Based on the experience of previous pandemics, countries reacted by applying different upgrade strategies to prevent or delay the widespread of the disease. Therefore, measures such as border closure, school closure, restrict social gathering (even shutdown of workplaces), limit population movements, and confinement meaning quarantines at the scale of cities or regions. In public hospitals, several measures have been decided to concentrate the power of care on potential wave of admissions of patients with severe forms of Covid-19. In this purpose, the number of available beds in Intensive Care Units (ICU) has been increased by two-fold and scheduled non-emergency surgical procedure have been cancelled. That means: 1. For the most severe patients, new personals (physician such as anesthesiologists, nurses of other units) have been transferred in ICUs. 2. For the less severe patients, personals of non-busy units have been transferred in busier ones. All these measures lead to major daily-life change sets that could be stressful. In the general population, it has been well documented that quarantine or confinement or isolation could lead to the occurrence of Post-Traumatic Stress Disorder (PTSD) syndrome in about 30% overall population. Importantly, high depressive symptoms have been reported in 9% of hospital staff. Numerous symptoms have been reported after quarantine or isolation such as emotional disturbance, depression, stress, low mood, irritability, insomnia, and post-traumatic stress symptoms. In hospital setting, few studies have been performed for assessing the psychological impact of quarantine and isolation. However, two studies reported a high prevalence of burn-out syndrome (BOS) in ICU physician and PTSD syndrome and depression in ICU nurses. As the consequences of all the measures decided and applied during Covid-19 pandemic could be important on caregivers, the present study primarily aims at assessing the prevalence of PTSD syndrome in a large population of caregivers implied or not in Intensive Care Units. The secondary objective were 1) to assess the prevalence of severe depression and anxiety and BOS 2) to isolate potential factors associated with PTSD, severe depression, anxiety or BOS.
Other: questionnaire filling
assessment of post-traumatic stress, anxiety and burn out
Inclusion Criteria:
- Caregivers (doctors senior and junior, nurses, aid nurses) involved in the staff
(permanent or transient, full or partial time) of ICU patients during Covid-19
outbreak
- Approved to participate
Exclusion Criteria:
- Participation refusal
- No internet connection for responding to the questionnaire with REDCAP file
Intensive Care Unit, CHU d'Amiens
Amiens, France
Intensive Care Unit, CHU d'Angers
Angers, France
CHU de Besançon
Besançon, France
CHU de Bordeaux, Hôpital Pellegrin
Bordeaux, France
Intensive care Unit CHU de Brest Hôpital Cavale Blanche
Brest, France
CHU de Caen
Caen, France
CHU de Clermont Ferrand
Clermont-Ferrand, France
AP-HP, Hôpital Henri Mondor
Créteil, France
CHU de dijon
Dijon, France
CHU de Grenoble, Hôpital Michalon
La Tronche, France
AP_HP, Hôpital du Kremlin Bicêtre
Le Kremlin-Bicêtre, France
Intensive Care Unit, CHRU de Lille
Lille, France
Intensive Care Unit, CHU de Limoges
Limoges, France
Hôpitaux civils de Lyon, Hôpital de la Croix Rousse
Lyon, France
Hôpitaux civils de Lyon, Hôpital Louis Pradel
Lyon, France
Hôpitaux civils de Lyon, Hôpital Edouard Herriot
Lyon, France
AP-HM, Hôpital Nord
Marseille, France
AP-HM, Hôpital Timone adultes, Intensive Care Unit
Marseille, France
AP-HM, Hôpital Timone adultes, Neurotraumatology
Marseille, France
AP-HM, Hôpital e la Conception
Marseille, France
CHU de Montpellier, Hôpital Guy de chauliac
Montpellier, France
CHU de Montpellier, Hôpital Lapeyronie
Montpellier, France
CHU de Montpellier, Hôpital St Eloi SAR B
Montpellier, France
CHU De Montpellier, Hôpital St Eloi-DAR B
Montpellier, France
CHU De Montpellier, Hôpital St Eloi
Montpellier, France
Intensive Care Unit, CHU de Mulhouse
Mulhouse, France
Intensive CAre Unit CHRU de Nancy, Hôpital Central
Nancy, France
Intensive Care Unit, CHU de Nantes, Hôtel Dieu
Nantes, France
Intensive Care Unit, CHU de Nantes
Nantes, France
CHU de Nice
Nice, France
Intensive care Unit CHU Nîmes
Nîmes, France
AP-HP, Hôpital de la Pitié
Paris, France
AP-HP, Hôpital Bichât
Paris, France
AP-HP, Hôpital Lariboisière
Paris, France
AP6HP, Hôpital St Loui
Paris, France
AP_HP, Hôpital G Pompidou
Paris, France
AP-HP, Hôpital St Antoine
Paris, France
CH de Perpignan
Perpignan, France
CHU de Bordeaux, Hôpital Haut Leveque
Pessac, France
Intensive care Unit, Hôpitaux civils de Lyon, Lyon Sud
Pierre-Bénite, France
CHU de Poitiers
Poitiers, France
Intensive care Unit CHU de Rennes
Rennes, France
CHU de Rouen
Rouen, France
Intensive Care Unit, CHU de Nantes, Hôpital Laennec
Saint-Herblain, France
CHU de St Etienne, Hôpital Nord
Saint-Étienne, France
Intesive Care Unit CHRU de Strasbourg, Hôpital civil
Strasbourg, France
Intesive Care Unit CHRU de Strasbourg, Hôpital Hautepierre
Strasbourg, France
CHU de Toulouse
Toulouse, France
Intensive care unit CHU de Tours
Tours, France
Intensive CAre Unit CHRU de Nancy, Hôpital de Brabois
Vandœuvre-lès-Nancy, France
CH de Vesoul
Vesoul, France
Jean Yves LEFRANT
+33466683331
jean.yves.lefrant@chu-nimes.fr
Jean Yves LEFRANT, Principal Investigator
Centre Hospitalier Universitaire de Nīmes