Symptoms of burnout in intensive care unit specialists facing the COVID-19 outbreak.
Identifieur interne : 000537 ( Main/Exploration ); précédent : 000536; suivant : 000538Symptoms of burnout in intensive care unit specialists facing the COVID-19 outbreak.
Auteurs : Elie Azoulay [France] ; Jan De Waele [Pays-Bas] ; Ricard Ferrer [Espagne] ; Thomas Staudinger [Autriche] ; Marta Borkowska [Pays-Bas] ; Pedro Povoa [Portugal] ; Katerina Iliopoulou [Grèce] ; Antonio Artigas [Espagne] ; Stefan J. Schaller [Allemagne] ; Manu Shankar Hari [Royaume-Uni] ; Mariangela Pellegrini [Suède] ; Michael Darmon [France] ; Jozef Kesecioglu [Pays-Bas] ; Maurizio Cecconi [Italie]Source :
- Annals of intensive care [ 2110-5820 ] ; 2020.
Abstract
BACKGROUND
The COVID-19 pandemic has resulted in an unprecedented healthcare crisis with a high prevalence of psychological distress in healthcare providers. We sought to document the prevalence of burnout syndrome amongst intensivists facing the COVID-19 outbreak.
METHODS
Cross-sectional survey among intensivists part of the European Society of Intensive Care Medicine. Symptoms of severe burnout, anxiety and depression were collected. Factors independently associated with severe burnout were assessed using Cox model.
RESULTS
Response rate was 20% (1001 completed questionnaires were returned, 45 years [39-53], 34% women, from 85 countries, 12 regions, 50% university-affiliated hospitals). The prevalence of symptoms of anxiety and depression or severe burnout was 46.5%, 30.2%, and 51%, respectively, and varied significantly across regions. Rating of the relationship between intensivists and other ICU stakeholders differed significantly according to the presence of anxiety, depression, or burnout. Similar figures were reported for their rating of the ethical climate or the quality of the decision-making. Factors independently associated with anxiety were female gender (HR 1.85 [1.33-2.55]), working in a university-affiliated hospital (HR 0.58 [0.42-0.80]), living in a city of > 1 million inhabitants (HR 1.40 [1.01-1.94]), and clinician's rating of the ethical climate (HR 0.83 [0.77-0.90]). Independent determinants of depression included female gender (HR 1.63 [1.15-2.31]) and clinician's rating of the ethical climate (HR 0.84 [0.78-0.92]). Factors independently associated with symptoms of severe burnout included age (HR 0.98/year [0.97-0.99]) and clinician's rating of the ethical climate (HR 0.76 [0.69-0.82]).
CONCLUSIONS
The COVID-19 pandemic has had an overwhelming psychological impact on intensivists. Follow-up, and management are warranted to assess long-term psychological outcomes and alleviate the psychological burden of the pandemic on frontline personnel.
DOI: 10.1186/s13613-020-00722-3
PubMed: 32770449
PubMed Central: PMC7414284
Affiliations:
- Allemagne, Autriche, Espagne, France, Grèce, Italie, Pays-Bas, Portugal, Royaume-Uni, Suède
- Angleterre, Attique (région), Bavière, Catalogne, District de Haute-Bavière, Grand Londres, Lombardie, Utrecht (province), Vienne (Autriche), Île-de-France
- Athènes, Barcelone, Londres, Milan, Munich, Paris, Utrecht, Vienne (Autriche)
- Université Louis-et-Maximilien de Munich
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Symptoms of burnout in intensive care unit specialists facing the COVID-19 outbreak.</title><author><name sortKey="Azoulay, Elie" sort="Azoulay, Elie" uniqKey="Azoulay E" first="Elie" last="Azoulay">Elie Azoulay</name><affiliation wicri:level="3"><nlm:affiliation>Médecine Intensive et Réanimation, PHP, Hôpital Saint-Louis, Paris University, Paris, France. elie.azoulay@aphp.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Médecine Intensive et Réanimation, PHP, Hôpital Saint-Louis, Paris University, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="De Waele, Jan" sort="De Waele, Jan" uniqKey="De Waele J" first="Jan" last="De Waele">Jan De Waele</name><affiliation wicri:level="1"><nlm:affiliation>Department of Critical Care Medicine, Ghent University Hospital, 9000, Gent, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Critical Care Medicine, Ghent University Hospital, 9000, Gent</wicri:regionArea><wicri:noRegion>Gent</wicri:noRegion></affiliation></author><author><name sortKey="Ferrer, Ricard" sort="Ferrer, Ricard" uniqKey="Ferrer R" first="Ricard" last="Ferrer">Ricard Ferrer</name><affiliation wicri:level="3"><nlm:affiliation>Shock, Organ Dysfunction, and Resuscitation Research Group (SODIR), Instituto de Investigación de Vall d'Hebron, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Shock, Organ Dysfunction, and Resuscitation Research Group (SODIR), Instituto de Investigación de Vall d'Hebron, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Departmento de Medicina Intensiva, Hospital Universitario de Vall d́Hebron, Centro de Investigación Biomédica en Red (CIBER) de Enfermedades Respiratorias, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Departmento de Medicina Intensiva, Hospital Universitario de Vall d́Hebron, Centro de Investigación Biomédica en Red (CIBER) de Enfermedades Respiratorias, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Staudinger, Thomas" sort="Staudinger, Thomas" uniqKey="Staudinger T" first="Thomas" last="Staudinger">Thomas Staudinger</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medicine I, Intensive Care Unit, Medical University of Vienna, Vienna General Hospital, Vienna, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Medicine I, Intensive Care Unit, Medical University of Vienna, Vienna General Hospital, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Borkowska, Marta" sort="Borkowska, Marta" uniqKey="Borkowska M" first="Marta" last="Borkowska">Marta Borkowska</name><affiliation wicri:level="1"><nlm:affiliation>Department of Critical Care Medicine, Ghent University Hospital, 9000, Gent, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Critical Care Medicine, Ghent University Hospital, 9000, Gent</wicri:regionArea><wicri:noRegion>Gent</wicri:noRegion></affiliation></author><author><name sortKey="Povoa, Pedro" sort="Povoa, Pedro" uniqKey="Povoa P" first="Pedro" last="Povoa">Pedro Povoa</name><affiliation wicri:level="1"><nlm:affiliation>NOVA Medical School, CHRC, New University of Lisbon, Lisbon, Portugal.</nlm:affiliation><country xml:lang="fr">Portugal</country><wicri:regionArea>NOVA Medical School, CHRC, New University of Lisbon, Lisbon</wicri:regionArea><wicri:noRegion>Lisbon</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Unidade de Cuidados Intensivos Polivalente, Hospital de São Francisco Xavier, CHLO, Estrada Do Forte Do Alto Do Duque, 1449-005, Lisbon, Portugal.</nlm:affiliation><country xml:lang="fr">Portugal</country><wicri:regionArea>Unidade de Cuidados Intensivos Polivalente, Hospital de São Francisco Xavier, CHLO, Estrada Do Forte Do Alto Do Duque, 1449-005, Lisbon</wicri:regionArea><wicri:noRegion>Lisbon</wicri:noRegion></affiliation></author><author><name sortKey="Iliopoulou, Katerina" sort="Iliopoulou, Katerina" uniqKey="Iliopoulou K" first="Katerina" last="Iliopoulou">Katerina Iliopoulou</name><affiliation wicri:level="3"><nlm:affiliation>Hellenic Army, ICU Nurse Manager General Military Hospital, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Hellenic Army, ICU Nurse Manager General Military Hospital, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Artigas, Antonio" sort="Artigas, Antonio" uniqKey="Artigas A" first="Antonio" last="Artigas">Antonio Artigas</name><affiliation wicri:level="3"><nlm:affiliation>Critical Care Center, Sabadell Hospital, University Institute Parc Taulí, Autonomous University of Barcelona, Ciberes, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Critical Care Center, Sabadell Hospital, University Institute Parc Taulí, Autonomous University of Barcelona, Ciberes, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Schaller, Stefan J" sort="Schaller, Stefan J" uniqKey="Schaller S" first="Stefan J" last="Schaller">Stefan J. Schaller</name><affiliation wicri:level="4"><nlm:affiliation>Department of Anesthesiology and Intensive Care, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Anesthesiology and Intensive Care, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></affiliation></author><author><name sortKey="Hari, Manu Shankar" sort="Hari, Manu Shankar" uniqKey="Hari M" first="Manu Shankar" last="Hari">Manu Shankar Hari</name><affiliation wicri:level="3"><nlm:affiliation>School of Immunology and Microbial Science, Kings College London, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>School of Immunology and Microbial Science, Kings College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Guy's and St Thomas' NHS Foundation Trust, ICU Support Offices, St Thomas' Hospital, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Guy's and St Thomas' NHS Foundation Trust, ICU Support Offices, St Thomas' Hospital, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Pellegrini, Mariangela" sort="Pellegrini, Mariangela" uniqKey="Pellegrini M" first="Mariangela" last="Pellegrini">Mariangela Pellegrini</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgical Sciences and Central Intensive Care Unit, Department of Anesthesia, Operation, and Intensive Care and Department of Anesthesiology and Intensive Care Medicine, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Surgical Sciences and Central Intensive Care Unit, Department of Anesthesia, Operation, and Intensive Care and Department of Anesthesiology and Intensive Care Medicine, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg</wicri:regionArea><wicri:noRegion>Gothenburg</wicri:noRegion></affiliation></author><author><name sortKey="Darmon, Michael" sort="Darmon, Michael" uniqKey="Darmon M" first="Michael" last="Darmon">Michael Darmon</name><affiliation wicri:level="3"><nlm:affiliation>Médecine Intensive et Réanimation, PHP, Hôpital Saint-Louis, Paris University, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Médecine Intensive et Réanimation, PHP, Hôpital Saint-Louis, Paris University, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Kesecioglu, Jozef" sort="Kesecioglu, Jozef" uniqKey="Kesecioglu J" first="Jozef" last="Kesecioglu">Jozef Kesecioglu</name><affiliation wicri:level="3"><nlm:affiliation>Department of Intensive Care Medicine, Division of Anesthesiology, Intensive Care and Emergency Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Intensive Care Medicine, Division of Anesthesiology, Intensive Care and Emergency Medicine, University Medical Center Utrecht, Utrecht University, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Cecconi, Maurizio" sort="Cecconi, Maurizio" uniqKey="Cecconi M" first="Maurizio" last="Cecconi">Maurizio Cecconi</name><affiliation wicri:level="3"><nlm:affiliation>Humanitas Clinical and Research Center, Humanitas University, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Humanitas Clinical and Research Center, Humanitas University, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32770449</idno><idno type="pmid">32770449</idno><idno type="doi">10.1186/s13613-020-00722-3</idno><idno type="pmc">PMC7414284</idno><idno type="wicri:Area/Main/Corpus">000671</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000671</idno><idno type="wicri:Area/Main/Curation">000671</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000671</idno><idno type="wicri:Area/Main/Exploration">000671</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Symptoms of burnout in intensive care unit specialists facing the COVID-19 outbreak.</title><author><name sortKey="Azoulay, Elie" sort="Azoulay, Elie" uniqKey="Azoulay E" first="Elie" last="Azoulay">Elie Azoulay</name><affiliation wicri:level="3"><nlm:affiliation>Médecine Intensive et Réanimation, PHP, Hôpital Saint-Louis, Paris University, Paris, France. elie.azoulay@aphp.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Médecine Intensive et Réanimation, PHP, Hôpital Saint-Louis, Paris University, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="De Waele, Jan" sort="De Waele, Jan" uniqKey="De Waele J" first="Jan" last="De Waele">Jan De Waele</name><affiliation wicri:level="1"><nlm:affiliation>Department of Critical Care Medicine, Ghent University Hospital, 9000, Gent, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Critical Care Medicine, Ghent University Hospital, 9000, Gent</wicri:regionArea><wicri:noRegion>Gent</wicri:noRegion></affiliation></author><author><name sortKey="Ferrer, Ricard" sort="Ferrer, Ricard" uniqKey="Ferrer R" first="Ricard" last="Ferrer">Ricard Ferrer</name><affiliation wicri:level="3"><nlm:affiliation>Shock, Organ Dysfunction, and Resuscitation Research Group (SODIR), Instituto de Investigación de Vall d'Hebron, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Shock, Organ Dysfunction, and Resuscitation Research Group (SODIR), Instituto de Investigación de Vall d'Hebron, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Departmento de Medicina Intensiva, Hospital Universitario de Vall d́Hebron, Centro de Investigación Biomédica en Red (CIBER) de Enfermedades Respiratorias, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Departmento de Medicina Intensiva, Hospital Universitario de Vall d́Hebron, Centro de Investigación Biomédica en Red (CIBER) de Enfermedades Respiratorias, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Staudinger, Thomas" sort="Staudinger, Thomas" uniqKey="Staudinger T" first="Thomas" last="Staudinger">Thomas Staudinger</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medicine I, Intensive Care Unit, Medical University of Vienna, Vienna General Hospital, Vienna, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Medicine I, Intensive Care Unit, Medical University of Vienna, Vienna General Hospital, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Borkowska, Marta" sort="Borkowska, Marta" uniqKey="Borkowska M" first="Marta" last="Borkowska">Marta Borkowska</name><affiliation wicri:level="1"><nlm:affiliation>Department of Critical Care Medicine, Ghent University Hospital, 9000, Gent, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Critical Care Medicine, Ghent University Hospital, 9000, Gent</wicri:regionArea><wicri:noRegion>Gent</wicri:noRegion></affiliation></author><author><name sortKey="Povoa, Pedro" sort="Povoa, Pedro" uniqKey="Povoa P" first="Pedro" last="Povoa">Pedro Povoa</name><affiliation wicri:level="1"><nlm:affiliation>NOVA Medical School, CHRC, New University of Lisbon, Lisbon, Portugal.</nlm:affiliation><country xml:lang="fr">Portugal</country><wicri:regionArea>NOVA Medical School, CHRC, New University of Lisbon, Lisbon</wicri:regionArea><wicri:noRegion>Lisbon</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Unidade de Cuidados Intensivos Polivalente, Hospital de São Francisco Xavier, CHLO, Estrada Do Forte Do Alto Do Duque, 1449-005, Lisbon, Portugal.</nlm:affiliation><country xml:lang="fr">Portugal</country><wicri:regionArea>Unidade de Cuidados Intensivos Polivalente, Hospital de São Francisco Xavier, CHLO, Estrada Do Forte Do Alto Do Duque, 1449-005, Lisbon</wicri:regionArea><wicri:noRegion>Lisbon</wicri:noRegion></affiliation></author><author><name sortKey="Iliopoulou, Katerina" sort="Iliopoulou, Katerina" uniqKey="Iliopoulou K" first="Katerina" last="Iliopoulou">Katerina Iliopoulou</name><affiliation wicri:level="3"><nlm:affiliation>Hellenic Army, ICU Nurse Manager General Military Hospital, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>Hellenic Army, ICU Nurse Manager General Military Hospital, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Artigas, Antonio" sort="Artigas, Antonio" uniqKey="Artigas A" first="Antonio" last="Artigas">Antonio Artigas</name><affiliation wicri:level="3"><nlm:affiliation>Critical Care Center, Sabadell Hospital, University Institute Parc Taulí, Autonomous University of Barcelona, Ciberes, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Critical Care Center, Sabadell Hospital, University Institute Parc Taulí, Autonomous University of Barcelona, Ciberes, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Schaller, Stefan J" sort="Schaller, Stefan J" uniqKey="Schaller S" first="Stefan J" last="Schaller">Stefan J. Schaller</name><affiliation wicri:level="4"><nlm:affiliation>Department of Anesthesiology and Intensive Care, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Anesthesiology and Intensive Care, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></affiliation></author><author><name sortKey="Hari, Manu Shankar" sort="Hari, Manu Shankar" uniqKey="Hari M" first="Manu Shankar" last="Hari">Manu Shankar Hari</name><affiliation wicri:level="3"><nlm:affiliation>School of Immunology and Microbial Science, Kings College London, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>School of Immunology and Microbial Science, Kings College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Guy's and St Thomas' NHS Foundation Trust, ICU Support Offices, St Thomas' Hospital, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Guy's and St Thomas' NHS Foundation Trust, ICU Support Offices, St Thomas' Hospital, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Pellegrini, Mariangela" sort="Pellegrini, Mariangela" uniqKey="Pellegrini M" first="Mariangela" last="Pellegrini">Mariangela Pellegrini</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgical Sciences and Central Intensive Care Unit, Department of Anesthesia, Operation, and Intensive Care and Department of Anesthesiology and Intensive Care Medicine, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Surgical Sciences and Central Intensive Care Unit, Department of Anesthesia, Operation, and Intensive Care and Department of Anesthesiology and Intensive Care Medicine, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg</wicri:regionArea><wicri:noRegion>Gothenburg</wicri:noRegion></affiliation></author><author><name sortKey="Darmon, Michael" sort="Darmon, Michael" uniqKey="Darmon M" first="Michael" last="Darmon">Michael Darmon</name><affiliation wicri:level="3"><nlm:affiliation>Médecine Intensive et Réanimation, PHP, Hôpital Saint-Louis, Paris University, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Médecine Intensive et Réanimation, PHP, Hôpital Saint-Louis, Paris University, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Kesecioglu, Jozef" sort="Kesecioglu, Jozef" uniqKey="Kesecioglu J" first="Jozef" last="Kesecioglu">Jozef Kesecioglu</name><affiliation wicri:level="3"><nlm:affiliation>Department of Intensive Care Medicine, Division of Anesthesiology, Intensive Care and Emergency Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Intensive Care Medicine, Division of Anesthesiology, Intensive Care and Emergency Medicine, University Medical Center Utrecht, Utrecht University, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Cecconi, Maurizio" sort="Cecconi, Maurizio" uniqKey="Cecconi M" first="Maurizio" last="Cecconi">Maurizio Cecconi</name><affiliation wicri:level="3"><nlm:affiliation>Humanitas Clinical and Research Center, Humanitas University, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Humanitas Clinical and Research Center, Humanitas University, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author></analytic><series><title level="j">Annals of intensive care</title><idno type="ISSN">2110-5820</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>The COVID-19 pandemic has resulted in an unprecedented healthcare crisis with a high prevalence of psychological distress in healthcare providers. We sought to document the prevalence of burnout syndrome amongst intensivists facing the COVID-19 outbreak.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Cross-sectional survey among intensivists part of the European Society of Intensive Care Medicine. Symptoms of severe burnout, anxiety and depression were collected. Factors independently associated with severe burnout were assessed using Cox model.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Response rate was 20% (1001 completed questionnaires were returned, 45 years [39-53], 34% women, from 85 countries, 12 regions, 50% university-affiliated hospitals). The prevalence of symptoms of anxiety and depression or severe burnout was 46.5%, 30.2%, and 51%, respectively, and varied significantly across regions. Rating of the relationship between intensivists and other ICU stakeholders differed significantly according to the presence of anxiety, depression, or burnout. Similar figures were reported for their rating of the ethical climate or the quality of the decision-making. Factors independently associated with anxiety were female gender (HR 1.85 [1.33-2.55]), working in a university-affiliated hospital (HR 0.58 [0.42-0.80]), living in a city of > 1 million inhabitants (HR 1.40 [1.01-1.94]), and clinician's rating of the ethical climate (HR 0.83 [0.77-0.90]). Independent determinants of depression included female gender (HR 1.63 [1.15-2.31]) and clinician's rating of the ethical climate (HR 0.84 [0.78-0.92]). Factors independently associated with symptoms of severe burnout included age (HR 0.98/year [0.97-0.99]) and clinician's rating of the ethical climate (HR 0.76 [0.69-0.82]).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The COVID-19 pandemic has had an overwhelming psychological impact on intensivists. Follow-up, and management are warranted to assess long-term psychological outcomes and alleviate the psychological burden of the pandemic on frontline personnel.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32770449</PMID><DateRevised><Year>2020</Year><Month>08</Month><Day>12</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Print">2110-5820</ISSN><JournalIssue CitedMedium="Print"><Volume>10</Volume><Issue>1</Issue><PubDate><Year>2020</Year><Month>Aug</Month><Day>08</Day></PubDate></JournalIssue><Title>Annals of intensive care</Title><ISOAbbreviation>Ann Intensive Care</ISOAbbreviation></Journal><ArticleTitle>Symptoms of burnout in intensive care unit specialists facing the COVID-19 outbreak.</ArticleTitle><Pagination><MedlinePgn>110</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s13613-020-00722-3</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The COVID-19 pandemic has resulted in an unprecedented healthcare crisis with a high prevalence of psychological distress in healthcare providers. We sought to document the prevalence of burnout syndrome amongst intensivists facing the COVID-19 outbreak.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Cross-sectional survey among intensivists part of the European Society of Intensive Care Medicine. Symptoms of severe burnout, anxiety and depression were collected. Factors independently associated with severe burnout were assessed using Cox model.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Response rate was 20% (1001 completed questionnaires were returned, 45 years [39-53], 34% women, from 85 countries, 12 regions, 50% university-affiliated hospitals). The prevalence of symptoms of anxiety and depression or severe burnout was 46.5%, 30.2%, and 51%, respectively, and varied significantly across regions. Rating of the relationship between intensivists and other ICU stakeholders differed significantly according to the presence of anxiety, depression, or burnout. Similar figures were reported for their rating of the ethical climate or the quality of the decision-making. Factors independently associated with anxiety were female gender (HR 1.85 [1.33-2.55]), working in a university-affiliated hospital (HR 0.58 [0.42-0.80]), living in a city of > 1 million inhabitants (HR 1.40 [1.01-1.94]), and clinician's rating of the ethical climate (HR 0.83 [0.77-0.90]). Independent determinants of depression included female gender (HR 1.63 [1.15-2.31]) and clinician's rating of the ethical climate (HR 0.84 [0.78-0.92]). Factors independently associated with symptoms of severe burnout included age (HR 0.98/year [0.97-0.99]) and clinician's rating of the ethical climate (HR 0.76 [0.69-0.82]).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The COVID-19 pandemic has had an overwhelming psychological impact on intensivists. Follow-up, and management are warranted to assess long-term psychological outcomes and alleviate the psychological burden of the pandemic on frontline personnel.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Azoulay</LastName><ForeName>Elie</ForeName><Initials>E</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-8162-1508</Identifier><AffiliationInfo><Affiliation>Médecine Intensive et Réanimation, PHP, Hôpital Saint-Louis, Paris University, Paris, France. elie.azoulay@aphp.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>De Waele</LastName><ForeName>Jan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Critical Care Medicine, Ghent University Hospital, 9000, Gent, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ferrer</LastName><ForeName>Ricard</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Shock, Organ Dysfunction, and Resuscitation Research Group (SODIR), Instituto de Investigación de Vall d'Hebron, Barcelona, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Departmento de Medicina Intensiva, Hospital Universitario de Vall d́Hebron, Centro de Investigación Biomédica en Red (CIBER) de Enfermedades Respiratorias, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Staudinger</LastName><ForeName>Thomas</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Medicine I, Intensive Care Unit, Medical University of Vienna, Vienna General Hospital, Vienna, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Borkowska</LastName><ForeName>Marta</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Critical Care Medicine, Ghent University Hospital, 9000, Gent, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Povoa</LastName><ForeName>Pedro</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>NOVA Medical School, CHRC, New University of Lisbon, Lisbon, Portugal.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Unidade de Cuidados Intensivos Polivalente, Hospital de São Francisco Xavier, CHLO, Estrada Do Forte Do Alto Do Duque, 1449-005, Lisbon, Portugal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Iliopoulou</LastName><ForeName>Katerina</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Hellenic Army, ICU Nurse Manager General Military Hospital, Athens, Greece.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Artigas</LastName><ForeName>Antonio</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Critical Care Center, Sabadell Hospital, University Institute Parc Taulí, Autonomous University of Barcelona, Ciberes, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schaller</LastName><ForeName>Stefan J</ForeName><Initials>SJ</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Intensive Care, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hari</LastName><ForeName>Manu Shankar</ForeName><Initials>MS</Initials><AffiliationInfo><Affiliation>School of Immunology and Microbial Science, Kings College London, London, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Guy's and St Thomas' NHS Foundation Trust, ICU Support Offices, St Thomas' Hospital, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pellegrini</LastName><ForeName>Mariangela</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Surgical Sciences and Central Intensive Care Unit, Department of Anesthesia, Operation, and Intensive Care and Department of Anesthesiology and Intensive Care Medicine, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Darmon</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Médecine Intensive et Réanimation, PHP, Hôpital Saint-Louis, Paris University, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kesecioglu</LastName><ForeName>Jozef</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Intensive Care Medicine, Division of Anesthesiology, Intensive Care and Emergency Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cecconi</LastName><ForeName>Maurizio</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Humanitas Clinical and Research Center, Humanitas University, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>ESICM</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Ann Intensive Care</MedlineTA><NlmUniqueID>101562873</NlmUniqueID><ISSNLinking>2110-5820</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Acute respiratory distress syndrome</Keyword><Keyword MajorTopicYN="N">Coronavirus</Keyword><Keyword MajorTopicYN="N">Depersonalization</Keyword><Keyword MajorTopicYN="N">Exhaustion</Keyword><Keyword MajorTopicYN="N">Pneumonia</Keyword><Keyword MajorTopicYN="N">Well-being</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>07</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>07</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>10</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32770449</ArticleId><ArticleId IdType="doi">10.1186/s13613-020-00722-3</ArticleId><ArticleId IdType="pii">10.1186/s13613-020-00722-3</ArticleId><ArticleId IdType="pmc">PMC7414284</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>JAMA. 2020 Mar 27;:</Citation><ArticleIdList><ArticleId IdType="pubmed">32219367</ArticleId></ArticleIdList></Reference><Reference><Citation>BMJ. 2020 May 5;369:m1815</Citation><ArticleIdList><ArticleId IdType="pubmed">32371465</ArticleId></ArticleIdList></Reference><Reference><Citation>Psychiatry Res. 2020 Aug;290:113172</Citation><ArticleIdList><ArticleId IdType="pubmed">32512357</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Respir Crit Care Med. 2011 Nov 15;184(10):1140-6</Citation><ArticleIdList><ArticleId IdType="pubmed">21852543</ArticleId></ArticleIdList></Reference><Reference><Citation>J Affect Disord. 2020 Aug 1;273:422-424</Citation><ArticleIdList><ArticleId IdType="pubmed">32425275</ArticleId></ArticleIdList></Reference><Reference><Citation>Psychiatry Res. 2020 Aug;290:113129</Citation><ArticleIdList><ArticleId IdType="pubmed">32485487</ArticleId></ArticleIdList></Reference><Reference><Citation>Psychiatry Res. 2020 Aug;290:113130</Citation><ArticleIdList><ArticleId IdType="pubmed">32497969</ArticleId></ArticleIdList></Reference><Reference><Citation>Ann Intensive Care. 2020 Mar 18;10(1):33</Citation><ArticleIdList><ArticleId IdType="pubmed">32189136</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet Respir Med. 2020 Jun;8(6):e52</Citation><ArticleIdList><ArticleId IdType="pubmed">32380024</ArticleId></ArticleIdList></Reference><Reference><Citation>BMJ Qual Saf. 2018 Oct;27(10):766-770</Citation><ArticleIdList><ArticleId IdType="pubmed">29669857</ArticleId></ArticleIdList></Reference><Reference><Citation>Intensive Care Med. 2018 Jul;44(7):1039-1049</Citation><ArticleIdList><ArticleId IdType="pubmed">29808345</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Respir Crit Care Med. 2007 Apr 1;175(7):686-92</Citation><ArticleIdList><ArticleId IdType="pubmed">17234905</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA Netw Open. 2020 May 1;3(5):e2010185</Citation><ArticleIdList><ArticleId IdType="pubmed">32463467</ArticleId></ArticleIdList></Reference><Reference><Citation>Intensive Care Med. 2020 May;46(5):854-887</Citation><ArticleIdList><ArticleId IdType="pubmed">32222812</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA. 2020 Mar 11;:</Citation><ArticleIdList><ArticleId IdType="pubmed">32159735</ArticleId></ArticleIdList></Reference><Reference><Citation>Crit Care Med. 2001 Oct;29(10):1893-7</Citation><ArticleIdList><ArticleId IdType="pubmed">11588447</ArticleId></ArticleIdList></Reference><Reference><Citation>Intensive Care Med. 2015 Feb;41(2):273-84</Citation><ArticleIdList><ArticleId IdType="pubmed">25576157</ArticleId></ArticleIdList></Reference><Reference><Citation>Intensive Care Med. 2010 Apr;36 Suppl 1:S21-31</Citation><ArticleIdList><ArticleId IdType="pubmed">20213418</ArticleId></ArticleIdList></Reference><Reference><Citation>Anesth Analg. 2020 Jul;131(1):106-111</Citation><ArticleIdList><ArticleId IdType="pubmed">32282389</ArticleId></ArticleIdList></Reference><Reference><Citation>PLoS One. 2015 Aug 31;10(8):e0136955</Citation><ArticleIdList><ArticleId IdType="pubmed">26322644</ArticleId></ArticleIdList></Reference><Reference><Citation>Brain Behav Immun. 2020 Aug;88:901-907</Citation><ArticleIdList><ArticleId IdType="pubmed">32437915</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA. 2019 Oct 2;:1-12</Citation><ArticleIdList><ArticleId IdType="pubmed">31577037</ArticleId></ArticleIdList></Reference><Reference><Citation>Acta Psychiatr Scand. 1983 Jun;67(6):361-70</Citation><ArticleIdList><ArticleId IdType="pubmed">6880820</ArticleId></ArticleIdList></Reference><Reference><Citation>Ann Intern Med. 2020 Jun 2;172(11):752-753</Citation><ArticleIdList><ArticleId IdType="pubmed">32196544</ArticleId></ArticleIdList></Reference><Reference><Citation>Intensive Care Med. 2020 Jan;46(1):46-56</Citation><ArticleIdList><ArticleId IdType="pubmed">31690968</ArticleId></ArticleIdList></Reference><Reference><Citation>Intensive Care Med. 2020 Jul;46(7):1303-1325</Citation><ArticleIdList><ArticleId IdType="pubmed">32514598</ArticleId></ArticleIdList></Reference><Reference><Citation>Intensive Care Med. 2008 Jan;34(1):152-6</Citation><ArticleIdList><ArticleId IdType="pubmed">17943271</ArticleId></ArticleIdList></Reference><Reference><Citation>Ann Intensive Care. 2020 Jun 6;10(1):73</Citation><ArticleIdList><ArticleId IdType="pubmed">32506258</ArticleId></ArticleIdList></Reference><Reference><Citation>Anaesth Intensive Care. 2008 Mar;36(2):208-13</Citation><ArticleIdList><ArticleId IdType="pubmed">18361012</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2020 Jun 18;382(25):2461-2462</Citation><ArticleIdList><ArticleId IdType="pubmed">32379956</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2020 May 21;382(21):1973-1975</Citation><ArticleIdList><ArticleId IdType="pubmed">32202721</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Respir Crit Care Med. 2007 Apr 1;175(7):698-704</Citation><ArticleIdList><ArticleId IdType="pubmed">17110646</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA Netw Open. 2020 Mar 2;3(3):e203976</Citation><ArticleIdList><ArticleId IdType="pubmed">32202646</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet. 2020 Mar 14;395(10227):912-920</Citation><ArticleIdList><ArticleId IdType="pubmed">32112714</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li><li>Autriche</li><li>Espagne</li><li>France</li><li>Grèce</li><li>Italie</li><li>Pays-Bas</li><li>Portugal</li><li>Royaume-Uni</li><li>Suède</li></country><region><li>Angleterre</li><li>Attique (région)</li><li>Bavière</li><li>Catalogne</li><li>District de Haute-Bavière</li><li>Grand Londres</li><li>Lombardie</li><li>Utrecht (province)</li><li>Vienne (Autriche)</li><li>Île-de-France</li></region><settlement><li>Athènes</li><li>Barcelone</li><li>Londres</li><li>Milan</li><li>Munich</li><li>Paris</li><li>Utrecht</li><li>Vienne (Autriche)</li></settlement><orgName><li>Université Louis-et-Maximilien de Munich</li></orgName></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Azoulay, Elie" sort="Azoulay, Elie" uniqKey="Azoulay E" first="Elie" last="Azoulay">Elie Azoulay</name></region><name sortKey="Darmon, Michael" sort="Darmon, Michael" uniqKey="Darmon M" first="Michael" last="Darmon">Michael Darmon</name></country><country name="Pays-Bas"><noRegion><name sortKey="De Waele, Jan" sort="De Waele, Jan" uniqKey="De Waele J" first="Jan" last="De Waele">Jan De Waele</name></noRegion><name sortKey="Borkowska, Marta" sort="Borkowska, Marta" uniqKey="Borkowska M" first="Marta" last="Borkowska">Marta Borkowska</name><name sortKey="Kesecioglu, Jozef" sort="Kesecioglu, Jozef" uniqKey="Kesecioglu J" first="Jozef" last="Kesecioglu">Jozef Kesecioglu</name></country><country name="Espagne"><region name="Catalogne"><name sortKey="Ferrer, Ricard" sort="Ferrer, Ricard" uniqKey="Ferrer R" first="Ricard" last="Ferrer">Ricard Ferrer</name></region><name sortKey="Artigas, Antonio" sort="Artigas, Antonio" uniqKey="Artigas A" first="Antonio" last="Artigas">Antonio Artigas</name><name sortKey="Ferrer, Ricard" sort="Ferrer, Ricard" uniqKey="Ferrer R" first="Ricard" last="Ferrer">Ricard Ferrer</name></country><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Staudinger, Thomas" sort="Staudinger, Thomas" uniqKey="Staudinger T" first="Thomas" last="Staudinger">Thomas Staudinger</name></region></country><country name="Portugal"><noRegion><name sortKey="Povoa, Pedro" sort="Povoa, Pedro" uniqKey="Povoa P" first="Pedro" last="Povoa">Pedro Povoa</name></noRegion><name sortKey="Povoa, Pedro" sort="Povoa, Pedro" uniqKey="Povoa P" first="Pedro" last="Povoa">Pedro Povoa</name></country><country name="Grèce"><region name="Attique (région)"><name sortKey="Iliopoulou, Katerina" sort="Iliopoulou, Katerina" uniqKey="Iliopoulou K" first="Katerina" last="Iliopoulou">Katerina Iliopoulou</name></region></country><country name="Allemagne"><region name="Bavière"><name sortKey="Schaller, Stefan J" sort="Schaller, Stefan J" uniqKey="Schaller S" first="Stefan J" last="Schaller">Stefan J. Schaller</name></region></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Hari, Manu Shankar" sort="Hari, Manu Shankar" uniqKey="Hari M" first="Manu Shankar" last="Hari">Manu Shankar Hari</name></region><name sortKey="Hari, Manu Shankar" sort="Hari, Manu Shankar" uniqKey="Hari M" first="Manu Shankar" last="Hari">Manu Shankar Hari</name></country><country name="Suède"><noRegion><name sortKey="Pellegrini, Mariangela" sort="Pellegrini, Mariangela" uniqKey="Pellegrini M" first="Mariangela" last="Pellegrini">Mariangela Pellegrini</name></noRegion></country><country name="Italie"><region name="Lombardie"><name sortKey="Cecconi, Maurizio" sort="Cecconi, Maurizio" uniqKey="Cecconi M" first="Maurizio" last="Cecconi">Maurizio Cecconi</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/CovidFranceV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000537 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000537 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= CovidFranceV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:32770449
|texte= Symptoms of burnout in intensive care unit specialists facing the COVID-19 outbreak.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:32770449" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a CovidFranceV1
| This area was generated with Dilib version V0.6.37. |  |