TY - JOUR
T1 - Impact of the Early Phase of the COVID-19 Pandemic on US Healthcare Workers
T2 - Results from the HERO Registry
AU - for the HERO Registry Research Group
AU - Forrest, Christopher B.
AU - Xu, Haolin
AU - Thomas, Laine E.
AU - Webb, Laura E.
AU - Cohen, Lauren W.
AU - Carey, Timothy S.
AU - Chuang, Cynthia H.
AU - Daraiseh, Nancy M.
AU - Kaushal, Rainu
AU - McClay, James C.
AU - Modave, François
AU - Nauman, Elizabeth
AU - Todd, Jonathan V.
AU - Wallia, Amisha
AU - Bruno, Cortney
AU - Hernandez, Adrian F.
AU - O’Brien, Emily C.
N1 - Publisher Copyright:
© 2021, Society of General Internal Medicine.
PY - 2021/5
Y1 - 2021/5
N2 - Background: The HERO registry was established to support research on the impact of the COVID-19 pandemic on US healthcare workers. Objective: Describe the COVID-19 pandemic experiences of and effects on individuals participating in the HERO registry. Design: Cross-sectional, self-administered registry enrollment survey conducted from April 10 to July 31, 2020. Setting: Participants worked in hospitals (74.4%), outpatient clinics (7.4%), and other settings (18.2%) located throughout the nation. Participants: A total of 14,600 healthcare workers. Main Measures: COVID-19 exposure, viral and antibody testing, diagnosis of COVID-19, job burnout, and physical and emotional distress. Key Results: 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. Conclusions: 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. Trial Registration: ClinicalTrials.gov
AB - Background: The HERO registry was established to support research on the impact of the COVID-19 pandemic on US healthcare workers. Objective: Describe the COVID-19 pandemic experiences of and effects on individuals participating in the HERO registry. Design: Cross-sectional, self-administered registry enrollment survey conducted from April 10 to July 31, 2020. Setting: Participants worked in hospitals (74.4%), outpatient clinics (7.4%), and other settings (18.2%) located throughout the nation. Participants: A total of 14,600 healthcare workers. Main Measures: COVID-19 exposure, viral and antibody testing, diagnosis of COVID-19, job burnout, and physical and emotional distress. Key Results: 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. Conclusions: 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. Trial Registration: ClinicalTrials.gov
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U2 - 10.1007/s11606-020-06529-z
DO - 10.1007/s11606-020-06529-z
M3 - Article
C2 - 33694071
AN - SCOPUS:85102528069
SN - 0884-8734
VL - 36
SP - 1319
EP - 1326
JO - Journal of general internal medicine
JF - Journal of general internal medicine
IS - 5
ER -