Impact of the Early Phase of the COVID-19 Pandemic on US Healthcare Workers: Results from the HERO Registry.
Impact of the Early Phase of the COVID-19 Pandemic on US Healthcare Workers: Results from the HERO Registry.
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DOI：
10.1007/s11606-020-06529-z
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发表时间：
2021-05
影响因子：
5.7
通讯作者：
HERO Registry Research Group
中科院分区：
文献类型：
--
作者：
Forrest CB;Xu H;Thomas LE;Webb LE;Cohen LW;Carey TS;Chuang CH;Daraiseh NM;Kaushal R;McClay JC;Modave F;Nauman E;Todd JV;Wallia A;Bruno C;Hernandez AF;O'Brien EC;HERO Registry Research Group
HERO注册中心的建立是为了支持COVID-19大流行对美国医护人员影响的研究。描述参与HERO登记研究的个人的COVID-19大流行经历及其影响。2020年4月10日至7月31日进行的横断面自我管理登记注册调查。参与者在全国各地的医院（74.4%），门诊诊所（7.4%）和其他机构（18.2%）工作。共有14，600名医护人员。COVID-19暴露、病毒和抗体检测、COVID-19诊断、工作倦怠以及身体和情绪困扰。平均年龄为42.0岁，76.4%为女性，78.9%为白色，33.2%为护士，18.4%为医生，30.3%在COVID-19暴露的高风险环境中工作（例如，ICU、ED、COVID-19单位）。总体而言，43.7%的人报告了COVID-19暴露，91.3%的人在工作中暴露。在高风险和低风险环境中，只有3.8%的人经历过COVID-19疾病。在控制人口统计学、职业角色和工作环境的回归分析中，与白人相比，黑人/非洲裔美国人（aOR 2.32，99% CI 1.45，3.70，p < 0.01）和西班牙裔/拉丁美洲人（aOR 2.19，99% CI 1.55，3.08，p < 0.01）的COVID-19疾病风险更高。总体而言，41%的人表示他们正在经历职业倦怠。在他们完成调查的前一天，53%的参与者表示一天中感到很累，51%的人感到压力，41%的人感到睡眠困难，38%的人感到担忧，21%的人感到悲伤，19%的人感到身体疼痛，15%的人感到愤怒。平均而言，医护人员报告说，一天中有2.4次经历了这7种痛苦情绪。医护人员接触COVID-19的风险较高，但COVID-19患病率较低。在一般人群中报告的少数种族/族裔感染COVID-19的风险更高，在医护人员中也可以看到。HERO登记研究将继续监测大流行期间医护人员健康状况的变化。ClinicalTrials.gov标识符NCT 04342806在线版本包含补充材料，可通过10.1007/s11606-020-06529-z获取。
The HERO registry was established to support research on the impact of the COVID-19 pandemic on US healthcare workers. Describe the COVID-19 pandemic experiences of and effects on individuals participating in the HERO registry. Cross-sectional, self-administered registry enrollment survey conducted from April 10 to July 31, 2020. Participants worked in hospitals (74.4%), outpatient clinics (7.4%), and other settings (18.2%) located throughout the nation. A total of 14,600 healthcare workers. COVID-19 exposure, viral and antibody testing, diagnosis of COVID-19, job burnout, and physical and emotional distress. Mean age was 42.0 years, 76.4% were female, 78.9% were White, 33.2% were nurses, 18.4% were physicians, and 30.3% worked in settings at high risk for COVID-19 exposure (e.g., ICUs, EDs, COVID-19 units). Overall, 43.7% reported a COVID-19 exposure and 91.3% were exposed at work. Just 3.8% in both high- and low-risk settings experienced COVID-19 illness. In regression analyses controlling for demographics, professional role, and work setting, the risk of COVID-19 illness was higher for Black/African-Americans (aOR 2.32, 99% CI 1.45, 3.70, p < 0.01) and Hispanic/Latinos (aOR 2.19, 99% CI 1.55, 3.08, p < 0.01) compared with Whites. Overall, 41% responded that they were experiencing job burnout. Responding about the day before they completed the survey, 53% of participants reported feeling tired a lot of the day, 51% stress, 41% trouble sleeping, 38% worry, 21% sadness, 19% physical pain, and 15% anger. On average, healthcare workers reported experiencing 2.4 of these 7 distress feelings a lot of the day. Healthcare workers are at high risk for COVID-19 exposure, but rates of COVID-19 illness were low. The greater risk of COVID-19 infection among race/ethnicity minorities reported in the general population is also seen in healthcare workers. The HERO registry will continue to monitor changes in healthcare worker well-being during the pandemic. ClinicalTrials.gov identifier NCT04342806 The online version contains supplementary material available at 10.1007/s11606-020-06529-z.
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影响因子：
5.7
作者：
Dolan, Emily D.;Mohr, David;Helfrich, Christian D.
通讯作者：
Helfrich, Christian D.
影响因子：
13.8
作者：
Lai, Jianbo;Ma, Simeng;Hu, Shaohua
通讯作者：
Hu, Shaohua
影响因子：
120.7
作者：
Webb Hooper, Monica;Napoles, Anna Maria;Perez-Stable, Eliseo J.
通讯作者：
Perez-Stable, Eliseo J.
影响因子：
7.2
作者：
Forrest CB;McTigue KM;Hernandez AF;Cohen LW;Cruz H;Haynes K;Kaushal R;Kho AN;Marsolo KA;Nair VP;Platt R;Puro JE;Rothman RL;Shenkman EA;Waitman LR;Williams NA;Carton TW
通讯作者：
Carton TW
DOI：
10.1016/s0140-6736(13)61489-0
发表时间：
2015-02-14
期刊：
Lancet (London, England)
影响因子：
--
作者：
Steptoe A;Deaton A;Stone AA
通讯作者：
Stone AA