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>Impact of COVID-19 Pandemic Burnout on Cardiovascular Risk in Healthcare Professionals Study Protocol: A Multicenter Exploratory Longitudinal Study
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Impact of COVID-19 Pandemic Burnout on Cardiovascular Risk in Healthcare Professionals Study Protocol: A Multicenter Exploratory Longitudinal Study
Introduction: The coronavirus disease 2019 (COVID-19) pandemic has created new and unpredictable challenges for healthcare systems. Healthcare professionals are heavily affected by this rapidly changing situation. They may experience psychological burden, especially nurses, women, and frontline health care professionals directly engaged in the diagnosis, treatment, and care for patients with COVID-19. The objective of this study is to investigate the evolution of psychosocial, cardiovascular and immune markers in healthcare professionals with different levels of exposure to the COVID-19 pandemic. The effects of the pandemic work burden on psychological, cardiovascular and immune biomarkers will be stratified per level of exposure to the COVID-19 pandemic, positive diagnosis to COVID-19, profession, sex, age and already existent cardiovascular risk. Methods: A STROBE compliant, blended exploratory study involving online and onsite approach with wearable monitoring will be implemented. A planned random probability sample of residents, staff physicians, nurses and auxiliary healthcare professionals will be recruited from both inpatient and outpatient medicine services. The study sample will be stratified by exposure to the COVID-19 pandemic (frontline versus second line). As a first step, recruitment will be conducted online, with e-consent and e-survey with Maslach Burnout Inventory, Fuster-BEWAT score and sociodemographic characteristics, during this, an onsite visit will be planned for the second step where participants will receive a setup for wearable heart rate, actimetry and sleep quality monitoring together with blood sampling for immune biomarkers. Steps 1 & 2 will then be repeated at 2-3 months, and 6 months. Power BI & Tableau will be used for data visualization purposes, while the front-end data capture application will be used for data collection and will be built using specific survey/questionnaire related tools for healthcare usage data linkage. Ethics and dissemination: Institutional Review Board approval has been obtained from Khalifa University (protocol # CPRA-2020-034) and Department of Health-Abu Dhabi (protocol # CVDC-20-05/2020-8). Data analysis, release of results and publication of manuscripts are scheduled to start in early 2021. Data and findings may be useful to healthcare policymakers for developing preventive strategies to reduce or prevent burnout, cardiovascular risk and immune dysfunction.
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机译：介绍：2019年冠状病毒疾病（Covid-19）大流行为医疗系统创造了新的和不可预测的挑战。医疗保健专业人员受到这种迅速变化的情况的严重影响。他们可能会遇到心理负担，特别是护士，女性和前线医疗保健专业人员直接从事Covid-19患者的诊断，治疗和护理。本研究的目的是探讨医疗专业人士的心理社会，心血管和免疫标志物的演变，具有不同水平的Covid-19大流行。大流行劳动负担对心理，心血管和免疫生物标志物的影响将在Covid-19大流行，对Covid-19，行业，性别，年龄和已经存在的心血管风险的情况下分层。方法：符合频闪性兼容，涉及在线和现场方法的混合探索性研究将实施可穿戴监测的联机和现场方法。将从住院和门诊医学服务中招募居民，员工，护士和辅助医疗专业人士的计划随机概率样本。研究样本将通过暴露于Covid-19大流行（前线与第二行）分层。作为第一步，招聘将在线进行，与Maslach Burnout库存，粉丝 - Bewat评分和社会渗目特征在一起，在此期间，将计划参与者将获得第二步的现场访问设置可穿戴心率，采集和睡眠质量监测，与免疫生物标志物的血液取样。步骤1＆amp; 2将在2-3个月内重复，6个月。 Power BI＆amp; Tableau将用于数据可视化目的，而前端数据捕获应用程序将用于数据收集，并将使用特定的调查/问卷相关工具进行建立，用于医疗保健使用数据链接。道德和传播：机构审查委员会批准已从哈利法大学获得（协议#CPRA-2020-034）和卫生部 - Abu Dhabi（协议＃CVDC-20-05 / 2020-8）。数据分析，释放稿件的发布计划于2021年初开始。数据和调查结果对于医疗保健政策制定者可用于制定预防策略以减少或预防倦怠，心血管风险和免疫功能障碍。
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