Elsevier

Infectious Diseases Now

Volume 51, Issue 1, February 2021, Pages 71-76
Infectious Diseases Now

Original article
COVID-19 outpatient management: Shorter time to recovery in Healthcare workers according to an electronic daily symptoms assessment

https://doi.org/10.1016/j.medmal.2020.10.001Get rights and content

Highlights

  • COVID-19 outcomes are favorable in patients eligible for outpatient care.

  • Individuals with mild symptoms of COVID-19 could be treated at home.

  • The median time to recovery was 9 days after symptoms onset.

  • Median time to recovery from symptoms onset was shorter in healthcare workers than in non-healthcare workers.

  • At day 7, more than the half of the individuals reported no symptoms.

Abstract

Objectives

Our aim is to compare the course of the disease between healthcare workers (HCWs) and non-HCWs suffering from covid-19 and eligible for outpatient management.

Methods

Single-center prospective cohort of outpatients with covid-19, diagnosed between the 10th March and the 2nd April, 2020 with a daily collection of symptoms by an on-line auto-questionnaire.

Results

A total of 186 patients were included (median age, 41 years [interquartile range, 19–78 years]; 74.2% female), of whom 132 (71%) were HCWs. The median follow-up after symptom onset was 14 (min 4–max 24) days. HCWs were significantly younger than non-HCWs (median age 40.3 years vs. 47.2 years [P < 0.005]), and 81.8% were women. Four patients (2.2%) were hospitalized including one HCW. The median time to recovery was 9 days after symptom onset (95% CI 8-11) in the global population and respectively 8 (95% CI 8–9) and 13 (95% CI 11–15) days in HCWs and in non-HCWs (P < 0.005). After adjusting for age, co-morbidities, and gender, the instantaneous risk ratio for symptom absence in HCWs was 1.76 compared with non-HCWs (95% CI [1.16–2.67], P = 0.037).

Conclusion

HCWs suffering from covid-19 had favorable outcomes and had a shorter time to recovery than non HCWs.

Keywords

Covid-19
Outpatient
Healthcare workers
Healthcare professionals
Outcomes

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