{"doi":"10.1093/occmed/kqad114","title":"A COVID-19 monitoring process for healthcare workers utilizing occupational health","abstract":"BACKGROUND: Hospital-based occupational health (HBOH) is uniquely positioned to not only prevent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission, but to care for healthcare workers (HCWs) sick with coronavirus disease 2019 (COVID-19). AIMS: The primary objective of this study is to describe a system where HBOH services were adapted to provide a monitoring programme whereby HCWs with SARS-CoV-2 received daily evaluations and treatment options in order to improve access to care, and to report the clinical outcomes and predictors of hospitalization in HCWs enrolled in the programme. A secondary objective is to compare clinical outcomes to data on national HCWs with COVID-19. METHODS: This retrospective cohort study used survey data collected on HCWs at a university health system with COVID-19 from 1 March 2020 through 1 December 2021. A firth regression model was used to examine the unadjusted and adjusted association between clinical factors and hospitalization. RESULTS: The study cohort included 4814 HCWs with COVID-19. Overall hospitalizations were 119 (2%), and there were six deaths (0.12%). Predictors of hospitalization include several co-morbidities and symptoms. A total of 1835 HCWs monitored before vaccine or monoclonal antibody availability were compared with data on U.S. HCWs in a similar time period. The monitored HCWs had a lower rate of co-morbidities (19% versus 44%, P < 0.001), a lower hospitalization rate (3% versus 8% P < 0.001) and case-fatality rate (0.11% versus 0.95% P < 0.001). CONCLUSIONS: This monitoring strategy for COVID-19 may be feasible for HBOH systems to implement and improve access to care, but more data are needed to determine if it improves outcomes.","journal":"Occupational Medicine","year":2023,"id":376097,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.947,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1138914,"name":"Rachel Lee","orcid":"0000-0003-0067-311X","position":1,"is_corresponding":false},{"id":307652,"name":"Gerald McGwin","orcid":"0000-0001-9592-1133","position":2,"is_corresponding":false},{"id":385134,"name":"Sonya L. Heath","orcid":"0000-0002-3826-0954","position":3,"is_corresponding":false},{"id":385015,"name":"Greer Burkholder","orcid":"0000-0001-7185-3025","position":4,"is_corresponding":false},{"id":927516,"name":"Ronnie M. Gravett","orcid":"0000-0002-1614-758X","position":5,"is_corresponding":false},{"id":437399,"name":"Edgar T. Overton","orcid":"0000-0002-4013-536X","position":6,"is_corresponding":false},{"id":1139393,"name":"G Locks","orcid":null,"position":7,"is_corresponding":false},{"id":1139394,"name":"Molly Fleece","orcid":null,"position":8,"is_corresponding":false},{"id":686766,"name":"Ricardo Franco","orcid":"0000-0001-7655-4809","position":9,"is_corresponding":false},{"id":1139395,"name":"Sarah Nafziger","orcid":null,"position":10,"is_corresponding":false},{"id":1138913,"name":"James Crosby","orcid":"0000-0003-3242-8530","position":0,"is_corresponding":true}],"reference_count":30,"raw_metadata":null,"created_at":"2026-07-19T01:16:28.318749Z","pmid":"37995321","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}