Physician deaths from corona virus (COVID-19) disease

Physician deaths from corona virus (COVID-19) disease
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DOI:
10.1093/occmed/kqaa088
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发表时间:
2020-07-01
影响因子:
5.1
通讯作者:
Torun, N.
Torun, N.
中科院分区:
医学4区
文献类型:
--
作者:
Ing, E. B.;Xu, Q. A.;Torun, N.

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背景COVID-19大流行给患者和医疗保健提供者造成了大量的发病率和死亡率。目的我们将与一线工作相关的COVID-19医生死亡病例制成表格,希望减少未来的事件。方法2020年4月15日,使用关键词“医生”,“医生”,“死亡”,用英语和波斯语说“COVID”和“冠状病毒”,用百度搜索引擎说中文。记录了因公死于COVID-19的医生的年龄、性别和医学专业。90岁以上的人被排除在外。结果我们发现278名医生死于COVID-19感染,但108人的完整详细信息缺失。医生的平均年龄为63.7岁,中位年龄为66岁,90%为男性(235/261)。全科医生和急诊室医生(108/254)、呼吸科医生(5/254)、内科专家(13/254)和麻醉师(6/254)占死亡人数的52%。2%的死者是流行病学家(5/254),2%是传染病专家(4/254),6%是牙医(16/254),4%是耳鼻喉科医生(9/254),3%是眼科医生(8/254)。医生死亡报告最多的国家是意大利(121/278; 44%),伊朗(43/278; 15%),菲律宾(21/278; 8%)、印度尼西亚(17/278; 6%)、中国(16/278; 6%)、西班牙(12/278; 4%)、美国(12/278; 4%)和英国(11/278;4%)。缺乏个人防护设备被列为常见的死亡原因。应考虑将老年医生排除在一线工作之外。
Background The COVID-19 pandemic has caused much morbidity and mortality to patients but also health care providers.Aims We tabulated the cases of physician deaths from COVID-19 associated with front-line work in hopes of mitigating future events.Methods On 15 April 2020, a Google internet search was performed using the keywords 'doctor', 'physician', 'death', 'COVID' and 'coronavirus' in English and Farsi, and Chinese using the Baidu search engine. The age, sex and medical speciality of physicians who died from COVID-19 in the line of duty were recorded. Individuals greater than 90 years of age were excluded.Results We found 278 physicians who died with COVID-19 infection, but complete details were missing for 108 individuals. The average age of the physicians was 63.7 years with a median age of 66 years, and 90% were male (235/261). General practitioners and emergency room doctors (108/254), respirologists (5/254), internal medicine specialists (13/254) and anaesthesiologists (6/254) comprised 52% of those dying. Two per cent of the deceased were epidemiologists (5/254), 2% were infectious disease specialists (4/254), 6% were dentists (16/254), 4% were ENT (9/254) and 3% were ophthalmologists (8/254). The countries with the most reported physician deaths were Italy (121/278; 44%), Iran (43/278; 15%), Philippines (21/278; 8%), Indonesia (17/278; 6%), China (16/278; 6%), Spain (12/278; 4%), USA (12/278; 4%) and UK (11/278;4%).Conclusions Physicians from all specialities may die from COVID. Lack of personal protective equipment was cited as a common cause of death. Consideration should be made to exclude older physicians from front-line work.