PSY-CO-ICU: Psychological Impact of COVID-19 Outbreak on Caregivers
Study Details
Study Description
Brief Summary
Based on the experience of previous pandemics, countries reacted by applying different upgrade strategies to prevent or delay the widespread of the disease. Therefore, measures such as border closure, school closure, restrict social gathering (even shutdown of workplaces), limit population movements, and confinement meaning quarantines at the scale of cities or regions. In public hospitals, several measures have been decided to concentrate the power of care on potential wave of admissions of patients with severe forms of Covid-19. In this purpose, the number of available beds in Intensive Care Units (ICU) has been increased by two-fold and scheduled non-emergency surgical procedure have been cancelled. That means:
-
For the most severe patients, new personals (physician such as anesthesiologists, nurses of other units) have been transferred in ICUs.
-
For the less severe patients, personals of non-busy units have been transferred in busier ones.
All these measures lead to major daily-life change sets that could be stressful. In the general population, it has been well documented that quarantine or confinement or isolation could lead to the occurrence of Post-Traumatic Stress Disorder (PTSD) syndrome in about 30% overall population. Importantly, high depressive symptoms have been reported in 9% of hospital staff. Numerous symptoms have been reported after quarantine or isolation such as emotional disturbance, depression, stress, low mood, irritability, insomnia, and post-traumatic stress symptoms.
In hospital setting, few studies have been performed for assessing the psychological impact of quarantine and isolation. However, two studies reported a high prevalence of burn-out syndrome (BOS) in ICU physician and PTSD syndrome and depression in ICU nurses. As the consequences of all the measures decided and applied during Covid-19 pandemic could be important on caregivers, the present study primarily aims at assessing the prevalence of PTSD syndrome in a large population of caregivers implied or not in Intensive Care Units. The secondary objective were 1) to assess the prevalence of severe depression and anxiety and BOS 2) to isolate potential factors associated with PTSD, severe depression, anxiety or BOS.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Caregivers • Caregivers (doctors senior and junior, nurses, aid nurses) involved in the staff (permanent or transient, full or partial time) of ICU patients during Covid-19 outbreak |
Other: questionnaire filling
assessment of post-traumatic stress, anxiety and burn out
|
Outcome Measures
Primary Outcome Measures
- Post-Traumatic Stress Disorder [3-6 month after the Covid-19 outbreak]
PCL - 5 (Post-Traumatic Stress Disorder Checklist Scale, version DSM-5)
Secondary Outcome Measures
- anxiety and depression [3-6 month after the Covid-19 outbreak]
HADS scale (Hospital Anxiety and Depression Scale)
- Burn out [3-6 month after the Covid-19 outbreak]
Score MBI (Burn out syndrome)
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Caregivers (doctors senior and junior, nurses, aid nurses) involved in the staff (permanent or transient, full or partial time) of ICU patients during Covid-19 outbreak
-
Approved to participate
Exclusion Criteria:
-
Participation refusal
-
No internet connection for responding to the questionnaire with REDCAP file
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Intensive Care Unit, CHU d'Amiens | Amiens | France | 80054 | |
| 2 | Intensive Care Unit, CHU d'Angers | Angers | France | 49933 | |
| 3 | CHU de Besançon | Besançon | France | 25030 | |
| 4 | CHU de Bordeaux, Hôpital Pellegrin | Bordeaux | France | 33076 | |
| 5 | Intensive care Unit CHU de Brest Hôpital Cavale Blanche | Brest | France | 29609 | |
| 6 | CHU de Caen | Caen | France | 14033 | |
| 7 | CHU de Clermont Ferrand | Clermont-Ferrand | France | 63003 | |
| 8 | AP-HP, Hôpital Henri Mondor | Créteil | France | 94010 | |
| 9 | CHU de dijon | Dijon | France | 21079 | |
| 10 | CHU de Grenoble, Hôpital Michalon | La Tronche | France | 38700 | |
| 11 | AP_HP, Hôpital du Kremlin Bicêtre | Le Kremlin-Bicêtre | France | 94275 | |
| 12 | Intensive Care Unit, CHRU de Lille | Lille | France | 59037 | |
| 13 | Intensive Care Unit, CHU de Limoges | Limoges | France | 87042 | |
| 14 | Hôpitaux civils de Lyon, Hôpital de la Croix Rousse | Lyon | France | 69317 | |
| 15 | Hôpitaux civils de Lyon, Hôpital Louis Pradel | Lyon | France | 69394 | |
| 16 | Hôpitaux civils de Lyon, Hôpital Edouard Herriot | Lyon | France | 69437 | |
| 17 | AP-HM, Hôpital Nord | Marseille | France | 13005 | |
| 18 | AP-HM, Hôpital Timone adultes, Intensive Care Unit | Marseille | France | 13005 | |
| 19 | AP-HM, Hôpital Timone adultes, Neurotraumatology | Marseille | France | 13015 | |
| 20 | AP-HM, Hôpital e la Conception | Marseille | France | 13385 | |
| 21 | CHU de Montpellier, Hôpital Guy de chauliac | Montpellier | France | 34295 | |
| 22 | CHU de Montpellier, Hôpital Lapeyronie | Montpellier | France | 34295 | |
| 23 | CHU de Montpellier, Hôpital St Eloi SAR B | Montpellier | France | 34295 | |
| 24 | CHU De Montpellier, Hôpital St Eloi-DAR B | Montpellier | France | 34295 | |
| 25 | CHU De Montpellier, Hôpital St Eloi | Montpellier | France | 34295 | |
| 26 | Intensive Care Unit, CHU de Mulhouse | Mulhouse | France | 68051 | |
| 27 | Intensive CAre Unit CHRU de Nancy, Hôpital Central | Nancy | France | 54000 | |
| 28 | Intensive Care Unit, CHU de Nantes, Hôtel Dieu | Nantes | France | 44093 | |
| 29 | Intensive Care Unit, CHU de Nantes | Nantes | France | 44093 | |
| 30 | CHU de Nice | Nice | France | 06000 | |
| 31 | Intensive care Unit CHU Nîmes | Nîmes | France | 30029 | |
| 32 | AP-HP, Hôpital de la Pitié | Paris | France | 75013 | |
| 33 | AP-HP, Hôpital Bichât | Paris | France | 75018 | |
| 34 | AP-HP, Hôpital Lariboisière | Paris | France | 75475 | |
| 35 | AP6HP, Hôpital St Loui | Paris | France | 75475 | |
| 36 | AP_HP, Hôpital G Pompidou | Paris | France | 75908 | |
| 37 | AP-HP, Hôpital St Antoine | Paris | France | 75970 | |
| 38 | CH de Perpignan | Perpignan | France | 66046 | |
| 39 | CHU de Bordeaux, Hôpital Haut Leveque | Pessac | France | 33604 | |
| 40 | Intensive care Unit, Hôpitaux civils de Lyon, Lyon Sud | Pierre-Bénite | France | 69310 | |
| 41 | CHU de Poitiers | Poitiers | France | 86021 | |
| 42 | Intensive care Unit CHU de Rennes | Rennes | France | 35033 | |
| 43 | CHU de Rouen | Rouen | France | 76031 | |
| 44 | Intensive Care Unit, CHU de Nantes, Hôpital Laennec | Saint-Herblain | France | 44800 | |
| 45 | CHU de St Etienne, Hôpital Nord | Saint-Étienne | France | 42055 | |
| 46 | Intesive Care Unit CHRU de Strasbourg, Hôpital civil | Strasbourg | France | 67091 | |
| 47 | Intesive Care Unit CHRU de Strasbourg, Hôpital Hautepierre | Strasbourg | France | 67098 | |
| 48 | CHU de Toulouse | Toulouse | France | 31059 | |
| 49 | Intensive care unit CHU de Tours | Tours | France | 37044 | |
| 50 | Intensive CAre Unit CHRU de Nancy, Hôpital de Brabois | Vandœuvre-lès-Nancy | France | 54511 | |
| 51 | CH de Vesoul | Vesoul | France | 70014 |
Sponsors and Collaborators
- Centre Hospitalier Universitaire de Nīmes
Investigators
- Principal Investigator: Jean Yves LEFRANT, Centre Hospitalier Universitaire de Nīmes
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Local/2020/JYL-03