Background: Physician burnout is a serious issue associated with physician attrition, mental and physical problems, and medical errors. Objectives: This study aimed to investigate the prevalence of overall burnout among interns-residents and general physicians (GPs)-specialists during the coronavirus disease 2019 (COVID-19) pandemic in Iran. Methods: This cross-sectional study was conducted among 220 interns-residents and 212 GPs-specialists in university-affiliated hospitals and clinics in Shiraz, Iran. A convenience sampling method was used to recruit the samples, and the data were gathered using Maslach Burnout Inventory that was previously validated for the Persian language. We used covariance analysis and multiple logistic regression to analyze the data. Results: The mean age of participants was 31.44 (ranged 21-62) years. Multiple logistic regression for GPs-specialists showed that working in COVID-19 wards during June-July (OR = 13.93, P = 0.01, CI: 3.61 - 53.51) was associated with increased odds of overall burnout. Moreover, older age among GPs-specialists was associated with decreased odds of overall burnout (OR = 0.94, P = 0.01, CI: 0.90 - 0.98). On the other hand, the odds of overall burnout among interns-residents was not significantly different between various periods (P = 0.94). Furthermore, age (OR = 0.24, P = 0.01, CI: 0.04 - 0.47) and being married (OR = 0.31, P = 0.02, CI: 0.12 - 0.81) were positively associated with decreased odds of overall burnout among interns-residents. Conclusions: This study revealed that the risk of professional burnout among specialists and GPs increased over time during the COVID-19 pandemic. Moreover, older physicians had a lower risk of burnout. Despite the disagreements regarding the association between burnout and the duration of exposure to patients during epidemics, the findings of this study have the potential to remind policymakers of the importance of the issue among physicians during pandemics to taking appropriate action to prevent this phenomenon.
Introduction: Brugada phenocopies are recently introduced as clinical entities with electrocardiographic patterns identical to true congenital Brugada syndrome in individuals, who are asymptomatic and have no other clinical criteria. One of the largest methanol poisoning outbreaks occurred in Iran during March and April 2020. This study aimed to investigate the relationship between Brugada Phenocopy with laboratory data and demographic factors and determine its association with mortality rate in methanol toxicity patients. Method and results: Demographic data such as age, gender, medical history, Glasgow coma scale score, laboratory data, and electrocardiographic data were obtained from 356 patients, who were diagnosed with methanol poisoning and were hospitalized in Faghihi and Namazi Hospitals in Shiraz, southern Iran, during March and April 2020. The follow-up data was gathered to examine the development of any complications or death. A total of 20 (5.6%) patients were admitted with a diagnosis of methanol toxicity and concurrent Brugada-like ECG patterns. Mortality rate, Glasgow Coma Scale Score <3, and blood sugar were significantly higher in the Brugada phenocopies; however, PH, O2 saturation, and calcium were lower among Brugada phenocopies in comparison to methanol toxicity patients with no Brugada pattern (P<0.05). Conclusion: According to the findings of this study, some recognizable ECG patterns and laboratory data may be used as novel prognostic factors of morbidity and mortality. Electrocardiography machines are widely available, and electrocardiograms can easily be obtained and interpreted. This may provide the grounds for caregivers to predict and prevent the incoming death and react more properly and timely.
Background: Physician burnout is a serious issue associated with physician attrition, mental and physical problems, and medical errors. This study aimed to investigate prevalence of overall burnout among Interns-Residents and general physician (GPs)-Specialist during the COVID-19 pandemic in Iran.Methods: This cross-sectional study was conducted among 220 Interns-Residents and 212 GPs-Specialists in university affiliated hospitals and clinics in Shiraz, Iran. A random sampling method used to recruit the samples and the data gathered using a valid questionnaire. We used covariance analysis and multiple logistic regression to analyze the data.Results: Multiple logistic regression for GPs-Specialists showed that working in COVID-19 wards during June-July (OR = 13.93) was associated with increasing odds of overall burnout. However, older age was associated with decrease odds overall burnout (OR = 0.94). Multiple logistic regression for Interns-Residents revealed that age (OR = 1.24) and being single (OR = 1.66) were positively associated with overall burnout.Conclusions: The present finding could remind policy makers the importance of burnout issue among physicians during the pandemics and could persuade them for taking appropriate action in order to prevent this phenomenon. It is suggested that focusing on strategies such as improving organizational resilience, improvement of healthcare working environment, and development of coping skills among physicians could be helpful in this regard.
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