Burnout Syndrome During COVID-19 Second Wave on ICU Caregivers

Anaëlle Caillet¹, Marina Fillon¹, Margaux Plou¹, Emmanuel Tisson¹, Charles-Hervé Vacheron^1,2,3, Bernard Allaouchiche^1,4,5

1 Hospices Civils de Lyon, Hospital center Lyon-Sud, ICU, F-69310, Pierre-Bénite, France
2 Biostatistics-Bioinformatics Department, Public Health Unit, Hospices Civils de Lyon, Lyon, France
3 CIRI, International Center for Research in Infectiology (Emerging Pathogens Laboratory Team), Inserm, U1111, Claude Bernard Lyon 1 University, CNRS, UMR5308, Lyon, France
4 University Claude Bernard, Lyon1, Lyon, France
5 Lyon university, VetAgro Sup, Lyon veterinary campus, UPSP 2016.A101, Pulmonary and Cardiovascular Agression in Sepsis, F-69280, Marcy l’Étoile, France

DOI: 10.2478/jccm-2022-0026

Objective: The main objective of this article is to evaluate the prevalence of burnout syndrome (BOS) among the Intensive Care Unit (ICU) healthcare workers.
Methods: The COVID-impact study is a study conducted in 6 French intensive care units. Five units admitting COVID patient and one that doesn’t admit COVID patients. The survey was conducted between October 20th and November 20th, 2020, during the second wave in France. A total of 208 professionals responded (90% response rate). The Maslach Burnout Inventory scale, the Hospital Anxiety and Depression Scale and the Impact of Event Revisited Scale were used to study the psychological impact of the COVID-19 Every intensive care unit worker.
Results: The cohort includes 208 professionals, 52.4% are caregivers. Almost 20% of the respondents suffered from severe BOS. The professionals who are particularly affected by BOS are women, engaged people, nurses or reinforcement, not coming willingly to the intensive care unit and professionals with psychological disorders since COVID-19, those who are afraid of being infected, and people with anxiety, depression or post-traumatic stress disorder. Independent risk factors isolated were being engaged and being a reinforcement. Being a volunteer to come to work in ICU is protective. 19.7% of the team suffered from severe BOS during the COVID-19 pandemic in our ICU. The independent risk factors for BOS are: being engaged (OR = 3.61 (95% CI, 1.44; 9.09), don’t working in ICU when it’s not COVID-19 pandemic (reinforcement) (OR = 37.71 (95% CI, 3.13; 454.35), being a volunteer (OR = 0.10 (95% CI, 0.02; 0.46).
Conclusion: Our study demonstrates the value of assessing burnout in health care teams. Prevention could be achieved by training personnel to form a health reserve in the event of a pandemic.