Attributable Mortality of Ventilator-associated Pneumonia Among Patients with COVID-19

American Journal of Respiratory and Critical Care Medicine, Journal Year: 2022, Volume and Issue: 206(2), P. 161 - 169

Published: May 10, 2022

Rationale: Patients with a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are at higher risk of ventilator-associated pneumonia (VAP) and may have an increased attributable mortality (increased or decreased death if VAP occurs in patient) fraction (proportion deaths that to exposure) VAP-related compared subjects without disease (COVID-19). Objectives: Estimation the among patients COVID-19. Methods: Using REA-REZO surveillance network, three groups adult medical ICU were computed: control group (patients admitted between 2016 2019; prepandemic patients), pandemic COVID-19 (PandeCOV+), non-COVID-19 (PandeCOV-) during 2020. The primary outcome was estimation related these patients. multistate modeling causal inference, outcomes also evaluated. Measurements Main Results: A total 64,816 included group, 7,442 PandeCOV- 1,687 PandeCOV+ group. incidence 14.2 (95% confidence interval [CI], 13.9 14.6), 18.3 CI, 17.3 19.4), 31.9 29.8 34.2) per 1,000 ventilation-days each respectively. Attributable 90 days 3.15% (95%, 2.04% 3.43%), 2.91% -0.21% 5.02%), 8.13% 3.54% 12.24%), 1.22% 0.83 1.63), 1.42% -0.11% 2.61%), 9.17% 12.24%) for control, PandeCOV-, groups, Except developing VAP, shared similar characteristics lower (hazard ratio, 0.62; 95% 0.52 0.74) than Conclusions: VAP-attributable COVID-19, more 9% overall VAP.

Language: Английский

---

Post-traumatic stress in healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis

Psychiatry Research, Journal Year: 2022, Volume and Issue: 317, P. 114890 - 114890

Published: Oct. 8, 2022

Language: Английский

---

Measurement of burnout during the prolonged pandemic in the Chinese zero-COVID context: COVID-19 burnout views scale

Frontiers in Public Health, Journal Year: 2022, Volume and Issue: 10

Published: Nov. 10, 2022

Burnout is an important public health issue at times of the COVID-19 pandemic. Current measures which focus on work-based burnout have limitations in length and/or relevance. When stepping into post-pandemic as a new Norm Era, scale for general population urgently needed to fill gap. This study aimed develop Views Scale (COVID-19 BVS) measure views Chinese context and examine its psychometric properties. A multiphase approach including literature review, expert consultation, pilot testing was adopted developing scale. The administered sample 1,078 Hong Kong with average age 34.45 years (SD = 12.47). Exploratory Confirmatory Factor Analyses suggested 5-item unidimensional model BVS. CFA results indicated that BVS had good fit, χ2 (10.054)/5 2.01, SRMR 0.010, CFI 0.998, RMSEA 0.031. Five items were maintained EFA high internal consistency terms Cronbach's α 0.845 McDonald's ω coefficient 0.87, corrected item-to-total correlations 0.512 0.789 are way above acceptable range. KMO values 0.841 Bartlett's Test Sphericity (p < 0.01) verified normal distribution adequacy sampling. analyses suggest promising tool assessing impacts epidemic populations.

Language: Английский

---

Improving the intensive care experience from the perspectives of different stakeholders

Critical Care, Journal Year: 2022, Volume and Issue: 26(1)

Published: July 18, 2022

The intensive care unit (ICU) is a complex environment where patients, family members and healthcare professionals have their own personal experiences. Improving ICU experiences necessitates the involvement of all stakeholders. This holistic approach will invariably improve survivors, increase satisfaction staff wellbeing, contribute to dignified end-of-life care. Inclusive transparent participation industry can be significant addition develop tools strategies for delivering this We present report, which follows round table on experience at annual congress European Society Intensive Care Medicine. aim discuss current evidence patient, professional in provided, together with panel's suggestions potential improvements. Combined industry, perspectives stakeholders suggest that ongoing improvement warranted.

Language: Английский

---

Health Occupation and Job Satisfaction: The Impact of Psychological Capital in the Management of Clinical Psychological Stressors of Healthcare Workers in the COVID-19 Era

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(10), P. 6134 - 6134

Published: May 18, 2022

The COVID-19 pandemic greatly impacted global health. Frontline healthcare workers involved in the response to faced physical and psychological challenges that threatened their wellbeing job satisfaction. crisis, alongside pre-existing critical issues, exposed constant emotional fatigue, creating an increased workload vulnerability stress. Maintaining such stress levels of anxiety, irritability loneliness. Evidence shows Psychological Capital (PsyCap) was a strong protective factor against these stressors. aim this study analyze level satisfaction among health facing pandemic. possible antecedent factors role PsyCap plays preserving fostering higher were investigated. A total 527 from different areas Italy recruited for study. results revealed have considerable impact on All four predictors (Stress Vulnerability, Anxiety Symptoms, Loneliness Irritability) had potential decrease more significant effect than other assessed Moreover, showed how could effects stressors Consistent with previous studies, our findings show alleviate negative impacts work-related circumstances.

Language: Английский

---

Symptoms of Anxiety, Depression, and Post-Traumatic Stress Disorder in Health Care Personnel in Norwegian ICUs during the First Wave of the COVID-19 Pandemic, a Prospective, Observational Cross-Sectional Study

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(12), P. 7010 - 7010

Published: June 8, 2022

Background: The COVID-19 pandemic has induced demanding work situations in intensive care units (ICU). objective of our study was to survey psychological reactions, the disturbance social life, effort, and support ICU nurses, physicians, leaders. Methods: From May July 2020, this cross-sectional included 484 professionals from 27 hospitals throughout Norway. Symptoms anxiety depression were measured on Hopkins Symptom Checklist-10 (HSCL-10). post-traumatic stress disorder (PTSD) PCL-5. Results: population highly educated experienced professionals, well prepared for working with COVID-ICU patients. However, 53% felt socially isolated 67% reported a fear infecting others. Probable cases found 12.5% registered 11.6% 4.1% Younger age <5 years previous experiences predictors high HSCL-10 scores. Reported symptom-defined PTSD nurses 7.1%; leaders, 4.1%; 2.3% physicians. Conclusions: health talking colleagues as most helpful source support. leaders significantly higher mean score than physicians terms pushing themselves toward producing effort.

Language: Английский

---

Associations between trauma and substance use among healthcare workers and public safety personnel during the SARS-CoV-2 (COVID-19) pandemic: the mediating roles of dissociation and emotion dysregulation

European journal of psychotraumatology, Journal Year: 2023, Volume and Issue: 14(1)

Published: March 17, 2023

Background: Given the highly stressful environment surrounding SARS-CoV-2 pandemic, healthcare workers (HCW) and public safety personnel (PSP) are at an elevated risk for adverse psychological outcomes, including posttraumatic stress disorder (PTSD) alcohol/substance use problems. As such, study aimed to identify associations between PTSD severity, related dissociation emotion dysregulation symptoms, problems among HCWs PSP.Methods: A subset of data (N = 498; 299; PSP 199) was extracted from a larger examining variables Canadian during pandemic. Structural equation modelling assessed symptoms use-related with as mediators.Results: Among HCWs, fully mediated relation alcohol-related (indirect effect β .133, p .03) partially substance-related .151, .046). In PSP, effects .184, .005). For neither nor (ps >.05) had any effects.Conclusion: To our knowledge, this is first severity via mediating impacts These findings highlight important therapeutic targets structured interventions reducing burden and/or SUD or suffering mental health

Language: Английский

---

Post-traumatic stress disorder among ICU healthcare professionals before and after the Covid-19 health crisis: a narrative review

Annals of Intensive Care, Journal Year: 2023, Volume and Issue: 13(1)

Published: July 21, 2023

Abstract Background The ICU (intensive care unit) involves potentially traumatic work for the professionals who there. This narrative review seeks to identify prevalence of post-traumatic stress disorder (PTSD) among professionals; how PTSD has been assessed; risk factors associated with PTSD; and psychological support proposed. Methods Three databases editorial portals were used full-text articles published in English between 2009 2022 using PRISMA method. Results Among 914 obtained, 19 studies met our inclusion criteria. These undertaken primarily during Covid-19 period ( n = 12) focused on nurses assistant 10); physicians 8); or only 1). presence mild severe ranged from 3.3 24% before pandemic, 16–73.3% after pandemic. seems specific particularly intense intrusion symptoms. are confronted PTSD: confrontation death, unpredictability uncertainty care, insecurity related crisis COVID-19. show that improved communication, feeling protected supported within service, having sufficient human material resources seem protect healthcare PTSD. However, they also reveal find it difficult ask help. Conclusion at developing PTSD, especially since health crisis. There be an urgent need develop prevention policies professionals.

Language: Английский

---

Understanding the work-related challenges of organ and tissue donation coordinators during the COVID-19 pandemic: a mixed-method study

BMJ Open, Journal Year: 2025, Volume and Issue: 15(1), P. e088626 - e088626

Published: Jan. 1, 2025

Objectives This study aimed to explore the perceptions of donation coordinators in Canada and understand how COVID-19 pandemic impacted their work activities. Design A sequential mixed-method design incorporating a cross-sectional survey investigating demographic data, substance use abuse perceived stress related semistructured qualitative interviews further investigate those. Setting Organ organisations across Canada. Participants Canadian organ tissue working within deceased programmes. were recruited using purposive sampling technique for interviews. Recruitment data collection took place between January 2022 March 2023. Analysis The analysed descriptive statistics quantitative findings content analysis data. Results Of 175 available coordinators, 120 participated survey, 39 great majority female (n=98; 81.7%), registered nurses (n=117; 97.5%) on average 42 years old (SD=9.64). result showed that, average, did not experience high levels during pandemic. We also identified an increase consumption substances manage workplace near pandemic’s beginning. yielded two main themes (Personal Life Changes Workplace Adjustments) which reported views challenges with uncertainties, effects personal lives, redeployment, stressors among others. Conclusion Our study’s results provide comprehensive understanding experiences Using combination methods, we various ways affected by professional lives. These highlight need support development adaptive strategies promote resilience crises.

Language: Английский

---

Coronavirus disease 2019 aftermath: psychological trauma in ICU healthcare workers

Current Opinion in Critical Care, Journal Year: 2022, Volume and Issue: 28(6), P. 686 - 694

Published: Oct. 18, 2022

Purpose of review We aim to describe the extent psychological trauma and moral distress in healthcare workers (HCW) working intensive care unit (ICU) during coronavirus disease 2019 (COVID-19) pandemic. Specifically, we reports on prevalence mental health symptoms, highlight vulnerable populations summarize modifiable risk factors associated with symptoms ICU HCW. Recent findings The pandemic has resulted a multitude closely intertwined professional personal challenges for High rates posttraumatic stress disorder (14–47%), burnout (45–85%), anxiety (31–60%), depression (16–65%) have been reported, these are often interrelated. Most studies suggest that nurses female HCW at highest developing symptoms. main concerns reporting among were worries about transmitting COVID-19 their families, own health, witnessing colleagues contract disease, experiencing stigma from communities. Major work-related poor communication supervisors, perceived lack support administrative leadership, insufficient access protective equipment, inability rest, hasty end-of-life decisions, restriction family visitation policies. Summary severely impacted worldwide. trauma, manifesting as disorder, burnout, anxiety, depression, is substantial concerning. Urgent action by lawmakers administrators required protect sustain healthy workforce.

Language: Английский

---