Determinantes de letalidad por la COVID-19 en trabajadores de salud en la primera y segunda olas en Perú / Determinants of COVID-19 fatality among healthcare workers during the first and second waves in Peru
65,5 % fueron mujeres, de 41,2 (D.E.=11,1) años en promedio. El índice de letalidad fue mayor durante la segunda ola (2,1 % [IC95%=2,0-2,2] vs 2,6 % [IC95 %=2,5-2,8]). El sexomasculino (3,49 [IC95 %=3,09-3,95] en la primera ola y 2,65 [IC95 %=2,32-3,02] en la segunda ola), la edad ≥40 años (9,97 [IC95 %=8,19-12,13] en la primera ola y 10,77 [IC95 %=8,56-13,54] en la segunda ola), así como ser profesional de salud (1,14 [IC95 %=1,01-1,28] en la primera ola y 1,59 [IC95 %=1,39-1,82] en la segunda ola) determinaron la letalidad por la COVID-19 en ambas olas.
Conclusiones:
La letalidad fue mayor en la segunda ola y se asoció a determinantes individuales, geográficos y ocupacionales de los trabajadores de salud peruanos.
To identify and compare the determinants of COVID-19 case fatality among healthcare workers in Peru between the first and second waves of the pandemic. Material and
The results show that 65,5 % of the workers were female, aged 41,2 (S.D.=11,1) years on average. Case fatality rate was higher in the second wave. Malesex (3,49 [95 %CI=3,09-3,95] in the first wave (2,1 % [95 %CI=2,0-2,2] vs. 2,6 % [95 %CI=2,5-2,8]), and 2,65 [95 %CI=2,32-3,02] in the second wave), ≥40 years ofage (9,97 [95 %CI=8,19-12,13] in the first wave, and 10,77 [95 %CI=8,56-13,54] in the second wave), and healthcare professionals (1,14 [95 %CI=1,01-1,28] in the first wave, and 1,59 [95 %CI=1,39-1,82] in the second wave) were determinants for COVID-19 case fatality in both waves.
Conclusions:
COVID-19 case fatality was higher in the second wave, and was associated with individual, geographic and occupational determinants in Peruvian healthcare workers.