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Impact of the Early Phase of the COVID-19 Pandemic on US Healthcare Workers: Results from the HERO Registry.
Forrest, Christopher B; Xu, Haolin; Thomas, Laine E; Webb, Laura E; Cohen, Lauren W; Carey, Timothy S; Chuang, Cynthia H; Daraiseh, Nancy M; Kaushal, Rainu; McClay, James C; Modave, François; Nauman, Elizabeth; Todd, Jonathan V; Wallia, Amisha; Bruno, Cortney; Hernandez, Adrian F; O'Brien, Emily C.
  • Forrest CB; Applied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, PA, USA. forrestc@chop.edu.
  • Xu H; Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
  • Thomas LE; Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
  • Webb LE; Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
  • Cohen LW; Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
  • Carey TS; Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  • Chuang CH; Department of Medicine, Penn State College of Medicine, Hershey, PA, USA.
  • Daraiseh NM; Cincinnati Children's Hospital, University of Cincinnati, Cincinnati, OH, USA.
  • Kaushal R; Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
  • McClay JC; University of Nebraska Medical Center, Omaha, NE, USA.
  • Modave F; Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, USA.
  • Nauman E; Louisiana Public Health Institute, New Orleans, LA, USA.
  • Todd JV; OCHIN, Inc., Portland, OR, USA.
  • Wallia A; Division of Endocrinology, Metabolism and Molecular Medicine, Department of Medicine and the Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
  • Bruno C; Applied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
  • Hernandez AF; Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
  • O'Brien EC; Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
J Gen Intern Med ; 36(5): 1319-1326, 2021 05.
Article in English | MEDLINE | ID: covidwho-1126603
Semantic information from SemMedBD (by NLM)
1. COVID-19 AFFECTS Health Personnel
Subject
COVID-19
Predicate
AFFECTS
Object
Health Personnel
2. Antibody studies (procedure) DIAGNOSES COVID-19
Subject
Antibody studies (procedure)
Predicate
DIAGNOSES
Object
COVID-19
3. COVID-19 AFFECTS Health Personnel
Subject
COVID-19
Predicate
AFFECTS
Object
Health Personnel
4. Antibody studies (procedure) DIAGNOSES COVID-19
Subject
Antibody studies (procedure)
Predicate
DIAGNOSES
Object
COVID-19
ABSTRACT

BACKGROUND:

The HERO registry was established to support research on the impact of the COVID-19 pandemic on US healthcare workers.

OBJECTIVE:

Describe the COVID-19 pandemic experiences of and effects on individuals participating in the HERO registry.

DESIGN:

Cross-sectional, self-administered registry enrollment survey conducted from April 10 to July 31, 2020.

SETTING:

Participants worked in hospitals (74.4%), outpatient clinics (7.4%), and other settings (18.2%) located throughout the nation.

PARTICIPANTS:

A total of 14,600 healthcare workers. MAIN

MEASURES:

COVID-19 exposure, viral and antibody testing, diagnosis of COVID-19, job burnout, and physical and emotional distress. KEY

RESULTS:

Mean age was 42.0 years, 76.4% were female, 78.9% were White, 33.2% were nurses, 18.4% were physicians, and 30.3% worked in settings at high risk for COVID-19 exposure (e.g., ICUs, EDs, COVID-19 units). Overall, 43.7% reported a COVID-19 exposure and 91.3% were exposed at work. Just 3.8% in both high- and low-risk settings experienced COVID-19 illness. In regression analyses controlling for demographics, professional role, and work setting, the risk of COVID-19 illness was higher for Black/African-Americans (aOR 2.32, 99% CI 1.45, 3.70, p < 0.01) and Hispanic/Latinos (aOR 2.19, 99% CI 1.55, 3.08, p < 0.01) compared with Whites. Overall, 41% responded that they were experiencing job burnout. Responding about the day before they completed the survey, 53% of participants reported feeling tired a lot of the day, 51% stress, 41% trouble sleeping, 38% worry, 21% sadness, 19% physical pain, and 15% anger. On average, healthcare workers reported experiencing 2.4 of these 7 distress feelings a lot of the day.

CONCLUSIONS:

Healthcare workers are at high risk for COVID-19 exposure, but rates of COVID-19 illness were low. The greater risk of COVID-19 infection among race/ethnicity minorities reported in the general population is also seen in healthcare workers. The HERO registry will continue to monitor changes in healthcare worker well-being during the pandemic. TRIAL REGISTRATION ClinicalTrials.gov identifier NCT04342806.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Prevalence study / Randomized controlled trials / Risk factors Limits: Adult / Female / Humans / Male Language: English Journal: J Gen Intern Med Journal subject: Internal Medicine Year: 2021 Document Type: Article Affiliation country: S11606-020-06529-z

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Prevalence study / Randomized controlled trials / Risk factors Limits: Adult / Female / Humans / Male Language: English Journal: J Gen Intern Med Journal subject: Internal Medicine Year: 2021 Document Type: Article Affiliation country: S11606-020-06529-z