Determinants of Post-COVID Ill-Health in a Cohort of Canadian Healthcare Workers.

Tanis Zadunayski, Quentin Durand-Moreau, Anil Adisesh, Igor Burstyn, France Labrèche, Shannon Ruzycki, Nicola Cherry
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Abstract

Objective: We aimed to estimate prevalence of post-COVID conditions (PCCs) among healthcare workers (HCWs) and to identify predisposing factors.

Methods: A cohort of Canadian HCWs completed four questionnaires during the pandemic. At the final questionnaire, HCWs reported conditions attributed to earlier COVID-19. The proportion developing a PCC was estimated. Risk factors were evaluated by logistic regression.

Results: Among 4964 HCWs, 995 had one positive COVID test >90 days before completing the final questionnaire. A total of 266 (27%) developed a PCC. Factors predisposing HCWs to a PCC included depression and increased alcohol consumption reported preinfection, chronic ill-health prepandemic, and a perception that the infection was work-related. PCCs were less likely following vaccination. Most HCWs (98%) returned to work within 30 days, with 8% reporting severe PCC (n = 80).

Conclusions: Predisposing factors reflected poor health preinfection. Most conditions were mild.

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加拿大医护人员群体中 COVID 后健康状况不佳的决定因素。
目的我们旨在估算医护人员(HCWs)中感染艾滋病毒后病症(PCC)的发病率,并确定诱发因素:在大流行期间,一组加拿大医护人员完成了四次问卷调查。在最后一次问卷调查中,医护人员报告了归因于早期 COVID-19 的病症。估计了患 PCC 的比例。通过逻辑回归对风险因素进行了评估:结果:在 4964 名医务工作者中,995 人在完成最终问卷调查 90 天前的 COVID 检测呈阳性。有 266 人(27%)患上了 PCC。导致高危工人感染 PCC 的因素包括感染前报告的抑郁和饮酒量增加、大流行前的慢性病以及认为感染与工作有关。接种疫苗后发生 PCC 的可能性较小。大多数高危工人(98%)在 30 天内重返工作岗位,8% 的人报告了严重的 PCC(n = 80):易感因素反映了感染前的健康状况较差。大多数情况较轻。
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