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  2. Vol 56, No 2 (2024)
  3. Virmandiani

Risk Factors and Survival Analysis of COVID-19 Among Health Care Workers in West Jakarta Hospital

Virmandiani Virmandiani, Asri C Adisasmita, Febby Elvanesa Sandra Dewi

Abstract


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.


Keywords


COVID-19; Health-care workers

References


Burhan E, Susanto AD, Nasution SA, et al. Pedoman tatalaksana COVID-19. 3rd ed. Jakarta: Perhimpunan Dokter Spesialis Penyakit Dalam Indonesia; 2020. 149 p.

Kim J, Zhang J, Cha Y, et al. Advanced bioinformatics rapidly identifies existing therapeutics for patients with coronavirus disease-2019 (COVID-19). J Transl Med. 2020;18(1):257.

Presiden Republik Indonesia. Undang-Undang Republik Indonesia Nomor 36 Tahun 2014 Tentang Tenaga Kesehatan. Dewan Perwakilan Rakyat; 2014.

Kim R, Nachman S, Fernandes R, Meyers K, Taylor M, LeBlanc D, et al. Comparison of COVID-19 infections among healthcare workers and non-healthcare workers. Lazzeri C, editor. PLoS ONE. 2020;15(12):e0241956.

Burrer SL, De Perio MA, Hughes MM, et al. Characteristics of health care personnel with COVID-19 — United States, February 12–April 9, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(15):477–81.

Aditya NR, Prabowo D. IDI : Kematian tenaga medis Indonesia 3 besar di dunia. Kompas. 2021;15003431.

Kleinbaum D, Klein M. Survival analysis: A self-learning text. 3rd ed. New York: Springer; 2012. p. 700.

Karyono DR, Wicaksana AL. Current prevalence, characteristics, and comorbidities of patients with COVID-19 in Indonesia. J Community Empowerment for Health. 2020;3(2):77.

Lahner E, Dilaghi E, Prestigiacomo C, et al. Prevalence of Sars-Cov-2 infection in health workers (HWs) and diagnostic test performance: The experience of a teaching hospital in Central Italy. IJERPH. 2020;17(12):4417.

Teleman MD, Boudville IC, Heng BH, Zhu D, Leo YS. Factors associated with transmission of severe acute respiratory syndrome among health-care workers in Singapore. Epidemiol Infect. 2004;132(5):797–803.

Guan W jie, Liang W hua, Zhao Y, et al. Comorbidity and its impact on 1590 patients with COVID-19 in China: a nationwide analysis. Eur Respir J. 2020;55(5):2000547.

Sanyaolu A, Okorie C, Marinkovic A, et al. Comorbidity and its impact on patients with COVID-19. SN Compr Clin Med. 2020;2(8):1069–76.

Mendes NF, Jara CP, Mansour E, Araújo EP, Velloso LA. Asthma and COVID-19: a systematic review. Allergy Asthma Clin Immunol. 2021;17(1):5.

MDedge Hematology and Oncology. COVID–19–related outcomes are poor for patients with hematologic disease in the ASH registry. MDedge Hematology and Oncology. 2021;2.

Mahajan NN, Mathe A, Patokar GA, et al. Prevalence and clinical presentation of COVID-19 among healthcare workers at a dedicated hospital in India. Journal of The Physicians of India. 2020;68:16=21.

González Martin-Moro J, Chamorro Gómez M, Dávila Fernández G, et al. Survival analysis of time to SARS-CoV-2 PCR negativisation to optimise PCR prescription in health workers: the Henares COVID-19 healthcare workers cohort study. Occup Environ Med. 2021;78(9):638–42.


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