Evidence map›Paper›PMID 41335438›Full record

Observational studyJAMA network open2025

Presenteeism Among Health Care Personnel With COVID-19.

James C Crosby, Eliezer Santos Leon, Brian Chinnock, Karisa K Harland, Anusha Krishnadasan, Nicholas M Mohr, Ian D Plumb, Melissa Briggs Hagen, Kelli Wallace, David A Talan and 46 more

Abstract readObservational Study
In one paragraph

Observational study in JAMA network open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

56 authors.

James C CrosbyDepartment of Emergency Medicine, University of Alabama at Birmingham.
Eliezer Santos LeonDepartment of Emergency Medicine, Carver College of Medicine, University of Iowa, Iowa City.
Brian ChinnockUniversity of California-San Francisco Fresno School of Medicine, San Francisco.
Karisa K HarlandDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City.
Anusha KrishnadasanOlive View-University of California Los Angeles Education and Research Institute, Los Angeles.
Nicholas M MohrDepartment of Emergency Medicine, Carver College of Medicine, University of Iowa, Iowa City.
Ian D PlumbNational Center for Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Melissa Briggs HagenNational Center for Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Kelli WallaceUniversity of Iowa Holden Comprehensive Cancer Center, University of Iowa, Iowa City.
David A TalanDepartment of Emergency Medicine, Carver College of Medicine, University of Iowa, Iowa City.
Project PREVENT Network
Anne ZepeskiUniversity of Iowa Health Care, Iowa City.
Tracy YoungUniversity of Iowa Health Care, Iowa City.
Howard A SmithlineBaystate Medical Center, Springfield, Massachusetts.
Lilly C LeeJackson Memorial Hospital, Miami, Florida.
Stephen C LimLSU Health New Orleans, New Orleans, Louisiana.
Gregory J MoranUniversity of California Los Angeles David Geffen School of Medicine, Los Angeles.
Mark T SteeleSchool of Medicine, University of Missouri, Kansas City.
David G BeiserDepartment of Medicine, University of Chicago, Chicago, Illinois.
John P HaranDepartment of Emergency Medicine, University of Massachusetts Chan Medical School, Boston.
Peter C HouBrigham and Women's Hospital, Boston, Massachusetts.
Brett FaineUniversity of Iowa Hospitals and Clinics, Iowa City.
Utsav NandiUniversity of Mississippi, Oxford.
Walter A SchradingUniversity of Alabama at Birmingham, Birmingham.
Anne ChipmanUniversity of Washington School of Medicine, Seattle.
Frank LoVecchioValleywise Health Medical Center, Phoenix, Arizona.
Alysia PowersUniversity of Iowa, Iowa City.
Lisandra UribeOlive View UCLA Medical Center, Los Angeles, California.
Kavitha PathmarajahOlive View UCLA Medical Center, Los Angeles, California.
Dean M HashimotoBrigham and Women's Hospital, Boston, Massachusetts.
Chloe NamiasJackson Health System, Miami, Florida.
Efrat KeanThomas Jefferson University, Philadelphia, Pennsylvania.
Elizabeth KrebsThomas Jefferson University, Philadelphia, Pennsylvania.
Amy StubbsUniversity Health, Kansas City, Missouri.
Sara RoyThe University of Chicago, Chicago, Illinois.
Lucia SolisUniversity of Mississippi Medical Center, Jackson.
Mary MulrowValleywise Health Medical Center, Phoenix, Arizona.
Nathan GraffCenters for Disease Control and Prevention, Atlanta, Georgia.
Jillian M TozloskiBaystate Medical Center, Springfield, Massachusetts.
William MowerUCLA Emergency Medicine Center, Los Angeles, California.
Jacqueline CalderaUniversity of California Los Angeles David Geffen School of Medicine, Los Angeles.
Michelle HuberUniversity Medical Center New Orleans, New Orleans, Louisiana.
Jacob HamptonUniversity of Iowa, Iowa City.
Abigail LopesUniversity of Massachusetts Chan Medical School, Boston.
Katherine ElkortUniversity of Washington School of Medicine, Seattle.
Stephanie A EuckerDurham VA Health Care System, Durham, North Carolina.
Carla KingsburyDuke University School of Medicine, Durham, North Carolina.
Jonathan FemlingUniversity of New Mexico Health Sciences Center, Albuquerque.
Silas BussmannUniversity of New Mexico Health Sciences Center, Albuquerque.
Jane YeeUniversity of Utah School of Medicine, Salt Lake City.
Joseph StuppyUniversity of Utah School of Medicine, Salt Lake City.
Richard E RothmanJohns Hopkins University, Baltimore, Maryland.
Gaby DashlerJohns Hopkins University School of Medicine, Baltimore, Maryland.
Marcel E CurlinOregon Health & Science University, Portland.
Mastura WahediOregon Health & Science University, Portland.
Laurie KembleSchool of Medicine, University of Missouri, Kansas City.

Funding

NCEZID CDC HHS U01 CK000643
6 · The paper itself

Abstract

Importance: Presenteeism-defined as continuing to work during an illness-poses a public health risk in the workplace and is especially hazardous within health care institutions where vulnerable patients may be exposed to nosocomial infections. Understanding the frequency and characteristics of health care personnel (HCP) who report presenteeism while ill with COVID-19 may help mitigate SARS-CoV-2 spread in hospitals and other health care institutions. Objectives: To determine the frequency of presenteeism among HCP with symptomatic COVID-19, and to evaluate the demographic, occupational, and clinical factors associated with it. Design, Setting, and Participants: This is an observational cohort study that uses data from the Preventing Emerging Infections Through Vaccine Effectiveness Testing (PREVENT) project: a test-negative, case-control vaccine effectiveness study that enrolled HCP who had COVID-19 symptoms at 24 academic medical centers from December 2020 through April 2024. Exposure: Exposures include demographic, occupational, and clinical characteristics of participants. Main Outcomes and Measures: Having confirmed symptomatic COVID-19 infection and reporting presenteeism; overall frequency of presenteeism through the study period and the association of the exposure characteristics with presenteeism, adjusting for confounders using 3 multivariable models. Presenteeism was defined as HCP who did not stop working during their illness, but the study did not differentiate whether they continued working remotely. Results: A total of 3721 HCP were included in the analysis (2842 [76.4%] aged 18-49 years; 2993 [80.4%] female; 278 [7.5%] Asian, 406 [10.9%] Black, and 2912 [78.3%] White). Overall, 293 (7.9%) reported presenteeism during the study period, and the frequency of presenteeism increased each year of the study period (from 1 of 73 [1.4%] in 2020 to 16 of 105 [15.2%] in 2024). Presenteeism was associated with HCP who have minimal patient contact (adjusted odds ratio [aOR], 3.73; 95% CI, 2.39-4.37), a graduate or professional degree (aOR, 1.90; 95% CI, 1.45-2.50), and income over $100 000 (aOR, 1.74; 95% CI, 1.12-2.69). Conclusion and Relevance: In this observational cohort study of 3721 HCP, there was an increasing frequency of presenteeism from 2020 through 2024, and job role and socioeconomic factors were associated. More studies are needed to understand the rationale behind the decision to continue working and the exact causes of presenteeism's rising incidence among HCP with COVID-19.

Indexed as

COVID-19Health PersonnelPresenteeismAdultCohort StudiesFemaleHumansMaleMiddle AgedSARS-CoV-2

Identifiers

PMID41335438
PMCPMC12676355

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.