Symptoms of burnout in intensive care unit specialists facing the COVID-19 outbreak

Annals of Intensive Care

ESICM¹  Antonio Artigas²  Stefan J. Schaller³  Jan De Waele⁴  Marta Borkowska⁴  Jozef Kesecioglu⁵  Thomas Staudinger⁶  Mariangela Pellegrini⁷  Katerina Iliopoulou⁸  Maurizio Cecconi⁹  Michael Darmon^1,10  Elie Azoulay^1,10  Pedro Povoa^1,11  Manu Shankar Hari^1,12  Ricard Ferrer^1,13 

[1] ;Critical Care Center, Sabadell Hospital, University Institute Parc Taulí, Autonomous University of Barcelona, Ciberes;Department of Anesthesiology and Intensive Care, School of Medicine, Klinikum rechts der Isar, Technical University of Munich;Department of Critical Care Medicine, Ghent University Hospital;Department of Intensive Care Medicine, Division of Anesthesiology, Intensive Care and Emergency Medicine, University Medical Center Utrecht, Utrecht University;Department of Medicine I, Intensive Care Unit, Medical University of Vienna, Vienna General Hospital;Department of Surgical Sciences and Central Intensive Care Unit, Department of Anesthesia, Operation, and Intensive Care and Department of Anesthesiology and Intensive Care Medicine, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg;Hellenic Army, ICU Nurse Manager General Military Hospital;Humanitas Clinical and Research Center, Humanitas University;Médecine Intensive et Réanimation, PHP, Hôpital Saint-Louis, Paris University;NOVA Medical School, CHRC, New University of Lisbon;School of Immunology and Microbial Science, Kings College London;Shock, Organ Dysfunction, and Resuscitation Research Group (SODIR), Instituto de Investigación de Vall d’Hebron;

关键词: Coronavirus;    Pneumonia;    Acute respiratory distress syndrome;    Exhaustion;    Depersonalization;    Well-being;   

DOI  :  10.1186/s13613-020-00722-3

来源: DOAJ

【 摘 要 】

Abstract Background The COVID-19 pandemic has resulted in an unprecedented healthcare crisis with a high prevalence of psychological distress in healthcare providers. We sought to document the prevalence of burnout syndrome amongst intensivists facing the COVID-19 outbreak. Methods Cross-sectional survey among intensivists part of the European Society of Intensive Care Medicine. Symptoms of severe burnout, anxiety and depression were collected. Factors independently associated with severe burnout were assessed using Cox model. Results Response rate was 20% (1001 completed questionnaires were returned, 45 years [39–53], 34% women, from 85 countries, 12 regions, 50% university-affiliated hospitals). The prevalence of symptoms of anxiety and depression or severe burnout was 46.5%, 30.2%, and 51%, respectively, and varied significantly across regions. Rating of the relationship between intensivists and other ICU stakeholders differed significantly according to the presence of anxiety, depression, or burnout. Similar figures were reported for their rating of the ethical climate or the quality of the decision-making. Factors independently associated with anxiety were female gender (HR 1.85 [1.33–2.55]), working in a university-affiliated hospital (HR 0.58 [0.42–0.80]), living in a city of > 1 million inhabitants (HR 1.40 [1.01–1.94]), and clinician’s rating of the ethical climate (HR 0.83 [0.77–0.90]). Independent determinants of depression included female gender (HR 1.63 [1.15–2.31]) and clinician’s rating of the ethical climate (HR 0.84 [0.78–0.92]). Factors independently associated with symptoms of severe burnout included age (HR 0.98/year [0.97–0.99]) and clinician’s rating of the ethical climate (HR 0.76 [0.69–0.82]). Conclusions The COVID-19 pandemic has had an overwhelming psychological impact on intensivists. Follow-up, and management are warranted to assess long-term psychological outcomes and alleviate the psychological burden of the pandemic on frontline personnel.

【 授权许可】

Unknown