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10.1016/j.ajem.2020.05.113

http://scihub22266oqcxt.onion/10.1016/j.ajem.2020.05.113
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32738467!7837172!32738467
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suck abstract from ncbi


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pmid32738467      Am+J+Emerg+Med 2020 ; 38 (9): 1727-1731
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  • COVID-19 in health care workers - A systematic review and meta-analysis #MMPMID32738467
  • Sahu AK; Amrithanand VT; Mathew R; Aggarwal P; Nayer J; Bhoi S
  • Am J Emerg Med 2020[Sep]; 38 (9): 1727-1731 PMID32738467show ga
  • BACKGROUND AND OBJECTIVES: It is essential to know the proportion of health care workers (HCW) who are COVID 19 positive, as well as the severity and mortality among them. METHODS: This systematic review was performed according to the Preferred Reporting Items for Systematic review and meta-analysis. Databases including PubMed, EMBASE and Web of Science were searched from December-31, 2019 to April-23, 2020. The search was limited to the studies that reported the data on the number of COVID-19 positive healthcare workers, among the COVID-19 positive patients. Case reports, duplicate publications, reviews, and family-based studies were excluded. The methodological quality of studies was assessed by the Appraisal tool for Cross-Sectional Studies (AXIS) tool. RESULTS: In this systematic review and meta-analysis, we pooled eleven studies to investigate the above factors. The overall proportion of HCW who were SARS-CoV-2 positive among all COVID-19 patients was 10.1% (95%CI: 5.3-14.9). This proportion varied according to the country of study i.e. China (7 studies) - 4.2%, 95%CI:2.4-6.0; United States (3 studies) - 17.8%, 95%CI:7.5-28.0; and Italy (1 study) - 9.0%, 95%CI:8.6-9.4. The incidence of severe or critical disease in HCW (9.9%, 95%CI:0.8-18.9) was significantly lower (p < 0.001) than the incidence of severe or critical disease in all COVID-19 positive patients (29.4%, 95%CI:18.6-40.2). Similarly, the mortality among HCW (0.3%, 95%CI:0.2-0.4) was also significantly lower (p < 0.001) as compared to that of all patients (2.3%, 95%CI:2.2-2.4). CONCLUSION: Health care workers who are COVID-19 positive constituted a significant proportion of all COVID-19 patients; but the severity and mortality were lower among them.
  • |*Betacoronavirus[MESH]
  • |*Pandemics[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*epidemiology/transmission[MESH]
  • |Data Management[MESH]
  • |Disease Transmission, Infectious/*statistics & numerical data[MESH]
  • |Health Personnel/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Pneumonia, Viral/*epidemiology/transmission[MESH]


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