Risk of COVID-19 Outcomes among Healthcare Workers: Findings from the Philippine CORONA Retrospective Cohort Study

Authors

  • Adrian I. Espiritu, MD Department of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Manila, Philippines; Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines; Division of Neurology (Department of Medicine) and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada https://orcid.org/0000-0001-5621-1833
  • Carl Froilan D. Leochico, MD, PTRP Division of Neurology (Department of Medicine) and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; Department of Rehabilitation Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines; Department of Physical Medicine and Rehabilitation, St. Luke’s Medical Center, Global City and Quezon City, Philippines https://orcid.org/0000-0003-2928-2083
  • Isabella E. Supnet, MD Department of Rehabilitation Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines https://orcid.org/0000-0001-9753-505X
  • Emilio Q. Villanueva III, MD, MSc Department of Pathology, College of Medicine, University of the Philippines Manila, Manila, Philippines https://orcid.org/0000-0001-8543-9239
  • Marie Charmaine C. Sy, MD, MBA Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines
  • Veeda Michelle M. Anlacan, MD Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines https://orcid.org/0000-0002-1241-8805
  • Roland Dominic G. Jamora, MD, PhD Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines https://orcid.org/0000-0001-5317-7369

DOI:

https://doi.org/10.47895/amp.vi0.9316

Keywords:

healthcare worker, COVID-19, SARS-CoV-2, outcomes, cohort study

Abstract

Objectives. While many healthcare workers (HCWs) contracted COVID-19 during the pandemic, more information is needed to fully understand the potential for adverse health effects in this population segment. The aim of the present study is to examine the association between healthcare worker status and neurologic and clinical outcomes in COVID-19 infected inpatients.

Methods. Using the nationwide database provided by the retrospective cohort Philippine CORONA study, we
extracted relevant data and performed a secondary analysis primarily focusing on the presentation and outcomes of healthcare workers. Propensity score matching in a 3:1 ratio was performed to match HCWs and non-HCWs. We performed multiple logistic and Cox regression analyses to determine the relationship between HCWs and COVID-19 clinical outcomes.

Results. We included 3,362 patients infected with COVID-19; of which, 854 were HCWs. Among the HCWs, a total
of 31 (3.63%) and 45 (5.27%) had the primary outcomes of in-hospital mortality and respiratory failure, respectively. For both overall and 3:1 propensity-matched cohorts, being an HCW significantly decreased the odds of the following outcomes: severe/critical COVID-19 at nadir; in-hospital mortality; respiratory failure; intensive care unit admission; and hospital stay >14 days.

Conclusion. We found that being an HCW is not associated with worse neurologic and clinical outcomes among
patients hospitalized for COVID-19. 

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Published

2025-01-31

Issue

Vol. 59 No. 2 (2025)

Section

Articles

How to Cite

1.
Risk of COVID-19 Outcomes among Healthcare Workers: Findings from the Philippine CORONA Retrospective Cohort Study. Acta Med Philipp [Internet]. 2025 Jan. 31 [cited 2025 Apr. 3];59(2). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/9316

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