Primary health care and hospital management during COVID-19
Systematic review & meta analysis
Keywords:
COVID-19 SARS-CoV2, Healthcare workers Meta-analysis Occupational health, Infectious disease transmissionAbstract
Introduction: The COVID-19 outbreak has brought to light the issues and risks that frontline healthcare professionals face (HCW). The goal of this study was to describe the clinical outcomes and risk variables in HCW infected with SARS-CoV-2 and thus evaluate the primary health care and hospital management. Methods: A total of 328 articles were found after searching three databases. Only 97 full-text articles were screened because 225 articles did not match the inclusion criteria. Finally, 30 articles were included in the systematic review and 28 were used in the meta-analysis following further revision. Results: Twenty-eight studies with a total of 119,883 patients were found. The patients' average age was 38.37 years (95 percent CI 36.72–40.03), and males made up 21.4 percent of the HCW population (95 percent CI 12.4–34.2). COVID-19 positivity was found in 51.7 percent of HCW (95 percent confidence interval: 34.7–68.2). In seven investigations, the overall prevalence of comorbidities was 18.4 percent (95 percent confidence interval 15.5–21.7). Fever and cough were the most common symptoms, with 27.5 percent (95 percent CI 17.6–40.3) and 26.1 percent (95 percent CI 18.1–36) respectively.
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