Principales secuelas de SARS-CoV-2 en trabajadores de la salud en Baja California, México  <span class="so-article-trans-title" dir="auto"> Translated title: Principal sequels of sars-cov-2 in health workers in Baja California, Mexico </span>

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Abstract

RESUMEN. Introducción: La pandemia por COVID-19, impactó en la vida de los trabajadores de la salud por su elevado riesgo de contagio. Objetivo: El objetivo fue describir las principales secuelas secundarias a la infección por SARS-CoV-2 en trabajadores de la salud. Material y Métodos: Estudio retrospectivo en los expedientes clínicos y Nuevo Sistema de Subsidios y Ayudas de los trabajadores de la salud que fueron valuados por una secuela secundaria a la COVID-19 adscritos al Órgano de Operación Administrativa Desconcentrada de Baja California del Instituto Mexicano del Seguro Social de marzo 2020 a diciembre 2021. Resultados: Se valuaron 41 secuelas: 36,56 % presentaron secuela neuromuscular y 29,26 % pulmonares. Predominaron: el sexo femenino, el personal médico y de enfermería. Conclusiones: Es necesario identificar oportunamente aquellas secuelas asociadas al SARS-CoV-2, para brindar una atención especial a los pacientes vulnerables y otorgar un seguimiento que mejore su calidad de vida.

Translated abstract

ABSTRACT Introduction: The COVID-19 pandemic impacted the lives of health workers due to its high risk of contagion. Objetives: The objective was to describe the principal sequels secondary to SARS-CoV-2 in healthcare workers. Material and methods: Retrospective study of clinical records and the Nuevo Sistema de Subsidios y Ayudas of health workers who were valued for a secondary sequel to COVID-19 assigned to the Órgano de Operación Administrativa Desconcentrada de Baja California of the Instituto Mexicano del Seguro Social, from March 2020 to December 2021. Results: 41 sequelae were valuated, 36,56 % presented neuromuscular sequelae and 29,26 % pulmonary sequelae. Predominated: the female sex, the medical and nursing staff. Conclusions: It is necessary to timely identify those sequelae associated with SARS-CoV-2, to provide special care to vulnerable patients and follow-up that improve their quality of life.

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Anxiety and depression in COVID-19 survivors: role of inflammatory and clinical predictors

Mario Gennaro Mazza, Rebecca De Lorenzo, Caterina Conte … (2020)

Highlights • COVID-19, such as other coronaviruses, is associated with psychiatric implication. • 55% of the sample presented a clinical score for at least one mental disorder. • Psychiatric history, setting, and length of hospitalization influenced psychopathology. • Females suffered more than males, scoring higher in all the measures. • There is the need to diagnose and treat psychiatric sequelae in COVID-19 survivors.

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Persistent neurologic symptoms and cognitive dysfunction in non‐hospitalized Covid‐19 “long haulers”

Edith L Graham, Jeffrey Clark, Zachary Orban … (2021)

Objective Most SARS‐CoV‐2‐infected individuals never require hospitalization. However, some develop prolonged symptoms. We sought to characterize the spectrum of neurologic manifestations in non‐hospitalized Covid‐19 “long haulers”. Methods This is a prospective study of the first 100 consecutive patients (50 SARS‐CoV‐2 laboratory‐positive (SARS‐CoV‐2 + ) and 50 laboratory‐negative (SARS‐CoV‐2 ‐ ) individuals) presenting to our Neuro‐Covid‐19 clinic between May and November 2020. Due to early pandemic testing limitations, patients were included if they met Infectious Diseases Society of America symptoms of Covid‐19, were never hospitalized for pneumonia or hypoxemia, and had neurologic symptoms lasting over 6 weeks. We recorded the frequency of neurologic symptoms and analyzed patient‐reported quality of life measures and standardized cognitive assessments. Results Mean age was 43.2 ± 11.3 years, 70% were female, and 48% were evaluated in televisits. The most frequent comorbidities were depression/anxiety (42%) and autoimmune disease (16%). The main neurologic manifestations were: “brain fog” (81%), headache (68%), numbness/tingling (60%), dysgeusia (59%), anosmia (55%), and myalgias (55%), with only anosmia being more frequent in SARS‐CoV‐2 + than SARS‐CoV‐2 ‐ patients (37/50 [74%] vs. 18/50 [36%]; p < 0.001). Moreover, 85% also experienced fatigue. There was no correlation between time from disease onset and subjective impression of recovery. Both groups exhibited impaired quality of life in cognitive and fatigue domains. SARS‐CoV‐2 + patients performed worse in attention and working memory cognitive tasks compared to a demographic‐matched US population (T‐score 41.5 [37, 48.25] and 43 [37.5, 48.75], respectively; both p < 0.01). Interpretation Non‐hospitalized Covid‐19 “long haulers” experience prominent and persistent “brain fog” and fatigue that affect their cognition and quality of life.

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COVID-19 among Health Workers in Germany and Malaysia

Albert Nienhaus, Rozita Hod (2020)

We report on the suspected case reports filed for SARS-CoV-2 infections and COVID-19 illnesses among health and social welfare workers in Germany. In addition, we report about COVID-19 in health workers in Malaysia. Claims for occupational diseases caused by SARS-CoV-2 are recorded separately in a database of the Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW). This database is analyzed according to its content as of May 22, 2020. In addition, the notifiable cases of SARS-CoV-2 infections from personnel in medical institutions (e.g., clinics and doctor’s office) and social welfare institutions (e.g., nursing homes, shelters and refugee camps) following the German Infection Protection Act are analyzed. The report from Malaysia is based on personal experience and publications of the government. In Germany at present, 4398 suspected case reports for the diagnosis of SARS-CoV-2 infections among health and social workers have been filed. This figure is four times the number of all reported infections normally received per year. The majority of claims, regardless of being a confirmed infection, concerned nurses (n = 6927, 63.9%). The mortality rate for workers infected with SARS-CoV-2 is 0.2% to 0.5%. Doctors are affected by severe illness more frequently than other occupational groups (8.1% vs. 4.1%). In Malaysia, work-related infection of health workers (HW) occurred mainly when COVID-19 was not suspected in patients and no adequate personal protective equipment (PPE) was worn. Although knowledge on the spread of SARS-CoV-2 infections among workers remains limited, the impact appears to be substantial. This is supported by the mortality rate among infected workers. Occupational health check-ups carried out at the present time should be systematically analyzed in order to gain more information on the epidemiology of COVID-19 among HW. Since the supply and use of PPE improved, the infection risk of HW in Malaysia seems to have decreased.

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Author and article information

Journal

Journal ID (publisher-id): medtra

Title: Revista de la Asociación Española de Especialistas en Medicina del Trabajo

Abbreviated Title: Rev Asoc Esp Espec Med Trab

Publisher: Asociación Española de Especialistas en Medicina del Trabajo (Madrid, Madrid, Spain )

ISSN (Print): 1132-6255

ISSN (Electronic): 3020-1160

Publication date (Print and electronic): 2023

Volume: 32

Issue: 3

Pages: 198-206

Affiliations

[5] Mexicali Baja California orgnameIMSS México

[3] Mexicali orgnameUniversidad Autónoma de Baja California orgdiv1Facultad de Medicina Mexico

[2] Baja California orgnameÓrgano de Operación Administrativa Desconcentrada (OOAD) orgdiv1IMSS México

[1] Mexicali orgnameInstituto Mexicano del Seguro Social orgdiv1Hospital General de Zona (HGZ) Nº 30 Mexico

[4] Mexicali Baja California orgnameIMSS México

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Publisher ID: S3020-11602023000300004 Publisher ID: S3020-1160(23)03200300004

SO-VID: 66d42dc4-8d0f-46ab-8923-86dbb516d67e

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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

History

Date received : 12 December 2022

Date accepted : 26 July 2023

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Figures: 0, Tables: 0, Equations: 0, References: 30, Pages: 9

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Principales secuelas de SARS-CoV-2 en trabajadores de la salud en Baja California, México Translated title: Principal sequels of sars-cov-2 in health workers in Baja California, Mexico

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Novel Coronavirus Disease COVID-19

Most cited references 30

Anxiety and depression in COVID-19 survivors: role of inflammatory and clinical predictors

Persistent neurologic symptoms and cognitive dysfunction in non‐hospitalized Covid‐19 “long haulers”

COVID-19 among Health Workers in Germany and Malaysia

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