ArticleChest2021
The Coronavirus Disease 2019 Pandemic's Effect on Critical Care Resources and Health-Care Providers: A Global Survey.
Article in Chest, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
93 citing papers in PubMed, 4 syntheses or guidelines pooled it, 173 citations in OpenAlex.
- Toward better prevention of physician burnout: insights from individual participant data using the MD-specific Occupational Stressor Index and organizational interventions.Frontiers in public health · 2025Pooled it
- Prevalence and the associated factors of burnout among the critical healthcare professionals during the post-pandemic era: a multi-institutional survey in Taiwan with a systematic review of the Asian literatures.BMC public health · 2024Pooled it
- The Burden of Burnout among Healthcare Professionals of Intensive Care Units and Emergency Departments during the COVID-19 Pandemic: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- A Systematic Review and Meta-Analysis of Burnout Among Healthcare Workers During COVID-19.Frontiers in psychiatry · 2021Pooled it
- Working in the Intensive Care Unit-An Explorative Qualitative Study of Norwegian Intensive Care Nurses' Experiences.Nursing in critical care · 2026Article
- Reflections and Practical Insights on Communication and Care for Patients and Families in Japanese Intensive Care Units During COVID-19: A Semi-structured Interview Study of Healthcare Providers.Asian bioethics review · 2026Article
- Evaluation of the implementation of the Critical Care Asia and Africa Intensive Care Unit registry in Ethiopia.World journal of critical care medicine · 2026Article
- OxyJet CPAP: an electricity-free low-cost emergency respiratory support device.Biomedical engineering online · 2026Article
- Mental health issues among critical care providers during the COVID-19 pandemic: the multinational PSYCOVID cross-sectional study.Scientific reports · 2025Article
- Mindfulness Improves Awareness and Cortisol Levels During COVID-19 Lockdown: A Randomised Controlled Trial in Healthcare Workers.Healthcare (Basel, Switzerland) · 2025Article
- Burnout among intensive care physicians and nurses in the post-pandemic era in China: a national cross-sectional study.BMJ open · 2025Article
- Article
- Leveraging social media for resident training in developing countries: A case study of Libya.Biomolecules & biomedicine · 2025Article
- Critical care nurses role and scope of practice during a global crisis: a qualitative study.BMC nursing · 2025Article
- Work-related stress and its associated factors among primary care doctors in Malaysia during the COVID-19 pandemic.BMC primary care · 2025Article
- The Sustained Impact of the COVID-19 Pandemic on Vascular Surgical Care Delivery.Annals of vascular surgery · 2024Article
- Stigmatization experiences of healthcare workers in the context of the COVID-19 pandemic: a scoping review.BMC health services research · 2024Article
- The First Statewide Implementation of a Regional Disaster Teleconsultation System to Expand Critical Care Surge Capacity: A Case Study in Vermont.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Article
- Closing the critical care knowledge gap: the importance of publications from low-income and middle-income countries.Critical care science · 2024Article
- Perceptions and preferences about family visitation restrictions and psychological distress among critical care clinicians in Brazil: results from a national survey.Critical care science · 2024Article
33 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
12 authors at 7 institutions in 4 countries.
Funding
Abstract
backgroundThe coronavirus disease 2019 (COVID-19) pandemic has severely affected ICUs and critical care health-care providers (HCPs) worldwide. RESEARCH QUESTION: How do regional differences and perceived lack of ICU resources affect critical care resource use and the well-being of HCPs? STUDY DESIGN AND
methodsBetween April 23 and May 7, 2020, we electronically administered a 41-question survey to interdisciplinary HCPs caring for patients critically ill with COVID-19. The survey was distributed via critical care societies, research networks, personal contacts, and social media portals. Responses were tabulated according to World Bank region. We performed multivariate log-binomial regression to assess factors associated with three main outcomes: limiting mechanical ventilation (MV), changes in CPR practices, and emotional distress and burnout.
resultsWe included 2,700 respondents from 77 countries, including physicians (41%), nurses (40%), respiratory therapists (11%), and advanced practice providers (8%). The reported lack of ICU nurses was higher than that of intensivists (32% vs 15%). Limiting MV for patients with COVID-19 was reported by 16% of respondents, was lowest in North America (10%), and was associated with reduced ventilator availability (absolute risk reduction [ARR], 2.10; 95% CI, 1.61-2.74). Overall, 66% of respondents reported changes in CPR practices. Emotional distress or burnout was high across regions (52%, highest in North America) and associated with being female (mechanical ventilation, 1.16; 95% CI, 1.01-1.33), being a nurse (ARR, 1.31; 95% CI, 1.13-1.53), reporting a shortage of ICU nurses (ARR, 1.18; 95% CI, 1.05-1.33), reporting a shortage of powered air-purifying respirators (ARR, 1.30; 95% CI, 1.09-1.55), and experiencing poor communication from supervisors (ARR, 1.30; 95% CI, 1.16-1.46).
interpretationOur findings demonstrate variability in ICU resource availability and use worldwide. The high prevalence of provider burnout and its association with reported insufficient resources and poor communication from supervisors suggest a need for targeted interventions to support HCPs on the front lines.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.