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ORIGINAL ARTICLE
Year : 2022  |  Volume : 49  |  Issue : 1  |  Page : 20-24

Clinical characteristics and risk factors for mortality in 1048 Health care workers hospitalised with COVID 19 in a Tertiary care hospital, India


1 Department of Community Medicine, HBTMC and Dr. RN Cooper Hospital, Mumbai, Maharashtra, India
2 Department of Community Medicine, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Smita Santosh Chavhan
Department of Community Medicine, HBTMC and Dr. RN Cooper Hospital, U 15, Bhaktivedanta Swami Rd., JVPD Scheme, Juhu, Mumbai - 400 056, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jss.jss_99_21

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Objectives: We aim to study the clinical characteristics and risk factors for mortality of doctors and nurses hospitalized with COVID-19. Materials and Methods: This was a hospital-based cross-sectional study. All doctors and nurses positive on reverse transcriptase–polymerase chain reaction test of nasopharyngeal or/and oropharyngeal samples for COVID-19 who were admitted in this designated COVID hospital from April 2020 to January 2021 and with a definite outcome (death or discharge) till the end of January 2021 were included in this study. To explore the risk factors associated with mortality of health-care workers (HCWs), bivariate and multivariate logistic regression analysis was done. Results: Out of 1048 HCWs, 846 (80.7%) were doctors and 202 (19.3%) were nurses. Majority (619, 59.15%) of the HCWs were young (18–30 years). Most (185, 91.6%) of the nurses were female, while majority (533, 63%) of the doctors were male. The 11 (1%) HCWs who died were all doctors, but the difference was not statistically significant. Total 121 (11.54%) HCWs had comorbidities, and hypertension 70 (6.7%) and diabetes 62 (5.9%) were most common. Age >60 years (adjusted odds ratios [AOR] [confidence interval (CI)] = 36.01 [3.45–375.5]) and suffering from diabetes mellitus (AOR [CI] = 10.4 [1.82–59.51]) were found to be significant predictors for the death of HCWs after adjusting for potential confounders. Conclusion: The mortality rate due to COVID-19 in doctors and nurses was lower (1%) as compared to the general population as most of the HCWs were young and with a low prevalence of comorbidities. Age >60 years and diabetes mellitus were risk factors for death; such HCWs should avoid contact with COVID-19 patients. Screening of HCWs for COVID-19 is important to reduce its transmission.


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