Evidence map›Paper›PMID 36971792›Full record

SynthesisIntensive care medicine2023

High-level burnout in physicians and nurses working in adult ICUs: a systematic review and meta-analysis.

Laurent Papazian, Sami Hraiech, Anderson Loundou, Margaret S Herridge, Laurent Boyer

Registry-linked trialOpen access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Intensive care medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07631741 (A Mixed Epidemiological Study of Moral Injury Among Healthcare Professionals in Psychiatric Facilities in the PACA Region), which is not on this map. Cited by 76 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 3 pooled it
59.0field-weighted citation impact, top 1% of its field
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.

NCT07631741 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Mixed Epidemiological Study of Moral Injury Among Healthcare Professionals in Psychiatric Facilities in the PACA Region

TypeobservationalSponsorCentre Hospitalier Intercommunal de Toulon La Seyne sur MerRan2026 to 2027Enrolled2,688ConditionsMoral InjuryArmsSelf-Questionnaires for Healthcare Workers
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 3 syntheses or guidelines pooled it, 135 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Bolstering wellbeing and mitigating burnout in critical care: a mixed-methods exploration.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Well-being in intensive care: reflections from a multinational survey.Journal of anesthesia, analgesia and critical care · 2026
    Article
  15. Article
  16. Article
  17. Beyond the pilot analogy.Critical care (London, England) · 2026
    Article
  18. A national survey of factors leading to health care worker turnover in Canadian intensive care units.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026
    Article
  19. Review
  20. Article

16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Laurent PapazianCentre Hospitalier de Bastia, 20600, Bastia, Corsica, France. laurent.papazian.pro@gmail.com.ORCID 0000-0002-8125-9406
Sami HraiechAix-Marseille Université, Faculté de médecine, Centre d'Etudes et de Recherches sur les Services de Santé et qualité de vie EA 3279, 13005, Marseille, France.
Anderson LoundouCEReSS-Health Service Research and Quality of Life Center, Aix-Marseille University, 27 Boulevard Jean Moulin, 13005, Marseille, France.
Margaret S HerridgeCritical Care and Respiratory Medicine, 22 Toronto General Research Institute, Institute of Medical Sciences, and Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-2903-1631
Laurent BoyerCEReSS-Health Service Research and Quality of Life Center, Aix-Marseille University, 27 Boulevard Jean Moulin, 13005, Marseille, France.
Aix-Marseille Université · FRInstitut Régional d'Administration de Bastia · FRUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe prevalence of burnout in intensive care unit (ICU) professionals is difficult to establish due to the variety of survey instruments used, the heterogeneity of the targeted population, the design of the studies, and the differences among countries regarding ICU organization.

methodsWe performed a systematic review and meta-analysis examining the prevalence of high-level burnout in physicians and nurses working in adult ICUs, including only studies that use the Maslach Burnout Inventory (MBI) as a tool to evaluate burnout and involving at least 3 different ICUs.

resultsTwenty-five studies with a combined population of 20,723 healthcare workers from adult ICUs satisfied the inclusion criteria. Combining 18 studies including 8187 ICU physicians, 3660 of them reported a high level of burnout (prevalence 0.41, range 0.15-0.71, 95% CI [0.33; 0.5], I

conclusionAccording to this meta-analysis, the prevalence of high-level burnout is higher than 40% in all ICU professionals. However, there is a great heterogeneity in the results. To evaluate and to compare preventive and therapeutic strategies, there is the need to use a consensual definition of burnout when using the MBI instrument.

Indexed as

Burnout, ProfessionalCOVID-19NursesPhysiciansAdultHumansIntensive Care UnitsPandemicsSurveys and QuestionnairesBurnoutCOVID-19MBINursesPhysicians

Identifiers

PMID36971792
PMCPMC10041519
OpenAlexW4361002433

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.