New York City COVID-19 resident physician exposure during exponential phase of pandemic
New York City COVID-19 resident physician exposure during exponential phase of pandemic
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DOI：
10.1172/jci139587
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发表时间：
2020-09-01
影响因子：
15.9
通讯作者：
Chen, Royce W. S.
中科院分区：
文献类型：
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作者：
Breazzano, Mark P.;Shen, Junchao;Chen, Royce W. S.
背景。从 2020 年 3 月 2 日到 2020 年 4 月 12 日，纽约市 (NYC) 因新型冠状病毒 (SARS-CoV-2) 而经历了 COVID-19 大流行的指数级增长。关于医生如何受到影响，人们知之甚少。我们的目的是描述 COVID-19 对纽约市住院医生的影响。方法。通过对 2020 年 4 月 3 日至 12 日对纽约市驻地项目主管进行的调查，进行 IRB 豁免和快速横断面分析，涵盖 2020 年 3 月 2 日至 2020 年 4 月 12 日的活动。 结果。从纽约市大约 340 个住院医师项目中，招募收到了 91 份回复，代表 24 个专业和 2306 名住院医师。在 45.1% 的项目中，至少报告了 1 名居民确诊患有 COVID-19。 101 名住院医师被确诊为 COVID-19 阳性，另有 163 名住院医师根据症状推测为 COVID-19 阳性，但正在等待或无法获得检测。两名 COVID-19 阳性居民住院治疗，其中 1 人接受重症监护。在超过 100 名住院医师的专科中，负二项回归表明不同专科的感染风险不同（P = 0.039）。据报道，80% 的计划中都对居民进行了隔离。 91 个项目中有 90 个报告重复使用或延长使用口罩，43 个项目报告个人防护装备 (PPE) 不理想。 65 个项目 (74.7%) 将居民重新部署到其他地方以支持 COVID-19 工作。结论。纽约市周围的许多住院医师通过直接感染、隔离或重新部署而受到了 COVID-19 的影响。在住院医师项目中，缺乏测试机会以及对个人防护装备不理想的担忧是很常见的。感染风险可能因专业而异。
BACKGROUND. From March 2, 2020, to April 12, 2020, New York City (NYC) experienced exponential growth of the COVID-19 pandemic due to novel coronavirus (SARS-CoV-2). Little is known regarding how physicians have been affected. We aimed to characterize the COVID-19 impact on NYC resident physicians.METHODS. IRB-exempt and expedited cross-sectional analysis through survey to NYC residency program directors April 3-12, 2020, encompassing events from March 2, 2020, to April 12, 2020.RESULTS. From an estimated 340 residency programs around NYC, recruitment yielded 91 responses, representing 24 specialties and 2306 residents. In 45.1% of programs, at least 1 resident with confirmed COVID-19 was reported. One hundred one resident physicians were confirmed COVID-19-positive, with an additional 163 residents presumed positive for COVID-19 based on symptoms but awaiting or unable to obtain testing. Two COVID-19-positive residents were hospitalized, with 1 in intensive care. Among specialties with more than 100 residents represented, negative binomial regression indicated that infection risk differed by specialty (P = 0.039). In 80% of programs, quarantining a resident was reported. Ninety of 91 programs reported reuse or extended mask use, and 43 programs reported that personal protective equipment (PPE) was suboptimal. Sixty-five programs (74.7%) redeployed residents elsewhere to support COVID-19 efforts.CONCLUSION. Many resident physicians around NYC have been affected by COVID-19 through direct infection, quarantine, or redeployment. Lack of access to testing and concern regarding suboptimal PPE are common among residency programs. Infection risk may differ by specialty.