ReviewHealthcare (Basel, Switzerland)2023
The Global Prevalence and Associated Factors of Burnout among Emergency Department Healthcare Workers and the Impact of the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.
Review in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 4 of them syntheses that pooled it.
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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.
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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.
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Who cites it
36 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Psychological wellbeing of healthcare professionals in regional, rural and remote emergency departments: an integrative review.BMC emergency medicine · 2026Pooled it
- Prevalence and risk factors of burnout symptoms among nurses during the COVID-19 pandemic: an updated systematic review and meta-analysis.Human resources for health · 2025Pooled it
- Prevalence of emotional burnout among dietitians and nutritionists: a systematic review, meta-analysis, meta-regression, and a call for action.BMC psychology · 2024Pooled 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
- Professional burnout among dietitians and the perceived role of artificial intelligence tools.Scientific reports · 2026Article
- Burnout, PTSD, and Medical Error: The Medico-Legal Implications of the Mental Health Crisis Among Frontline Healthcare Professionals During COVID-19.Medicina (Kaunas, Lithuania) · 2026Review
- Intra-shift affective dynamics in emergency unit workers: temporal deterioration and recovery windows.Frontiers in psychology · 2026Article
- Burnout and resilience in emergency medicine health professionals.Internal and emergency medicine · 2026Review
- How Do Spanish Hospitals Use Lean? Insights from a Multiple-Case Study.Healthcare (Basel, Switzerland) · 2025Article
- The association of workload during healthcare service disruption with the mental health of prehospital emergency medical service providers in Korea.Preventive medicine reports · 2025Article
- From Burnout to Resilience: Addressing Moral Injury in Nursing Through Organizational Innovation in the Post-Pandemic Era.Healthcare (Basel, Switzerland) · 2025Review
- Exploring burnout, resilience and the coping strategies among critical healthcare professionals in post-COVID Taiwan.Scientific reports · 2025Article
- Article
- Mitigating Burnout: The Role of Healthcare Organizations.ATS scholar · 2025Article
- Article
- Neural Correlates of Burnout Syndrome Based on Electroencephalography (EEG)-A Mechanistic Review and Discussion of Burnout Syndrome Cognitive Bias Theory.Journal of clinical medicine · 2025Review
- Burnout, Work Addiction and Stress-Related Growth Among Emergency Physicians and Residents: A Comparative Study.Behavioral sciences (Basel, Switzerland) · 2025Article
- The Effects of Grit, Emergency Nursing Competency, and Positive Nursing Organisational Culture on Burnout Among Nurses in the Emergency Department.Behavioral sciences (Basel, Switzerland) · 2025Article
- Burnout among South African nurses during the peak of COVID-19 pandemic: a holistic investigation.BMC nursing · 2025Article
- Emergency Medicine: The Paradigm Shift.Journal of acute medicine · 2025Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
aimEmergency medicine (EM) settings are very stressful, given the high workload, intense working environment, and prolonged working time. In turn, the rate of burnout and its three domains have been increasingly reported among healthcare workers (HCWs). Therefore, we conducted this meta-analysis to determine the prevalence and risk factors of burnout among EM HCWs.
methodsSix databases were searched in February 2023, yielding 29 articles (16,619 EM HCWs) reporting burnout or its three domains (emotional exhaustion "EE", depersonalization "DP", and personal accomplishment "PA"). The primary outcome was the prevalence of burnout and its domains, while secondary outcomes included the risk factors of high burnout, EE, DP, or low PA. Burnout rates were pooled across studies using STATA software. The prevalence was measured using the pooled effect size (ES), and the random-effects model was used when heterogeneity was encountered; otherwise, the fixed-effects model was used.
resultsThe prevalence of overall burnout was high (43%), with 35% of EM HCWs having a high risk of burnout. Meanwhile, 39%, 43%, and 36% of EM workers reported having high levels of EE and DP and low levels of PA, respectively. Country-specific changes in the rate of burnout were observed. The rate of high burnout, high EE, high DP, and low PA was higher during the COVID-19 pandemic as compared to the pre-pandemic period. The type of profession (nurses, physicians, residents, etc.) played a significant role in modifying the rate of burnout and its domains. However, gender was not a significant determinant of high burnout or its domains among EM workers.
conclusionsBurnout is a prevalent problem in emergency medicine practice, affecting all workers. As residents progress through their training years, their likelihood of experiencing burnout intensifies. Nurses are most affected by this problem, followed by physicians. Country-associated differences in burnout and its domains are evident.
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