Correlation of the COVID-۱۹ Infection and Outcomes with Workload among Emergency Healthcare Workers in an Iranian Referral Hospital

The immediate spread of COVID-۱۹ posed a great deal of strain on healthcare personnel, particularly emergency personnel. Considering the critical role of frontline health care personnel (HCPs) during the pandemic and the life-threatening effects of COVID-۱۹ on them, the present study aimed to evaluate the hospital database among frontline emergency personnel, and to assess the factors affecting the health status of the emergency HCPs. In the current study, we collected data on coronavirus clinical features from ۵۸ HCPs with confirmed COVID-۱۹ who worked in the emergency ward of Baqiyatallah Hospital, Tehran, one of the most referral hospitals in Iran. We also assessed the factors affecting the health status of the emergency HCPs from February ۲۰۲۰ to November ۲۰۲۰. All of the ۵۸ HCPs infected with COVID-۱۹ were the personnel of the emergency ward with an age range of ۲۰-۵۹ years old. The median (interquartile range) of hospital length of stay (LOS) among all patients was ۸ days. Length of stay is a critical factor in predicting hospital resource needs. Twelve (۲۱.۸%) patients had ground-glass opacity (GGO) alone, and ۲۰ (۳۵.۷%) patients had patchy GGO. In our multivariable analysis, high levels of patient liver enzymes (P=۰.۰۴) and lymphopenia (P=۰.۰۱) were significantly associated with the LOS. In our study, there was an association between high levels of patient’s ESR and CRP and longer LOS. We also found that age and gender had no effect on LOS. Nurses contributed to the highest number of COVID-۱۹ infection. It was also found that HCPs who had more working shifts were more infected, and the intensive care unit of the emergency ward was the most infected area of the Emergency Room.

کلیدواژه ها:

covid-۱۹ ، Emergency Ward ، Health Care Workers ، Hospital Length of Stay