Psycho-traumatic Consequences of the COVID-19 Health Crisis Among Professionals in Emergency Services

Study Overview
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Brief Summary
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The COVID-19 outbreak has been categorized as a pandemic and declared an international public health emergency by WHO. In this context, an exceptional mobilization and a complete reorganization of the organization of the healthcare offer was put in place.The investigators will study the psychological consequences among emergency department (ED) / SAMU (Service d'Aide Médicale Urgente) professionals exposed during the COVID-19 pandemic to high psychological stress due to work overload, changes in practices and fears of contamination.They will evaluate at 9 and 12 months after the end of the second lockdown (July December 2020), post-traumatic stress disorder (PTSD), personal and professional stress, anxiety and depression, burn-out and consumption of anxiolytic products. This is a multi-center study and includes doctors, DE interns and nurses, other paramedics and medical regulatory assistants working in one of the ED or SAMU working during phase 3 of the COVID-19 pandemic. It should make it possible to know the psychological load of the months following the epidemic among health professionals who worked in emergencies during this period and to understand their risk of occurrence of PTSD. These elements are also essential to improve the management of health crises and to put in place preventive measures for health professionals, in particular in anticipation of recurrences, second wave or future new episode.

Official Title
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Psycho-traumatic Consequences of the COVID-19 Health Crisis Among Professionals in Emergency Services and SAMU: Multicenter Cohort Study (COVid in EmeRgency PROfessionnals Long Term)

Conditions
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Post Traumatic Stress Disorder

Intervention / Treatment
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* Other: PTSD evaluation of emergency room staff 9 and 12 months after the end of second lockdown in France during COvid-19 pandemic


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults Administrative and technical medical staff of the Hospices Civils de Lyon Contractual or holder Having participated in the COVER PRO study Working in one of the HCL phase 3 departments of the COVID-19 pandemic. Affiliated with a social security system Having signed an informed consent Exclusion Criteria: Refusal to participate Major under legal protection

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Follow-up<br> | Other: PTSD evaluation of emergency room staff 9 and 12 months after the end of second lockdown in France during COvid-19 pandemic<br>* PCL-5 autoquestionnaire to make the PTSD diagnosis<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Existence of a Post Traumatic Stress Disorder (PTSD) at 12 months using PTSD Scale | : Existence of a PTSD after the end of the second lockdown using the PCL-5 scale (Post Traumatic Stress Disorder Checklist, 20 items, self-questionnaire) validated in French for PTSD screening. The presence of a probable PTSD will be defined by a cut-off score of 31/80 and at least a positive response to one of the four questions asking if the symptoms were causing difficulties in relations with family, friends, work or in daily life | 12 months after the end of the second Lockdown (December 2020) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Existence of a Post Ttraumatic Stress Disorder (PTSD) 9 months using PTSD Scale | Existence of a PTSD after the end of the second lockdown using the PCL-5 scale (Post Traumatic Stress Disorder Checklist, 20 items, self-questionnaire) validated in French for PTSD screening. The presence of a probable PTSD will be defined by a cut-off score of 31/80 and at least a positive response to one of the four questions asking if the symptoms were causing difficulties in relations with family, friends, work or in daily life | 9months after the end of the second Lockdown (December 2020) | 
| Anxiety evaluation at 12 months using HAD scale | Existence of anxious symptomatology assessed by the HAD scale. 14 items, cut-off score: 8 suspected disorder, 11: proven disorder | 12months after the end of the second Lockdown (December 2020) | 
| Anxiety evaluation at 9 months using HAD scale | Existence of anxious symptomatology assessed by the HAD scale. 14 items, cut-off score: 8 suspected disorder, 11: proven disorder | 9months after the end of the second Lockdown (December 2020) | 
| Depression evaluation at 12 months using HAD scale | Existence of depression symptomatology assessed by the HAD scale. 14 items, cut-off score: 8 suspected disorder, 11: proven disorder | 12months after the end of the second Lockdown (December 2020) | 
| Depression evaluation at 9 months using HAD scale | Existence of depression symptomatology assessed by the HAD scale. 14 items, cut-off score: 8 suspected disorder, 11: proven disorder | 9months after the end of the second Lockdown (December 2020) | 
| Presence of a Burn out at 12 months using the Maslach Burnot Inventory (MBI) scale | Burnout characterized by the Maslach burnout inventory scale. All MBI items are scored using a 7 level frequency ratings from never to daily. The MBI has three component scales: emotional exhaustion (9 items), depersonalization (5 items) and personal achievement (8 items). Each scale measures its own unique dimension of burnout. | 12months after the end of the second Lockdown (December 2020) | 
| Presence of a Burn out at 9 months using the MBI scale | Burnout characterized by the Maslach burnout inventory scale. All MBI items are scored using a 7 level frequency ratings from never to daily. The MBI has three component scales: emotional exhaustion (9 items), depersonalization (5 items) and personal achievement (8 items). Each scale measures its own unique dimension of burnout. | 9months after the end of the second Lockdown (December 2020) | 
| Work-related stress measured using Karasek questionnaire at 12 months | Work-related stress measured using Karasek questionnaire at 12 months | 12months after the end of the second Lockdown (December 2020) | 
| Work-related stress measured using Karasek questionnaire at 9 months | Work-related stress measured using Karasek questionnaire at 9 months | 9months after the end of the second Lockdown (December 2020) | 
| Consumption of psychoactive substances at 12 months | Change in the consumption of psychoactive substances at 12 months | 12months after the end of the second Lockdown (December 2020) | 
| Percentage of patients with psychological Support at 12 months | Percentage of patients who benefit from a psychological support at 12 months | 12months after the end of the second Lockdown (December 2020) | 
| Mean number of days of sick leave at 12 months | Mean number of days of sick leave at 12 months | 12months after the end of the second Lockdown (December 2020) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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post traumatic stress disorder, PTSD, emergency services, COVID-19, burn-out