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 - Funding Information:
Established in April 2020 with funding from the Patient-Centered Outcomes Research Institute, the HERO research program is one of the research activities of PCORnet®, the National Patient-Centered Clinical Research Network ( pcornet.org ). At its launch, the HERO research program included a registry ( ClinicalTrials.gov Identifier NCT04342806), data from which this manuscript reports, and a clinical trial on prophylactic use of hydroxychloroquine ( ClinicalTrials.gov Identifier NCT04334148). The clinical trial activated 40 recruitment sites, which were the primary sources of registry recruitment as well. All recruitment sites were part of or closely affiliated with academic medical centers.
Funding Information:
The study was funded by PCORI through PCORI Award (COVID-19-2020-001), “HERO Registry & Trial: Healthcare Worker Exposure Response and Outcomes.”
Funding Information:
Dr. Hernandez, Nauman, Thomas, O’Brien, and Forrest report grants from PCORI, during the conduct of the study. Dr. Forrest reports additional grants from FDA, CDC, NIH, AHRQ, and Lily; none of these grants relates to the content of this work. Dr. O’Brien also reports grants from BMS, Novartis, and Amgen.
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
KW - COVID-19
KW - SARS-CoV-2
KW - burnout
KW - disparities
KW - healthcare worker
KW - registry
KW - well-being
UR - http://www.scopus.com/inward/record.url?scp=85102528069&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85102528069&partnerID=8YFLogxK
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 -