{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T14:59:53Z","timestamp":1791557993766,"version":"4.3.4"},"reference-count":22,"publisher":"Mattioli1885","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,24]]},"abstract":"<jats:p>Background: COVID-19 can affect the persistence of symptoms and work ability (WA), hence the fitness to work of healthcare workers (HCW). We describe the effects of COVID-19 in hospitalized HCWs of a large Hospital in Lombardy and their implications on WA and fitness to work. Methods: Fifty-six HCWs of Fatebenefratelli-Sacco Hospital have been hospitalized for COVID-19 since March 2020. Clinical and fitness-to-work data were acquired from Occupational Health Surveillance Program. A structured questionnaire was administered to 53\/56 HCWs 18 months after infection to investigate Long-COVID symptoms and WA. Results: Symptoms most reported at recovery (rhino-pharyngeal swab-NPS-negative) were exertional dyspnea (86.8%), asthenia (86.8%), arthro-myalgia (71.7%), sleep disorders (64.2%), resting dyspnea (62.3%), cough (56.6%). 69.6% underwent evaluation at out-patient clinics experienced in Long-COVID. Ten months after recovery, symptoms related to physical well-being decreased while memory and anxiety\/depression were more persistent. At recovery, the WA score decreased from 10 to 8, and then an improvement from 8 to 9 was noted during the survey. At the return-to-work examination, fit-to-work judgements with restrictions increased from 31.4% to 58.7%; then, a slight decrease in the rate of judgements with restrictions was observed at the survey\u2019s time. Conclusion: Post-COVID-19 symptoms can persist for a long time and could impact WA and fitness-to-work of HCW. Adequate health surveillance protocols should guarantee the health protection of HCW with persistent disorders after COVID-19.<\/jats:p>","DOI":"10.23749\/mdl.v113i5.13377","type":"journal-article","created":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T07:58:01Z","timestamp":1741161481000},"page":"e2022040","source":"Crossref","is-referenced-by-count":9,"title":["Long-term COVID symptoms, work ability and fitness to work in healthcare workers hospitalized for Sars-CoV-2 infection"],"prefix":"10.23749","volume":"113","author":[{"given":"Marco","family":"Mendola","sequence":"first","affiliation":[{"name":"Occupational Health Unit, Fatebenefratelli Sacco University Hospital, Milan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Leoni","sequence":"additional","affiliation":[{"name":"School of Occupational Medicine, University of Milan, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ylenia","family":"Cozzi","sequence":"additional","affiliation":[{"name":"School of Occupational Medicine, University of Milan, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Manzari","sequence":"additional","affiliation":[{"name":"School of Occupational Medicine, University of Milan, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Tonelli","sequence":"additional","affiliation":[{"name":"Occupational Health Unit, Fatebenefratelli Sacco University Hospital, Milan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Metruccio","sequence":"additional","affiliation":[{"name":"International Centre for Pesticides and Health Risk Prevention, Fatebenefratelli Sacco University Hospital, Milan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Tosti","sequence":"additional","affiliation":[{"name":"International Centre for Pesticides and Health Risk Prevention, Fatebenefratelli Sacco University Hospital, Milan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vera","family":"Battini","sequence":"additional","affiliation":[{"name":"Unit of Clinical Pharmacology, Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella","family":"Cucchi","sequence":"additional","affiliation":[{"name":"Occupational Health Unit, Fatebenefratelli Sacco University Hospital, Milan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Cristina","family":"Costa","sequence":"additional","affiliation":[{"name":"Occupational Health Unit, Fatebenefratelli Sacco University Hospital, Milan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Carrer","sequence":"additional","affiliation":[{"name":"Occupational Health Unit, Fatebenefratelli Sacco University Hospital, Milan; Department of Biomedical and Clinical Sciences \u201cL. 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