COVID-19 Healthcare Worker Exposure Response and Outcomes (HERO) Trial


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dc.contributorPatient-Centered Outcomes Research Institute
dc.contributor.authorHernandez, Adrian
dc.contributor.otherDuke Clinical Research Institute
dc.date.accessioned2024-10-25T21:12:04Z
dc.descriptionHealthcare workers are on the front-lines of the COVID-19 pandemic and may be disproportionately affected by it. This study is intended to assess the effects of the pandemic on the health and lives of US healthcare workers. 11,982 healthcare workers ages 18 years and older from all types of healthcare organizations nationwide were surveyed for outcomes including COVID-19 exposure, viral and antibody testing, diagnosis of COVID-19, access to personal protective equipment (PPE), work hours, physical and emotional symptoms, and job burnout. #### Study Design Survey of US healthcare workers who joined the HERO registry from April 10 to May 22, 2020. #### Results Mean age was 42.9 years, 76.3% were female, 79.3% White, 77.3% worked in hospitals, 33.3% were nurses, 19.4% were physicians, and 31.0% worked in high risk settings. Overall, 43.2% reported a COVID-19 exposure and 91.3% were exposed at work. Just 3.7% had a positive viral or antibody test or a physician diagnosis of COVID-19. The adjusted odds of COVID-19 illness were 2.1 times (95% CI 1.6-2.9) higher for Hispanic/Latinos and 2.2 times higher (95% CI 1.5-3.3) for Black/African-Americans than White counterparts. Access to N95 respiratory masks was problematic for 35.7% and reuse of masks was common (51.5%). Staff who worked in high risk settings (e.g., ICUs, EDs, COVID-19 units) experienced more physical and emotional symptoms than those in low risk settings and were more likely to report job burnout (43.1% vs 38.1%, p less than 0.01). Healthcare workers are at high risk for COVID-19 exposure, but rates of COVID-19 illness remain low. Attention should be given to addressing staff well-being, particularly the needs of women who comprise three-fourths of the healthcare workforce. The greater risk of COVID-19 infection among race/ethnicity minorities reported in the general population is also seen in healthcare workers, which calls for a better understanding of the origins of these disturbing disparities.
dc.description.abstractA PEDSnet project to assess the effects of the pandemic on the health and lives of US healthcare workers.
dc.identifier.urihttps://hdl.handle.net/20.500.14642/880
dc.language.isoen
dc.publisherPEDSnet
dc.relation.isreferencedbyLusk JB, Xu H, Thomas LE, Cohen LW, Hernandez AF, Forrest CB, et al. March 2022. "HERO Research Program. Racial/Ethnic Disparities in Healthcare Worker Experiences During the COVID-19 Pandemic: An Analysis of the HERO Registry." _EClinicalMedicine_. 45:101314. <br>DOI: [10.1016/j.eclinm.2022.101314](doi.org/10.1016/j.eclinm.2022.101314)
dc.rightsa CC-BY 4.0 Attribution license.
dc.rights.urihttps://creativecommons.org/licenses/by-sa/4.0/
dc.subjectPEDSnet Data Source
dc.subjectPCORI-Funded Research
dc.subject.meshHealth Personnel
dc.subject.meshCOVID-19
dc.subject.meshPandemics
dc.subject.meshSurveys and Questionnaires
dc.titleCOVID-19 Healthcare Worker Exposure Response and Outcomes (HERO) Trial
dspace.entity.typeStudy
local.admin.noteStudy PM: , Study Analysts: DCC
local.contributor.siteLeadPEDSnet Data Coordinating Center
local.contributor.siteSponsorPEDSnet Data Coordinating Center
local.contributor.sitesChildren's Hospital of Philadelphia
local.contributor.sitesCincinnati Children's Hospital Medical Center
local.contributor.sitesSeattle Children's Hospital
local.identifier.pedsnetid2021.HERA.PCORI.DCC
project.endDateUnknown
project.startDate2021
relation.isPublicationOfStudycdc8358b-5334-43b1-abbf-56316be4477b
relation.isPublicationOfStudy057c419a-fc0d-4a31-a716-77e6d0d50796
relation.isPublicationOfStudyd5fb422b-ec56-46d2-8231-d789ea62bfa4
relation.isPublicationOfStudy.latestForDiscoverycdc8358b-5334-43b1-abbf-56316be4477b

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