Evidence map›Paper›PMID 36465877›Full record

ArticleMedical research archives2022

Mental Health of Emergency Department Healthcare Workers During COVID-19 in Brooklyn, New York.

Deborah R Gustafson, Recai Yucel, Samuel J Apple, Gianna Cirrone, Haoyuan Gao, Aaron J Huang, Xinrui Ma, Ayesha Saad, Jeremy Wilson, Sarah Kabariti and 1 more

Abstract read
In one paragraph

Article in Medical research archives, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Deborah R GustafsonDepartment of Neurology, State University of New York Downstate Health Sciences University, Brooklyn, New York.
Recai YucelDepartment of Biostatistics, Temple University, Philadelphia, Pennsylvania.
Samuel J AppleState University of New York Downstate Health Sciences University, College of Medicine, Brooklyn, New York.
Gianna CirroneState University of New York Downstate Health Sciences University, College of Medicine, Brooklyn, New York.
Haoyuan GaoDepartment of Biostatistics, Temple University, Philadelphia, Pennsylvania.
Aaron J HuangState University of New York Downstate Health Sciences University, College of Medicine, Brooklyn, New York.
Xinrui MaDepartment of Biostatistics, Temple University, Philadelphia, Pennsylvania.
Ayesha SaadState University of New York Downstate Health Sciences University, College of Medicine, Brooklyn, New York.
Jeremy WilsonState University of New York Downstate Health Sciences University, College of Medicine, Brooklyn, New York.
Sarah KabaritiDepartment of Emergency Medicine, Maimonides Medical Center, Brooklyn, New York.
Sergey MotovDepartment of Emergency Medicine, Maimonides Medical Center, Brooklyn, New York.

Funding

MWCCS: Brooklyn Clinical Research SiteU01HL146202 · NHLBI · SUNY DOWNSTATE MEDICAL CENTER · PI TRACEY ELIZABETH WILSON, Jessica Eve Yager · 2019 to 2026
$23.6M
NHLBI NIH HHS U01 HL146202
6 · The paper itself

Abstract

Background: Maintaining good mental health among Emergency Department healthcare workers (ED HCW) is paramount to well-functioning healthcare. We measured mental health and COVID-19 symptoms in ED HCW at a COVID-19 epicenter. Methods: A cross-sectional, convenience sample of adult (≥18 years) ED HCW in Brooklyn, New York, USA, who were employed at ≥50% of a full-time effort, was surveyed September-December, 2020 with reference period March-May 2020. An anonymous email-distributed survey assessed gender, age, race, healthcare worker status (clinical versus non-clinical), SARS-CoV-2 testing, number of people to talk to, COVID-19-related home problems, mental health care interruption during COVID-19, loneliness, and survey date. Outcomes included symptoms of depression, psychological distress, perceived stress, post-traumatic stress disorder (PTSD), anxiety, and resilience measured using validated scales. Results: Of 774 HCW, 247 (31.9%) responded (mean age 38.2±10.8 years; 59.4% White; 52.5% men; 80.1% clinical; 61.6% SARS-CoV-2 tested). Average mental health scores were significantly higher among clinical vs non-clinical HCW (P's<0.0001-0.019). The proportion reporting a clinically-relevant psychological distress symptom burden was higher among clinical vs non-clinical HCW (35.8% vs 13.8%, p=0.019); and suggested for depression (53.9% clinical vs 35.7% non-clinical, p=0.072); perceived stress (63.6% clinical vs 44.8% non-clinical, p=0.053); and PTSD (18.2% clinical vs 3.6% non-clinical, p=0.064). Compared to non-clinical staff, Medical Doctors and Doctors of Osteopathy reported 4.8-fold higher multivariable-adjusted odds of clinically-relevant perceived stress (95%CI 1.8-12.9, p=0.002); Emergency Medical Technicians reported 15.5-fold higher multivariable-adjusted odds of clinically-relevant PTSD (95%CI 1.6-150.4, p=0.018). Increasing age, number of COVID-19-related home problems and people to talk to, loneliness and mental health care interruption were adversely associated with mental health; being male and SARS-CoV-2 testing were beneficial. Conclusions: COVID-19-related mental health burden was high among ED HCW in Brooklyn. Mental health support services are essential for ED HCW.

Identifiers

PMID36465877
PMCPMC9718537

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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.