Establishing a Cohort for Occupational Disease of Emergency Medical Workers

Study Overview
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Brief Summary
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This study aims to understand the epidemiological characteristics, related factors , and current status of occupational diseases and damage that occur in emergency medical workers (doctors and nurses). A number of surveys were conducted on about 100 emergency medical workers for about a year with occupational factors, physical health, and mental health.

Detailed Description
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Background : The importance and public role of emergency medical care Emergency medical care is a public and essential medical service that is directly related to the lives of the public and plays a key role in the domestic medical delivery system. Health problems of domestic emergency medical staff Emergency medical workers are at higher risk than the general population due to higher work intensity, lack of medical staff, unplanned patient occurrence, and congestion. Most emergency medical workers in Korea are classified as high-risk medical staff and receive special medical checkups once or twice a year. On the other hand, these regular medical checkups are only an evaluation of the overall health status of medical staff, which does not lead to prevention before the deterioration of the health status of individual medical staff. Objective : The purpose of this study is to establish a cohort research system to develop prevention and health care solutions by identifying epidemiological characteristics, related factors for occupational diseases, and damage occurring in emergency medical workers (doctors and nurses). Design: Observational (Cohort study) Setting: In the Department of Emergency at the Samsung Medical Center and other hospitals Enrollment : About 100 Emergency medical workers (doctors and nurses) Methods: Questionnaire surveys on occupational, mental, physical factors during about 1 year.

Official Title
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A Study on the Establishment of a Cohort for Occupational Disease, Damage Prevention, and Health Management of Emergency Medical Workers

Conditions
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Occupational Diseases, Emergency Departments

Intervention / Treatment
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* Other: questionnaire survey


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: The emergency medical workers who have heard the explanation of the study and agreed to participate aged 18 or older have no occupational disease or damage (within 4 weeks) at the time of cohort establishment. Exclusion criteria: Those who disagree with this study A person who is not engaged in actual work, such as taking leave of absence, or who does not agree to participate Those with occupational diseases or damage at the time of cohort establishment (within 4 weeks)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Doctor<br>Doctors of the Emergency department conduct questionnaires about occupational, mental, physical factors on their health. | Other: questionnaire survey<br>* Questionnaire survey about occupational, mental, physical factors on one's health.<br>|
| Nurses<br>Nurses of the Emergency department conduct questionnaires about occupational, mental, physical factors on their health. | Other: questionnaire survey<br>* Questionnaire survey about occupational, mental, physical factors on one's health.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Stress_1 | Stress of the participants with surveys asking their status | At the enrollment | 
| Stress_2 | Stress of the participants with surveys asking their status | 3 months after the enrollment | 
| Stress_3 | Stress of the participants with surveys asking their status | 6 months after the enrollment | 
| Stress_4 | Stress of the participants with surveys asking their status | 9 months after the enrollment | 
| Stress_5 | Stress of the participants with surveys asking their status | 12 months after the enrollment | 
| Burn out_1 | Burn out of the participants with surveys asking their status | At the enrollment | 
| Burn out_2 | Burn out of the participants with surveys asking their status | 3 months after the enrollment | 
| Burn out_3 | Burn out of the participants with surveys asking their status | 6 months after the enrollment | 
| Burn out_4 | Burn out of the participants with surveys asking their status | 9 months after the enrollment | 
| Burn out_5 | Burn out of the participants with surveys asking their status | 12 months after the enrollment | 
| Depression_1 | Depression of the participants with surveys asking their status | At the enrollment | 
| Depression_2 | Depression of the participants with surveys asking their status | 3 months after the enrollment | 
| Depression_3 | Depression of the participants with surveys asking their status | 6 months after the enrollment | 
| Depression_4 | Depression of the participants with surveys asking their status | 9 months after the enrollment | 
| Depression_5 | Depression of the participants with surveys asking their status | 12 months after the enrollment | 
| PTSD_1 | PTSD of the participants with surveys asking their status | At the enrollment | 
| PTSD_2 | PTSD of the participants with surveys asking their status | 3 months after the enrollment | 
| PTSD_3 | PTSD of the participants with surveys asking their status | 6 months after the enrollment | 
| PTSD_4 | PTSD of the participants with surveys asking their status | 9 months after the enrollment | 
| PTSD_5 | PTSD of the participants with surveys asking their status | 12 months after the enrollment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Circulatory mechanical disease_1 | Circulatory mechanical disease of the participants with surveys asking their status | At the enrollment | 
| Circulatory mechanical disease_2 | Circulatory mechanical disease of the participants with surveys asking their status | 12 months after the enrollment | 
| Musculoskeletal disorder_1 | Musculoskeletal disorder of the participants with surveys asking their status | At the enrollment | 
| Musculoskeletal disorder_2 | Musculoskeletal disorder of the participants with surveys asking their status | 3 months after the enrollment | 
| Musculoskeletal disorder_3 | Musculoskeletal disorder of the participants with surveys asking their status | 6 months after the enrollment | 
| Musculoskeletal disorder_4 | Musculoskeletal disorder of the participants with surveys asking their status | 9 months after the enrollment | 
| Musculoskeletal disorder_5 | Musculoskeletal disorder of the participants with surveys asking their status | 12 months after the enrollment | 
| Respiratory disease_1 | Respiratory disease of the participants with surveys asking their status | At the enrollment | 
| Respiratory disease_2 | Respiratory disease of the participants with surveys asking their status | 12 months after the enrollment | 
| Endocrine/metabolic disease_1 | Endocrine/metabolic disease of the participants with surveys asking their status | At the enrollment | 
| Endocrine/metabolic disease_2 | Endocrine/metabolic disease of the participants with surveys asking their status | 12 months after the enrollment | 
| Cancer disease_1 | Cancer disease of the participants with surveys asking their status | At the enrollment | 
| Cancer disease_2 | Cancer disease of the participants with surveys asking their status | 12 months after the enrollment | 
| Other diseases_1 | Other diseases of the participants with surveys asking their status | At the enrollment | 
| Other diseases_2 | Other diseases of the participants with surveys asking their status | 12 months after the enrollment | 
| The change of how good the participants feel about their health condition (very good very bad) and checking whether they were sick or feel uncomfortable or not (yes vs. no) | The change of how good the participants feel about their health condition (very good very bad) and checking whether they were sick or feel uncomfortable or not (yes vs. no) | Every 2 weeks from the enrollment up to 1 year | 
| Occupational factors of the participants with surveys: Main working hours_1 | Main working hours | At the enrollment | 
| Occupational factors of the participants with surveys: Main working hours_2 | Main working hours | 1 months after the enrollment | 
| Occupational factors of the participants with surveys: Main working hours_3 | Main working hours | 2 months after the enrollment | 
| Occupational factors of the participants with surveys: Main working hours_4 | Main working hours | 3 months after the enrollment | 
| Occupational factors of the participants with surveys: Main working hours_5 | Main working hours | 4 months after the enrollment | 
| Occupational factors of the participants with surveys: Main working hours_6 | Main working hours | 5 months after the enrollment | 
| Occupational factors of the participants with surveys: Main working hours_7 | Main working hours | 6 months after the enrollment | 
| Occupational factors of the participants with surveys: Main working hours_8 | Main working hours | 7 months after the enrollment | 
| Occupational factors of the participants with surveys: Main working hours_9 | Main working hours | 8 months after the enrollment | 
| Occupational factors of the participants with surveys: Main working hours_10 | Main working hours | 9 months after the enrollment | 
| Occupational factors of the participants with surveys: Main working hours_11 | Main working hours | 10 months after the enrollment | 
| Occupational factors of the participants with surveys: Main working hours_12 | Main working hours | 11 months after the enrollment | 
| Occupational factors of the participants with surveys: Main working hours_13 | Main working hours | 12 months after the enrollment | 
| Occupational factors of the participants with surveys: Average working hours per day_1 | Average working hours per day | At the enrollment | 
| Occupational factors of the participants with surveys: Average working hours per day_2 | Average working hours per day | 1 months after the enrollment | 
| Occupational factors of the participants with surveys: Average working hours per day_3 | Average working hours per day | 2 months after the enrollment | 
| Occupational factors of the participants with surveys: Average working hours per day_4 | Average working hours per day | 3 months after the enrollment | 
| Occupational factors of the participants with surveys: Average working hours per day_5 | Average working hours per day | 4 months after the enrollment | 
| Occupational factors of the participants with surveys: Average working hours per day_6 | Average working hours per day | 5 months after the enrollment | 
| Occupational factors of the participants with surveys: Average working hours per day_7 | Average working hours per day | 6 months after the enrollment | 
| Occupational factors of the participants with surveys: Average working hours per day_8 | Average working hours per day | 7 months after the enrollment | 
| Occupational factors of the participants with surveys: Average working hours per day_9 | Average working hours per day | 8 months after the enrollment | 
| Occupational factors of the participants with surveys: Average working hours per day_10 | Average working hours per day | 9 months after the enrollment | 
| Occupational factors of the participants with surveys: Average working hours per day_11 | Average working hours per day | 10 months after the enrollment | 
| Occupational factors of the participants with surveys: Average working hours per day_12 | Average working hours per day | 11 months after the enrollment | 
| Occupational factors of the participants with surveys: Average working hours per day_13 | Average working hours per day | 12 months after the enrollment | 
| Occupational factors of the participants with surveys: Damages_1 | Damages that occurred while performing business operations | At the enrollment | 
| Occupational factors of the participants with surveys: Damages_2 | Damages that occurred while performing business operations | 3 months after the enrollment | 
| Occupational factors of the participants with surveys: Damages_3 | Damages that occurred while performing business operations | 6 months after the enrollment | 
| Occupational factors of the participants with surveys: Damages_4 | Damages that occurred while performing business operations | 9 months after the enrollment | 
| Occupational factors of the participants with surveys: Damages_5 | Damages that occurred while performing business operations | 12 months after the enrollment | 
| Lifestyle of the participants with surveys: Drinking alcohol status_1 | Drinking alcohol status | At the enrollment | 
| Lifestyle of the participants with surveys: Drinking alcohol status_2 | Drinking alcohol status | 3 months after the enrollment | 
| Lifestyle of the participants with surveys: Drinking alcohol status_3 | Drinking alcohol status | 6 months after the enrollment | 
| Lifestyle of the participants with surveys: Drinking alcohol status_4 | Drinking alcohol status | 9 months after the enrollment | 
| Lifestyle of the participants with surveys: Drinking alcohol status_5 | Drinking alcohol status | 12 months after the enrollment | 
| Lifestyle of the participants with surveys : Smoking_1 | Smoking status | At the enrollment | 
| Lifestyle of the participants with surveys : Smoking_2 | Smoking status | 3 months after the enrollment | 
| Lifestyle of the participants with surveys : Smoking_3 | Smoking status | 6 months after the enrollment | 
| Lifestyle of the participants with surveys : Smoking_4 | Smoking status | 9 months up to 1 year | 
| Lifestyle of the participants with surveys : Smoking_5 | Smoking status | 12 months up to 1 year | 
| Lifestyle of the participants with surveys : Obesity and weight control_1 | Status of obesity and weight control | At the enrollment | 
| Lifestyle of the participants with surveys : Obesity and weight control_2 | Status of obesity and weight control | 3 months after the enrollment | 
| Lifestyle of the participants with surveys : Obesity and weight control_3 | Status of obesity and weight control | 6 months after the enrollment | 
| Lifestyle of the participants with surveys : Obesity and weight control_4 | Status of obesity and weight control | 9 months after the enrollment | 
| Lifestyle of the participants with surveys : Obesity and weight control_5 | Status of obesity and weight control | 12 months after the enrollment | 
| Lifestyle of the participants with surveys: physical activity and exercise_1 | Status of physical activity and exercise | At the enrollment | 
| Lifestyle of the participants with surveys: physical activity and exercise_2 | Status of physical activity and exercise | 3 months after the enrollment | 
| Lifestyle of the participants with surveys: physical activity and exercise_3 | Status of physical activity and exercise | 6 months after the enrollment | 
| Lifestyle of the participants with surveys: physical activity and exercise_4 | Status of physical activity and exercise | 9 months after the enrollment | 
| Lifestyle of the participants with surveys: physical activity and exercise_5 | Status of physical activity and exercise | 12 months after the enrollment | 
| Lifestyle of the participants with surveys : A sense of safety_1 | A sense of safety | At the enrollment | 
| Lifestyle of the participants with surveys : A sense of safety_2 | A sense of safety | 3 months after the enrollment | 
| Lifestyle of the participants with surveys : A sense of safety_3 | A sense of safety | 6 months after the enrollment | 
| Lifestyle of the participants with surveys : A sense of safety_4 | A sense of safety | 9 months after the enrollment | 
| Lifestyle of the participants with surveys : A sense of safety_5 | A sense of safety | 12 months after the enrollment | 
| Lifestyle of the participants with surveys : Stress level_1 | Stress level | At the enrollment | 
| Lifestyle of the participants with surveys : Stress level_2 | Stress level | 3 months after the enrollment | 
| Lifestyle of the participants with surveys : Stress level_3 | Stress level | 6 months after the enrollment | 
| Lifestyle of the participants with surveys : Stress level_4 | Stress level | 9 months after the enrollment | 
| Lifestyle of the participants with surveys : Stress level_5 | Stress level | 12 months after the enrollment | 
| Lifestyle of the participants with surveys: Sleep_1 | Sleep | At the enrollment | 
| Lifestyle of the participants with surveys: Sleep_2 | Sleep | 3 months after the enrollment | 
| Lifestyle of the participants with surveys: Sleep_3 | Sleep | 6 months after the enrollment | 
| Lifestyle of the participants with surveys: Sleep_4 | Sleep | 9 months after the enrollment | 
| Lifestyle of the participants with surveys: Sleep_5 | Sleep | 12 months after the enrollment |