Long‐term psycho‐traumatic consequences of the COVID‐19 health crisis among emergency department healthcare workers

Author:

Douplat Marion123ORCID,Curtet Marie1,Termoz Anne4,Subtil Fabien56,Elsensohn Mad Hélénie5,Mazza Stéphanie7,Jacquin Laurent8,Clément Bénédicte9,Fassier Jean‐Baptiste1011,Nohales Ludivine1011,Berthiller Julien4,Haesebaert Julie24,Tazarourte Karim28

Affiliation:

1. Emergency Department Hospices Civils of Lyon Lyon Sud Hospital Lyon France

2. Université Claude Bernard Lyon 1 Research on Healthcare Performance (RESHAPE) INSERM Lyon France

3. Aix‐Marseille University/ EFS / CNRS Marseille France

4. Pôle de Santé Publique Service de Recherche et D’épidémiologie Cliniques Hospices Civils de Lyon Lyon France

5. Service de Biostatistique Hospices Civils de Lyon Lyon France

6. Laboratoire de Biométrie et Biologie Évolutive UMR 5558 Université de Lyon Université Lyon 1 CNRS Villeurbanne France

7. Université Claude Bernard Lyon 1 CNRS INSERM Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292 FORGETTING Bron France

8. Emergency Department Hospices Civils of Lyon Edouard Herriot Hospital Lyon France

9. Emergency Department Hospices Civils of Lyon Croix Rousse Hospital Lyon France

10. Occupational Health and Medicine Department Hospices Civils de Lyon Lyon France

11. University Lyon Université Claude Bernard Lyon 1 Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement UMRESTTE UMR Lyon France

Abstract

AbstractAssess the changes in post‐traumatic stress disorder (PTSD), burnout, anxiety, depression, jobstrain, and isostrain levels over time among healthcare workers in emergency departments (EDs) after successive outbreaks of COVID‐19. A prospective, multicenter study was conducted in 3 EDs and an emergency medical service. Healthcare workers who participated in our previous study were invited to participate in a follow‐up 16 and 18 months and completed the questionnaires to assess symptoms of PTSD, burnout, anxiety, depression, jobstrain, and isostrain. Among the 485 healthcare workers asked to participate, 211 (43.5%) completed the survey at inclusion (122 were followed up at 3 months) and 59 participate to the follow‐up study. At 16 months, 10.9% of healthcare workers had symptoms of PTSD and 17.4% at 18 months. At inclusion, 33.5% and 11.7% of healthcare workers had symptoms of anxiety and depression, respectively. A decrease in anxiety between inclusion and 16 months (p = 0.02) and an increase between 16 and 18 months (p = 0.009) was observed. At inclusion, 40.8% of all healthcare workers had symptoms of burnout. There was an increase in symptoms of burnout between inclusion and 18 months (p = 0.006). At inclusion, 43.2% and 29.5% of healthcare workers were exposed to jobstrain and isostrain, respectively. Jobstrain were higher among paramedics and administrative staff compared to physicians (p = 0.001 and p = 0.026, respectively). Successive outbreaks of COVID‐19 led to long‐term mental health consequences among ED healthcare workers that differed according to occupation. This must be taken into account to rethink the management of teams.

Funder

Fondation Hospices Civils de Lyon

Publisher

Wiley

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