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Pre-COVID-19 lung function and other risk factors for severe COVID-19 in first responders

Michael D. Weiden, Rachel Zeig-Owens, Ankura Singh, Theresa Schwartz, Yang Liu, Brandon Vaeth, Anna Nolan, Krystal L. Cleven, Karen Hurwitz, Shenecia Beecher, David J. Prezant
ERJ Open Research 2021 7: 00610-2020; DOI: 10.1183/23120541.00610-2020
Michael D. Weiden
1The Bureau of Health Services and the FDNY World Trade Center Health Program, Fire Dept of the City of New York, Brooklyn, NY, USA
2Pulmonary, Critical Care and Sleep Medicine Division, Depts of Medicine and Environmental Medicine, New York University School of Medicine, New York, NY, USA
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Rachel Zeig-Owens
1The Bureau of Health Services and the FDNY World Trade Center Health Program, Fire Dept of the City of New York, Brooklyn, NY, USA
3Pulmonary Medicine Division, Dept of Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA
4Division of Epidemiology, Dept of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA
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  • ORCID record for Rachel Zeig-Owens
Ankura Singh
1The Bureau of Health Services and the FDNY World Trade Center Health Program, Fire Dept of the City of New York, Brooklyn, NY, USA
3Pulmonary Medicine Division, Dept of Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA
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Theresa Schwartz
1The Bureau of Health Services and the FDNY World Trade Center Health Program, Fire Dept of the City of New York, Brooklyn, NY, USA
3Pulmonary Medicine Division, Dept of Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA
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Yang Liu
1The Bureau of Health Services and the FDNY World Trade Center Health Program, Fire Dept of the City of New York, Brooklyn, NY, USA
3Pulmonary Medicine Division, Dept of Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA
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Brandon Vaeth
1The Bureau of Health Services and the FDNY World Trade Center Health Program, Fire Dept of the City of New York, Brooklyn, NY, USA
3Pulmonary Medicine Division, Dept of Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA
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Anna Nolan
1The Bureau of Health Services and the FDNY World Trade Center Health Program, Fire Dept of the City of New York, Brooklyn, NY, USA
2Pulmonary, Critical Care and Sleep Medicine Division, Depts of Medicine and Environmental Medicine, New York University School of Medicine, New York, NY, USA
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Krystal L. Cleven
3Pulmonary Medicine Division, Dept of Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA
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Karen Hurwitz
1The Bureau of Health Services and the FDNY World Trade Center Health Program, Fire Dept of the City of New York, Brooklyn, NY, USA
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Shenecia Beecher
1The Bureau of Health Services and the FDNY World Trade Center Health Program, Fire Dept of the City of New York, Brooklyn, NY, USA
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David J. Prezant
1The Bureau of Health Services and the FDNY World Trade Center Health Program, Fire Dept of the City of New York, Brooklyn, NY, USA
3Pulmonary Medicine Division, Dept of Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA
5Office of Medical Affairs, Fire Dept of the City of New York, Brooklyn, NY, USA
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  • For correspondence: David.Prezant@fdny.nyc.gov
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Tables

  • TABLE 1

    Multivariate logistic regression model predicting coronavirus disease 2019 (COVID-19)-related outcomes

    VariablesHospitalisation/death versus no COVID-19 diagnosisConfirmed COVID-19 versus no COVID-19 diagnosisSuspected COVID-19 versus no COVID-19 diagnosis
    OR (95% CI)p-valueOR (95% CI)p-valueOR (95% CI)p-value
    Subjects n6315693543
    EMS versus firefighter4.23 (2.20–8.15)<0.0011.28 (1.10–1.49)0.0011.07 (0.96–1.20)0.228
    FEV1 decline per 100 mL·year−11.70 (1.12–2.59)0.0120.93 (0.81–1.06)0.2651.01 (0.92–1.11)0.803
    Ever-smoker0.46 (0.25–0.86)0.0140.99 (0.88–1.12)0.9201.14 (1.04–1.24)0.005
    Age per 10 years1.59 (1.20–2.10)0.0010.79 (0.74–0.84)<0.0010.68 (0.65–0.71)<0.001
    Male sex1.55 (0.60–4.02)0.3651.12 (0.88–1.44)0.3551.07 (0.90–1.29)0.438
    Non-white race2.46 (1.34–4.51)0.0041.21 (1.06–1.38)0.0041.24 (1.13–1.37)<0.001
    BMI1.09 (1.05–1.13)<0.0011.02 (1.00–1.03)0.0291.00 (0.99–1.01)0.665
    Blood glucose mmol·L−11.13 (1.02–1.25)0.0150.95 (0.89–1.01)0.0931.01 (0.97–1.05)0.626
    HDL cholesterol mmol·L−10.38 (0.15–0.97)0.0421.11 (0.94–1.30)0.2220.95 (0.84–1.07)0.359

    n=13 879 due to missing covariates. Model adjusted for first forced expiratory volume in 1 s (FEV1) measurement after hire date. Between 1 March 2020 and 31 May 2020. OR: odds ratio; EMS: emergency medical service providers; BMI: body mass index; HDL: high-density lipoprotein.

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    Pre-COVID-19 lung function and other risk factors for severe COVID-19 in first responders
    Michael D. Weiden, Rachel Zeig-Owens, Ankura Singh, Theresa Schwartz, Yang Liu, Brandon Vaeth, Anna Nolan, Krystal L. Cleven, Karen Hurwitz, Shenecia Beecher, David J. Prezant
    ERJ Open Research Jan 2021, 7 (1) 00610-2020; DOI: 10.1183/23120541.00610-2020

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    Pre-COVID-19 lung function and other risk factors for severe COVID-19 in first responders
    Michael D. Weiden, Rachel Zeig-Owens, Ankura Singh, Theresa Schwartz, Yang Liu, Brandon Vaeth, Anna Nolan, Krystal L. Cleven, Karen Hurwitz, Shenecia Beecher, David J. Prezant
    ERJ Open Research Jan 2021, 7 (1) 00610-2020; DOI: 10.1183/23120541.00610-2020
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