Mortality among healthcare workers in Indonesia during 18 months of COVID-19.
Mortality among healthcare workers in Indonesia during 18 months of COVID-19.
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DOI：
10.1371/journal.pgph.0000893
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发表时间：
2022
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SARS-CoV-2感染对印度尼西亚卫生保健工作者的影响尚不清楚，因为在这种情况下，缺乏对卫生保健工作者特有的死亡率数据的系统收集和分析。本报告详细介绍了对“新冠肺炎”前18个月印度尼西亚境内的高龄妇女死亡情况进行系统汇编、摘要和分析的结果。2020年3月至2021年7月期间去世的HCW是通过Pusara Digital识别的，Pusara Digital是一个致力于HCW的社区数字墓地数据库。我们计算了卫生工作者的死亡率和死亡风险比。分析表明，在研究期间，至少有1,545名妇女死亡。男性和女性卫生工作者的死亡率几乎相同(51%对49%)。大多数是医生和专科医生(35%)、护士(428人，28%)和助产士(359人，23%)。大多数死亡发生在40岁至59岁之间，中位年龄为50岁(IQR：39-59)。至少有322人(21%)死于既往疾病，其中包括45名孕妇。在印度尼西亚新冠肺炎的前18个月，我们估计最低卫生工作者死亡率为每千名卫生工作者中有1.707人死亡。各省的卫生工人死亡率从每1 000名妇女中有0.136人死亡(西苏拉威西)到5.32人死亡(东爪哇)不等。人群死亡率显著高于一般人群(RR=4.92，95%CI为4.67~5.17)。印度尼西亚的新冠肺炎大流行导致数百名医务工作者死亡，其中大部分是高级医护人员。妇幼保健员的死亡率是普通人群的五倍。在这种情况下，迫切需要对职业死亡率进行全国系统监测。
The impact of SARS-CoV-2 infections upon Indonesian health care workers (HCWs) is unknown due to the lack of systematic collection and analysis of mortality data specific to HCWs in this setting. This report details the results of a systematic compilation, abstraction and analysis of HCW fatalities in Indonesia during the first 18 months of COVID-19. HCW who passed away between March 2020 and July 2021 were identified using Pusara Digital, a community-based digital cemetery database dedicated to HCW. We calculated the mortality rates and death risk ratio of HCWs versus the general population. The analysis indicates that at least 1,545 HCWs died during the study period. Death rates among males and females HCWs were nearly equivalent (51% vs. 49%). The majority were physicians and specialists (535, 35%), nurses (428, 28%), and midwives (359, 23%). Most deaths occurred between the ages of 40 to 59 years old, with the median age being 50 years (IQR: 39–59). At least 322 deaths (21%) occurred with pre-existing conditions, including 45 pregnant women. During the first 18 months of COVID-19 in Indonesia, we estimated a minimum HCW mortality rate of 1.707 deaths per 1,000 HCWs. The provincial rates of HCW mortality ranged from 0.136 (West Sulawesi) to 5.32 HCW deaths per 1,000 HCWs (East Java). The HCW mortality rate was significantly higher than that of the general population (RR = 4.92, 95% CI 4.67–5.17). The COVID-19 pandemic in Indonesia resulted in the loss of many hundreds of HCWs, the majority of whom were senior healthcare workers. The HCW mortality rate is five times that of the general population. A national systematic surveillance of occupational mortality is urgently needed in this setting.