    • Median age: 49 years (IQR 38 to 57 years)
    • Female: 71.9%
    • Race/ethnicity breakdown
      • Black: 52.0%
      • White: 27.4%
      • Hispanic/Latinx: 8.6%
    • Had at least 1 underlying medical condition: 89.8%
      • Obesity: 72.5%
      • Hypertension: 40.6%
      • Diabetes: 30.9%
  • HCP hospitalizations based on patient contact
    • Direct patient contact: 67.4%
    • Nursing-related occupations had the largest proportion of hospitalized HCP: 36.3%
  • Hospitalization characteristics
    • Median length of hospitalization: 4 days (IQR 3 to 9 days)
    • Received investigational treatments: 48.2%
  • Indicators of severe disease in HCP
    • Admitted to ICU: 27.5%
    • Median length of stay: 6 days (IQR 3 to 20 days)
    • Required invasive mechanical ventilation: 15.8%
    • Died: 4.2%

CONCLUSION:

  • During the study period, HCP made up approximately 6% of hospitalized COVID-19 patients
  • A large number of hospitalized HCP had indications of severe disease, including 27.5% being admitted to the ICU

Learn More – Primary Sources:

COVID-19–Associated Hospitalizations Among Health Care Personnel — COVID-NET, 13 States, March 1–May 31, 2020

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