• Fernanda Lima-Setta, Claudia Leite de Moraes, Pedro Henrique Nunes Costa Silami, Michael Eduardo Reichenheim, Juliana Freitas de Mello E Silva, Luciane Stochero, Mariana Barros Genuíno de Oliveira, Jaqueline Rodrigues Robaina, Gustavo Rodrigues-Santos, de AlmeidaCarlos GustavoCGPediatric Intensive Care Unit, Hospital Assunção, São Bernardo do Campo, SP, Brazil., Carolina Friedrich Amoretti, Ana Paula Novaes Bellinat, Igor Bromonschenkel Brandão, Patrícia Barbosa de Carvalho, Ricardo Viana Falcão, Simone Camera Gregory, Melissa de Lorena Jacques, Roberto Sapolnik, Claudia Mei Lan Jae, Adriana Koliski, João Ronaldo Mafalda Krauzer, de LimaLúcio Flávio PeixotoLFPPediatric Intensive Care Unit, Hospital Sepaco, São Paulo, SP, Brazil., Vivian Botelho Lorenzo, João Henrique Garcia Cobas Macedo, Sandra Lange Zaponi Melek, Isabele Coelho Fonseca da Mota, Cinara Carneiro Neves, Mirela Alves Castro, Fernanda Lobo Rascão, Letícia Massaud-Ribeiro, Paula Marins Riveiro, Klara Amanda Rodrigues, Ana Carolina Cabral Pinheiro Scarlato, Thiago Peres da Silva, Ana Carolina Miranda C F F Souza, de Araújo TorreãoLaraLPediatric Intensive Care Unit, Hospital Aliança, Salvador, BA, Brazil., Raquel de Seixas Zeitel, Alves da CunhaAntonio José LedoAJLDepartment of Pediatrics, Instituto D'Or de Pesquisa e Ensino, Rio de Janeiro, RJ, Brazil.Department of Pediatrics, Faculdade de Medicina, Universidade Federal do Rio de Janeiro, RJ, Brazil., Arnaldo Prata-Barbosa, Maria Clara de Magalhães-Barbosa, and Brazilian Research Network in Pediatric Intensive Care (BRnet-PIC).
• Department of Pediatrics, Instituto D'Or de Pesquisa e Ensino, Rio de Janeiro, RJ, Brazil.
• Pediatr Crit Care Me. 2023 Apr 1; 24 (4): 277288277-288.

ObjectivesTo assess the prevalence of burnout, anxiety and depression symptoms, and posttraumatic stress disorder (PTSD) in PICU workers in Brazil during the first peak of the COVID-19 pandemic. To compare the results of subgroups stratified by age, gender, professional category, health system, and previous mental health disorders.DesignMulticenter, cross-sectional study using an electronic survey.SettingTwenty-nine public and private Brazilian PICUs.SubjectsMultidisciplinary PICU workers.InterventionsNone.Measurements And Main ResultsSelf-reported questionnaires were used to measure burnout (Maslach Burnout Inventory), anxiety and depression (Hospital Anxiety and Depression Scale), and PTSD (Posttraumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [PCL-5]) in 1,084 respondents. Subjects were mainly young (37.1 ± 8.4 yr old) and females (85%), with a median workload of 50 hours per week. The prevalence of anxiety and depression was 33% and 19%, respectively, whereas PTSD was 13%. The overall median burnout scores were high in the emotional exhaustion and personal accomplishment dimensions (16 [interquartile range (IQR), 8-24] and 40 [IQR, 33-44], respectively) whereas low in the depersonalization one (2 [IQR, 0-5]), suggesting a profile of overextended professionals, with a burnout prevalence of 24%. Professionals reporting prior mental health disorders had higher prevalence of burnout (30% vs 22%; p = 0.02), anxiety (51% vs 29%; p < 0.001), and depression symptoms (32.5% vs 15%; p < 0.001), with superior PCL-5 scores for PTSD ( p < 0.001). Public hospital workers presented more burnout (29% vs 18.6%, p < 0.001) and more PTSD levels (14.8% vs 10%, p = 0.03). Younger professionals were also more burned out ( p < 0.05 in all three dimensions).ConclusionsThe prevalence of mental health disorders in Brazilian PICU workers during the first 2020 peak of COVID-19 was as high as those described in adult ICU workers. Some subgroups, particularly those reporting previous mental disorders and younger professionals, should receive special attention to prevent future crises.Copyright © 2022 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

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