A hybrid register and questionnaire study of Covid-19 and post-acute sick leave in Denmark
Overview3:46CCAI
paperi.ai
0:00 / 0:00
Elisabeth O’Regan, Ingrid Bech Svalgaard, Anna Irene Vedel Sørensen, Lampros Spiliopoulos, Peter Bager, Nete Munk Nielsen, Jørgen Vinsløv Hansen, Anders Koch, Steen Ethelberg, Anders Peter Hviid
Covid can end as an emergency and still leave a mark on ordinary working life. In Denmark, people who had the infection were more likely to spend a substantial stretch of time away from work afterward.
Post-acute sick leave is an underexplored indicator of the societal burden of SARS-CoV-2. Here, we report findings about self-reported sick leave and risk factors thereof from a hybrid survey and register study, which include 37,482 RT-PCR confirmed SARS-CoV-2 cases and 51,336 test-negative controls who were tested during the index- and alpha-dominant waves. We observe that an additional 33 individuals per 1000 took substantial sick leave following acute infection compared to persons with no known history of infection, where substantial sick leave is defined as >1 month of sick leave within the period 1–9 months after the RT-PCR test date. Being female, 50–65 years, or having certain pre-existing health conditions such as obesity, chronic lung diseases, and fibromyalgia each increase risk for taking substantial sick leave. Altogether, these results may help motivate improved diagnostic and treatment options for persons living with post-Covid conditions.
Transcript
Covid can end as an emergency and still leave a mark on ordinary working life. In Denmark, people who had the infection were more likely to spend a substantial stretch of time away from work afterward. As societies adjusted to living with Covid, research shifted from emergency questions toward the health and economic burden left behind.
But measuring that burden is difficult: symptoms vary, and it can be hard to separate effects after infection from health problems that were already there. It also remained unclear how these after-effects changed daily life and quality of life, and which groups faced the greatest risk of prolonged illness.
So the study focused on a practical question: was Covid infection linked with sick leave after the initial illness? The comparison was between people infected during two pandemic periods in Denmark and people with no known history of infection. Researchers compared people infected with SARS-CoV-2 with people who had no known history of infection, then examined post-acute sick leave following infection in Denmark.
To make that comparison, the study merged nationwide survey and register data. In Denmark, a unique identifier lets records from different sources be linked for the same person. The survey and register information together described the study population and the measures used in the analysis.
Substantial sick leave meant one full month of sick leave during the eight-month period beginning one month after the test. The same kind of outcome was defined for part-time sick leave. The central finding was an additional 33 people per 1000 taking substantial sick leave after infection, compared with people with no known history of infection.
The risk was higher for women, people aged 50 to 65, and people with conditions including obesity, chronic lung disease, and fibromyalgia. The difference was clear: substantial sick leave affected 1.4 percent of people who tested negative, compared with 4.5 percent of people who tested positive.
Among people who tested negative, the level was similar across age groups. Among people who tested positive, substantial sick leave increased with age. Only 21.1 percent of the infected people who took substantial sick leave had a hospital-registered diagnosis for lasting effects of the infection.
The age pattern is visible at a glance: lasting absence from work rises steadily with age after infection, while it stays broadly level among those who tested negative. The extra amount of sick leave was greater for women than for men, and it was higher for people aged 50 to 65 and for nearly all the health conditions examined.
The largest differences appeared among people with fibromyalgia, chronic lung disease, and diabetes. Obesity also showed a larger difference than in the general population. Healthcare workers also had a larger difference than the general population.
There is an important limit: the sick leave was self-reported, so participation and memory may have affected the results. The questionnaire asked about sick leave in general, so its duration could not be directly attributed to lasting Covid symptoms. Register records would miss many shorter absences, making them less suited to capturing illness that comes and goes.
The study links Covid infection with more than a month of sick leave in the following months, especially among older adults, women, and people with certain health conditions. That makes lost working time one visible measure of the illness’s wider cost.
A derivative work by Paperi · AI-generated script, voice and captions
· pages and figures unaltered
Made with Paperi.
Drop in a research PDF — get a narrated video walkthrough like this one,
with highlights that follow the narration. Free to start.
Franziska Elisabeth Marquard, Claudia Langebrake, Dietlinde Janson, Maida Mahmud, Adrin Dadkhah, Nicolaus Martin Kröger, Francis Ayuketang Ayuk
CAR-T treatment can be difficult when the kidneys cannot clear one of its preparation drugs. Yet in this case, a patient with severe kidney impairment received the treatment, and her cancer stayed in complete remission beyond a year.CAR-T therapy often becomes harder to use when kidney function is severely impaired. This case asks whether carefully reduced dosing and timed dialysis could still make the treatment possible, and reports a striking result.
A disease can keep spreading even after its estimated spread rate falls below one. That unsettling possibility may help explain why Black Sigatoka remains so difficult to eliminate from banana plantations.What if a disease can keep spreading even after its reproduction number falls below one? This paper argues that Black Sigatoka can do exactly that, because nonlinear spore production creates a hidden persistence threshold.
Taking tuberculosis medicine regularly is not just a knowledge problem. In this Indonesian study, more information was linked with fewer treatment-related skills, while motivation was linked with better skills, the opposite directions make the story surprisingly complicated.What if more information about tuberculosis treatment is linked to weaker adherence-related skills, while motivation points in the opposite direction? This Indonesian study found exactly that pattern, but only explained a small part of the behavior.