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?:abstract
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BACKGROUND: Intensive care unit (ICU) healthcare workers (HCWs) are at the forefront of the COVID-19 pandemic. To overcome the lack of human resources during this crisis, some ICUs had to mobilize staff from a reinforcement pool, with no or outdated ICU experience. This study aimed to investigate and to compare the psychological impact of the pandemic on ICU regular staff and reinforcement. MATERIAL AND METHODS: Self-assessment questionnaire were completed by HCWs who worked from March the 1st to April the 30th 2020 in our 16 bed Neurological-ICU at La Pitié-Salpêtrière Hospital in Paris, France, which was converted to a COVID-ICU. Hospital Anxiety and Depression Scale, the Post-traumatic Stress Disorder Checklist for DSM-5, McGill Quality of Life Questionnaire-Revised, and 10-item Connor–Davidson Resilience Scale were used to assess respectively anxiety, depression, post-traumatic stress disorder (PTSD), quality of life (QoL) and resilience. RESULTS: Sixty-nine ICU-HCWs completed the survey (37 from the regular staff, i.e from the public health service, and 32 from a reinforcement pool, either from non-ICU public health service, or from private health care interim employment agencies). Prevalence of anxiety, depression and PTSD symptoms were high, at 19%, 9% and 16% respectively, with limited impairment in QoL or resilience scores. Depression symptoms were more observed in the regular staff compared to welcomed reinforcement, respectively at 16% and 0%. CONCLUSIONS: These results revealed that during the pandemic, HCWs from the regular staff were at greater risk of developing psychological disorder compared to reinforcement, with higher levels of depressive symptoms.
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