Evidence map›Paper›PMID 42305564›Full record

ArticleFrontiers in pediatrics2026

Burnout among medical doctors working in paediatric intensive care units in Bulgaria.

Mergyul Halilova, Darina Krumova, Tanya Zlateva, Tanya Teneva, Dimitar Pechilkov, Bogdan Mladenov, Blagomir Zdravkov, Ivan Ivanov, Daniela Avdjieva, Yoto Yotov and 1 more

Abstract read
In one paragraph

Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Mergyul HalilovaDepartment of Paediatrics, Medical University of Varna, Varna, Bulgaria.
Darina KrumovaDepartment of Paediatrics, Medical University of Varna, Varna, Bulgaria.
Tanya ZlatevaDepartment of Paediatrics, Medical University of Varna, Varna, Bulgaria.
Tanya TenevaDepartment of Paediatrics, Medical University of Sofia, Sofia, Bulgaria.
Dimitar PechilkovPaediatric Postoperative Intensive Care Unit and Reanimation, National Cardiologic Hospital, Sofia, Bulgaria.
Bogdan MladenovPaediatric Anesthesiology and Intensive Care Unit, UMHATEM "N.I.Pirogov", Sofia, Bulgaria.
Blagomir ZdravkovDepartment of Paediatrics, The Specialized Children's Hospital "Prof. Dr. Ivan Mitev", Sofia, Bulgaria.
Ivan IvanovDepartment of Paediatrics and Medical Genetics, Medical University of Plovdiv, Plovdiv, Bulgaria.
Daniela AvdjievaDepartment of Paediatrics, Medical University of Sofia, Sofia, Bulgaria.
Yoto YotovDepartment of Paediatrics, UMHAT "Sveta Marina", Varna, Bulgaria.
Violeta IotovaDepartment of Paediatrics, Medical University of Varna, Varna, Bulgaria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Paediatric intensive care units (PICUs) provide special and comprehensive care and treatment to critically ill children. These factors lead to the exposure of the personnel to stress and the risk of developing burnout syndrome. The aim of the current study was to evaluate burnout syndrome in PICUs' higher medical staff. Methods: and participants: In order to evaluate burnout syndrome among physicians employed at PICUs, we carried out our study between September and December of 2023. With the authors' consent, we used a survey that was published in June 2023 in Acta Paediatrica.The survey was distributed to all physicians working in the existing PICUs in Bulgaria after being translated and reviewed. Results: A total of 37/43 (86%) doctors and two clinical psychologists completed the survey. More women than men took part in the study. Of the respondents, 70.2% were paediatricians, trainees in paediatrics or had a pediatric subspecialty, and 29.7% were specialists in Anesthesiology and Intensive Care. In total, 70.3% of the staff reported working between 40 and 50 h/week, and 24.3% working more than 50 h/week; 73% of the employees experienced an episode of overheating, depression, and anxiety. Of all, 75.6% felt exhausted from work, and 40.5% defined themselves as "crushed". Despite the difficulties that the staff faced, the majority of the doctors express satisfaction with their work and would choose the same specialty again. Conclusion: This study presents for the first time quantitative data on Bulgarian physicians' burnout in PICUs. Burnout among healthcare professionals is a worldwide issue that has a detrimental effect on staff productivity, patient care quality, and hiring medical personnel. Specific solutions are required, such as the establishment of paediatric intensive care as a distinct specialty.

Indexed as

Bulgariaburnouthealthcare providerspaediatric intensive care unitsurvey

Identifiers

PMID42305564
PMCPMC13265562

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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.