Impact of COVID-19 Pandemic Burnout on Cardiovascular Risk in Healthcare Professionals Study Protocol: A Multicenter Exploratory Longitudinal Study

Tunaiji, Hashel Al; Qubaisi, Mai Al; Dalkilinc, Murat; Campos, Luciana Aparecida; Ugwuoke, Nnamdi Valbosco; Alefishat, Eman; Aloum, Lujain; Ross, Ramzy; Almahmeed, Wael; Baltatu, Ovidiu Constantin

doi:10.3389/fmed.2020.571057

Cited by 8 publications

(9 citation statements)

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“…There is no evidence of a temporal link between exposure and result. Although this study was originally intended to be a longitudinal one, it was converted to a cross-sectional one due to pandemic restrictions that made onsite visits difficult ( 28 ). As a result, the number of participants using wearable technology was significantly lower when compared to data gathered from online surveys.…”

Section: Discussionmentioning

confidence: 99%

“…The online survey was distributed to a cohort of healthcare professionals from Abu Dhabi hospitals and healthcare institutions via institutional mass email addressed by either a campus office or the researcher ( 27 , 28 ). Inclusion criteria were all residents, staff physicians, nurses and auxiliary healthcare professionals from both inpatient and outpatient medical services who agreed to be a part of the study.…”

Section: Methodsmentioning

confidence: 99%

“…The collection and management of data consisted of 3 distinct steps, as described in the published protocol ( 28 ): (a) data collection, (b) data handling and linkage and (c) data visualization. All participant information, and data generated during this study was kept confidential in accordance with the HIPAA (Health Insurance Portability and Accountability Act of 1996) ( 36 ) on subject privacy and will not be used for any purpose other than conducting the study.…”

Section: Methodsmentioning

confidence: 99%

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Burnout and Cardiovascular Risk in Healthcare Professionals During the COVID-19 Pandemic

et al. 2022

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IntroductionThe objective of this study was to investigate the psychosocial and cardiovascular markers in healthcare professionals during the COVID-19 pandemic.MethodsThis was a STROBE compliant, blended exploratory study. Residents, staff physicians, nurses, and auxiliary healthcare professionals from both inpatient and outpatient medicine services were recruited using a planned random probability sample. The Maslach Burnout Inventory (MBI), Fuster-BEWAT score (FBS), and socio-demographic factors, as well as sleep quality, were studied. The correlations between burnout severity and cardiovascular risk were examined using multivariable linear regression models adjusted for confounding variables, such as sociodemographic and anthropometric characteristics.ResultsThe regression analysis with FBS as the outcome showed a negative association between cardiovascular health and emotional exhaustion [Coef.(95%CI): −0.029 (−0.048, −0.01), p = 0.002]. The higher the emotional exhaustion the lower the cardiovascular health. Further, the model showed a positive association between personal accomplishment and cardiovascular health [Coef.(95%CI): 0.045 (0.007, 0.082), p = 0.02]. Emotional exhaustion was significantly positive correlated with REM sleep and light average (Spearman’s rank correlation: 0.37 and 0.35, respectively, with P < 0.05).ConclusionThe data from this study show that healthcare practitioners who are with burnout and emotional exhaustion have an elevated cardiovascular risk, however, causality cannot be determined. As an adaptive response to stressful situations, REM sleep increases. The findings of this study may be relevant in creating preventive strategies for burnout and cardiovascular risk reduction or prevention.Clinical Trial Registration[www.ClinicalTrials.gov], identifier [NCT04422418].

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Burnout and Cardiovascular Risk in Healthcare Professionals During the COVID-19 Pandemic

et al. 2022

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“…The main web-based survey was developed using the Microsoft Forms platform (Microsoft Corp) and was sent to the physicians at outpatient facilities via the hospital's internal email system. To reduce the risk of attrition bias, we ensured generating a good rapport between on-site principal investigators and the study participants by sending customized invitations [29,30]. Furthermore, a follow-up email was sent 1 week apart from the initial date of survey distribution to remind nonresponders to participate in the survey.…”

Section: Survey Development Piloting and Data Collectionmentioning

confidence: 99%

Physicians’ Attitudes Toward Telemedicine Consultations During the COVID-19 Pandemic: Cross-sectional Study

Alhajri¹,

Simsekler²,

Alfalasi³

et al. 2021

JMIR Med Inform

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Background To mitigate the effect of the COVID-19 pandemic, health care systems worldwide have implemented telemedicine technologies to respond to the growing need for health care services during these unprecedented times. In the United Arab Emirates, video and audio consultations have been implemented to deliver health services during the pandemic. Objective This study aimed to evaluate whether differences exist in physicians’ attitudes and perceptions of video and audio consultations when delivering telemedicine services during the COVID-19 pandemic. Methods This survey was conducted on a cohort of 880 physicians from outpatient facilities in Abu Dhabi, which delivered telemedicine services during the COVID-19 pandemic between November and December 2020. In total, 623 physicians responded (response rate=70.8%). The survey included a 5-point Likert scale to measure physician’s attitudes and perceptions of video and audio consultations with reference to the quality of the clinical consultation and the professional productivity. Descriptive statistics were used to describe physicians’ sociodemographic characteristics (age, sex, designation, clinical specialty, duration of practice, and previous experience with telemedicine) and telemedicine modality (video vs audio consultations). Regression models were used to assess the association between telemedicine modality and physicians’ characteristics with the perceived outcomes of the web-based consultation. Results Compared to audio consultations, video consultations were significantly associated with physicians’ confidence toward managing acute consultations (odds ratio [OR] 1.62, 95% CI 1.2-2.21; P=.002) and an increased ability to provide patient education during the web-based consultation (OR 2.21, 95% CI 1.04-4.33; P=.04). There was no significant difference in physicians’ confidence toward managing long-term and follow-up consultations through video or audio consultations (OR 1.35, 95% CI 0.88-2.08; P=.17). Video consultations were less likely to be associated with a reduced overall consultation time (OR 0.69, 95% CI 0.51-0.93; P=.02) and reduced time for patient note-taking compared to face-to-face visits (OR 0.48, 95% CI 0.36-0.65; P<.001). Previous experience with telemedicine was significantly associated with a lower perceived risk of misdiagnosis (OR 0.46, 95% CI 0.3-0.71; P<.001) and an enhanced physician-patient rapport (OR 2.49, 95% CI 1.26-4.9; P=.008). Conclusions These results indicate that video consultations should be adopted frequently in the new remote clinical consultations. Previous experience with telemedicine was associated with a 2-fold confidence in treating acute conditions, less than a half of the perceived risk of misdiagnosis, and an increased ability to provide patients with health education and enhance the physician-patient rapport. Additionally, these results show that audio consultations are equivalent to video consultations in providing remote follow-up care to patients with chronic conditions. These findings may be beneficial to policymakers of e-health programs in low- and middle-income countries, where audio consultations may significantly increase access to geographically remote health services.

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“…However, few studies have linked this relationship to chronic physiological illnesses such as CVDs. A multicenter longitudinal project has begun for exploring the development of psychosocial, cardiovascular, and immune markers in HCWs with different levels of COVID-19 exposure [ 13 ]. The aim of our study was to assess the possible changes in cardiovascular risk factors in HCWs and other hospital workers during the first wave of the COVID-19 pandemic in Taiwan and to identify vulnerable groups at a higher risk of increased adverse cardiovascular conditions.…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular Risk Factors in Hospital Workers during the COVID-19 Pandemic: A Hospital-Based Repeated Measures Study

Liao

Lai

Lin

2022

IJERPH

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Although many studies have investigated burnout, stress, and mental health issues among health care workers (HCWs) during the COVID-19 pandemic, few have linked these relationships to chronic physiological illnesses such as cardiovascular diseases. This study assessed changes in cardiovascular risk factors in HCWs and other hospital workers during the COVID-19 pandemic and identified vulnerable groups at a higher risk of increased adverse cardiovascular conditions. Five hundred and fourteen hospital employees ≥ 20 years of age underwent physical examinations and laboratory testing once before and once after the first wave of the pandemic in Taiwan during 2020 and 2021. Their sociodemographic characteristics and cardiovascular risk factors, including blood pressure, blood biochemical parameters, and body mass index, were collected. The differences between pre- and post-pandemic measurements of their biophysical and blood biochemical parameters were analyzed using pairwise tests. The post-pandemic increases in their parameter levels and cardiovascular risk as a function of underlying factors were estimated from multivariate regressions. HCWs showed significant increases in levels and abnormal rates of BMI, blood pressure, plasma glucose, and total cholesterol after the pandemic. Post-pandemic increases in BMI, waist circumference, and blood pressure were higher in females than in males. Workers with higher levels of education or longer job tenure had greater increases in BMI, triglyceride, and total cholesterol levels than other workers. Females had a higher incidence of abnormal BMI and hypertension than males (adjusted odds ratios [AORs] of 8.3 and 2.9, respectively). Older workers’ incidence of hypertension was higher than younger workers’ (AOR = 3.5). Preventive strategies should be implemented for HCWs susceptible to cardiovascular diseases during emerging infectious disease outbreaks.

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Impact of COVID-19 Pandemic Burnout on Cardiovascular Risk in Healthcare Professionals Study Protocol: A Multicenter Exploratory Longitudinal Study

Cited by 8 publications

References 37 publications

Burnout and Cardiovascular Risk in Healthcare Professionals During the COVID-19 Pandemic

Burnout and Cardiovascular Risk in Healthcare Professionals During the COVID-19 Pandemic

Physicians’ Attitudes Toward Telemedicine Consultations During the COVID-19 Pandemic: Cross-sectional Study

Cardiovascular Risk Factors in Hospital Workers during the COVID-19 Pandemic: A Hospital-Based Repeated Measures Study

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