Aunque diversos estudios señalan las consecuencias psicológicas negativas de la pandemia por CO- VID-19 en los profesionales de la salud, pocos se centran en la experiencia de los pediatras. Objetivo: evaluar el estado de ansiedad de los pediatras tras la primera oleada e identificar posibles factores relacionados. Material y Método: Estudio de encuestas transversales enviado a pediatras españoles a través del listado de la Asociación Española de Pediatras. Se recogieron datos demográficos, socio-fa- miliares, laborales, autopercepción emocional, síntomas psicosomáticos, consumo de tabaco, alcohol y fármacos psicótropos. Se incluyó la escala Ansiedad Estado-Rasgo (STAI), y se estudió su asociación con variables cualitativas y cuantitativas de la muestra. Resultados: Se registraron 440 encuestas. Una media del 42,2% de los participantes expresó algún síntoma de ansiedad moderado-intenso según la escala Ansiedad-Estado y del 26,9% según la escala Ansiedad-Rasgo. El aislamiento en domicilio se relacionó con una mayor puntuación en ambas escalas. Además, el cambio en la situación laboral del conviviente supuso una puntuación mayor en la escala Ansiedad-Estado. El 41,1% de los encuestados clasificaron el impacto psicológico sufrido como leve, el 50% como moderado y el 8,9% como grave. El 71,8% de los participantes manifestaron algún síntoma psicosomático, con una asociación lineal entre la concurrencia de síntomas y mayores puntuaciones en las dos escalas. Conclusiones: Tras la primera ola por COVID-19 los pediatras han sufrido ansiedad, lo que les ha generado malestar físico y emocional. Las situaciones personales fueron la principal fuente de preocupación. Así mismo, la presencia de varios síntomas somáticos se asoció a mayores niveles de ansiedad.
(1) Background: Transition is a planned movement of paediatric patients to adult healthcare systems, and its implementation is not yet established in all inflammatory bowel disease (IBD) units. The aim of the study was to evaluate the impact of transition on IBD outcomes. (2) Methods: Multicentre, retrospective and observational study of IBD paediatric patients transferred to an adult IBD unit between 2017–2020. Two groups were compared: transition (≥1 joint visit involving the gastroenterologist, the paediatrician, a programme coordinator, the parents and the patient) and no-transition. Outcomes within one year after transfer were analysed. The main variable was poor clinical outcome (IBD flare, hospitalisation, surgery or any change in the treatment because of a flare). Predictive factors of poor clinical outcome were identified with multivariable analysis. (3) Results: A total of 278 patients from 34 Spanish hospitals were included. One hundred eighty-five patients (67%) from twenty-two hospitals (65%) performed a structured transition. Eighty-nine patients had poor clinical outcome at one year after transfer: 27% in the transition and 43% in the no-transition group (p = 0.005). One year after transfer, no-transition patients were more likely to have a flare (36% vs. 22%; p = 0.018) and reported more hospitalisations (10% vs. 3%; p = 0.025). The lack of transition, as well as parameters at transfer, including IBD activity, body mass index < 18.5 and corticosteroid treatment, were associated with poor clinical outcome. One patient in the transition group (0.4%) was lost to follow-up. (4) Conclusion: Transition care programmes improve patients’ outcomes after the transfer from paediatric to adult IBD units. Active IBD at transfer impairs outcomes.
Introduction: Previous studies have demonstrated that COVID-19 pandemic has had negative psychological consequences in healthcare professionals, however, few of them concentrate on pediatricians’ experience. The aim of this study is to evaluate anxiety among spanish pediatricians after the first COVID-19 wave as well as to identify possible risk factors. Material and Methods: A transversal and multicentric study of questionnaires was designed. Demographic, socio-familiar and laboral information was collected, as well as emotional self perception information, psychosomatic symptoms, tobacco consumption and psychotropic treatment. Participants fulfilled the State-Trait Anxiety Inventory (STAI). Results: 440 questionnaires were registered. Globally, 42.2% of the participants expressed moderate-intense anxiety symptomatology according to the Anxiety-State scale and 26.8% in the Anxiety-Trait scale. Domiciliary isolation was associated with a higher score in both scales. Changes in the cohabitants’ working situation was associated with a higher score in the Anxiety-State scale. With respect to the psychological impact perceived by participants during pandemic situation, 41.1% classified it as mild, 50% as moderate, and 8.9% as severe. Up to 71.8% of the participants suffered psychosomatic symptoms. A linear association was found between suffering from multiple psychosomatic symptoms and higher scores in both scales. Conclusions: After the first pandemic wave pediatricians have suffered anxiety, which has caused physical and emotional discomfort. Personal circumstances have been the main worry of medical staff. Coexistence of various psychosomatic symptoms has been associated with higher anxiety levels.
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