C14. BURNOUT, DISPARITIES, AND OUTCOMES OF THE COVID-19 PANDEMIC最新文献

{"title":"The Influence of the COVID-19 Pandemic on Author Gender and Manuscript Acceptance Rates Among Pulmonary and Critical Care Journals","authors":"K. Vranas, H. Gershengorn, D. Ouyang, S. Cheng, A. Rogers, L. Schweiger, C. Cooke, C. Slatore","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3691","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3691","url":null,"abstract":"Rationale: The COVID-19 pandemic has profoundly disrupted academic endeavors worldwide, disproportionately influencing female physicians and scientists, and potentially negatively impacting the quantity and quality of research unrelated to COVID-19. We sought to evaluate whether the COVID-19 pandemic was associated with a) changes in manuscript submission and acceptance rates among pulmonary/critical care medicine journals, and b) gender-based disparities in these rates. Methods: We used a validated database of author gender to analyze first, senior, and corresponding authorship of all manuscripts submitted to four pulmonary/critical care journals based in the United States (US) between January 1, 2018 and December 31, 2020. We constructed interrupted time series regression models to evaluate whether the proportion of female first and senior authors of non-COVID-19 original research manuscripts changed coincident with the COVID- 19 pandemic. Next, we performed multivariable logistic regressions to evaluate the association of author gender with acceptance of original research manuscript after adjusting for subject category, author world region, and journal. We then conducted sensitivity analyses including all non-original research manuscripts. Results: Among 8,332 original research submissions, women comprised 39.9% and 28.3% of first and senior authors, respectively. We found no change in the proportion of female first or senior authors of non-COVID-19 or COVID-19 submitted research manuscripts during the COVID-19 era. Although female first authorship was not associated with manuscript acceptance, female senior authorship was associated with decreased acceptance of non-COVID research manuscripts (adjusted odds ratio [aOR] 0.84, 95% confidence interval [CI] 0.71-0.99). Non-COVID-19 manuscripts submitted during the COVID-19 era had reduced odds of acceptance, regardless of author gender (first author analysis: aOR 0.46 [95% CI 0.36-0.59];senior author analysis: aOR 0.46 [95% CI 0.37-0.57]). Conclusions: Women comprise a minority of first and senior authors among research manuscripts submitted to US-based pulmonary and critical care journals, but this was not influenced by the pandemic. Female senior authorship of non-COVID-19 research manuscripts was associated with reduced odds of acceptance. However, non-COVID manuscripts were nearly 50% less likely to be accepted during the COVID-19 era, independent of author gender. These results provide important insights into the influence of the pandemic on gender disparities in academic medicine and on the publication of high-quality research focused on topics unrelated to COVID-19.","PeriodicalId":229442,"journal":{"name":"C14. BURNOUT, DISPARITIES, AND OUTCOMES OF THE COVID-19 PANDEMIC","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126008422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Diversity in COVID-19 Vaccine Clinical Trial Enrollment: A Retrospective Analysis","authors":"A. Davis, L. Schnapp, S. Bidar-Sielaff, D. Siraj, S. Henderson, J. Zapata, F. Osman, R.F. Veintimilla, N. Elizabeth, W. Hartman","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3692","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3692","url":null,"abstract":"","PeriodicalId":229442,"journal":{"name":"C14. BURNOUT, DISPARITIES, AND OUTCOMES OF THE COVID-19 PANDEMIC","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125321471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Disability Over the 6 Months After a COVID Hospitalization Among Older Adults: The VALIANT (COVID-19 in Older Adults: A Longitudinal Assessment) Study","authors":"L. Ferrante, A. Hajduk, A. Cohen, G. McAvay, M. Geda, S. Chattopadhyay, S. Lee, D. Acampora, T. Gill, T. Murphy","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3696","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3696","url":null,"abstract":"Rationale: Although mortality from COVID-19 increases with advanced age, most older adults survive a COVID hospitalization. Disability, or dependence in functional activities, is known to increase after a serious illness among older adults, with adverse consequences for patients, families, and society. Little is known about disability, and the factors associated with disability, after a COVID hospitalization among older adults. Methods: We enrolled 341 older (≥60 years) adults during their index COVID-19 hospitalization between 7/6/2020-6/24/2021 from five hospitals in the Yale-New Haven Health System. Upon enrollment, participants underwent an assessment of baseline (prehospitalization) disability, frailty, general health, social support, hearing, vision, mental health, and assessments of current (in-hospital) symptom burden and cognitive function. These assessments were linked to EMR data including demographics, SOFA score, comorbidities, biomarkers, respiratory support, pressors, length of stay, and COVIDspecific treatments. Disability was assessed at baseline and 1, 3, and 6 months by asking about dependence in 15 basic, instrumental, and mobility activities. The primary outcome was the disability count (0-15) over the 6 months after the COVID hospitalization. The analytic sample included 304 participants who survived their hospitalization and had at least one post-discharge follow-up. We determined the mean (SD) number of disabilities over the 6 months after discharge and evaluated 27 factors for their association with the 6-month disability count using backwards selection based on minimization of the Bayesian Information Criterion with a zero-inflated negative binomial distribution and adjustment for baseline disability count and months of follow-up. Results: The mean age was 71.2 years (SD 8.5), 158 (51.8%) were women, and 108 (35.5%) were of nonwhite race or Hispanic ethnicity (Table). The mean prehospitalization disability count was 2.2 (SD 3.4), and the mean disability count over the 6 months after the COVID hospitalization was 2.9 (SD 3.7). In the multivariable model, greater baseline disability, older age, higher BMI, higher comorbidity count, cognitive dysfunction, greater symptom burden during the hospitalization, and the need for advanced respiratory support were all associated with greater disability over the 6 months after a COVID hospitalization. Conclusions: Other than the need for advanced respiratory support, factors associated with disability after a COVID hospitalization among older adults reflect vulnerability at baseline (comorbidities, baseline disability, age, BMI) or during the hospitalization (symptom burden, cognitive dysfunction), rather than biomarkers or severity of illness. These factors may identify older adults for referral to Post-COVID clinic programs to improve the likelihood of functional recovery after discharge. (Table Presented).","PeriodicalId":229442,"journal":{"name":"C14. BURNOUT, DISPARITIES, AND OUTCOMES OF THE COVID-19 PANDEMIC","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130479371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Targeting Healthcare Provider Burnout During the COVID-19 Pandemic","authors":"S. Joshi, S. Vaishnavi, A. Brucker, A. Taylor, S. Jessica, T. Harshbarger, S.-C. Chow, P. Lee","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3690","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3690","url":null,"abstract":"","PeriodicalId":229442,"journal":{"name":"C14. BURNOUT, DISPARITIES, AND OUTCOMES OF THE COVID-19 PANDEMIC","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114769067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 Patients Expressed Distinct Clinical Trait Signatures at Index Hospitalization Across the Four SARS-CoV-2 Pandemic Waves in Florida","authors":"J. Sia, P. Idogun, D. Patel, I. Motie, K. Hamad, M. Geary, J. Seaman, W. Wiese-Rometsch","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3698","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3698","url":null,"abstract":"","PeriodicalId":229442,"journal":{"name":"C14. BURNOUT, DISPARITIES, AND OUTCOMES OF THE COVID-19 PANDEMIC","volume":"08 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127120908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Has the COVID-19 Pandemic Affected the Health Care Utilization in Children with Asthma - A Canadian Population Study","authors":"T. To, J. Zhu, K. Zhang, E. Terebessy, C. Licskai","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3697","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3697","url":null,"abstract":"","PeriodicalId":229442,"journal":{"name":"C14. BURNOUT, DISPARITIES, AND OUTCOMES OF THE COVID-19 PANDEMIC","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127973806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial and Rural Disparities in COVID-19 Vaccination Uptake in a National Sample of Veterans","authors":"E. Bernstein, E. Derycke, L. Han, L. Bastian, B. Bean-Mayberry, B. Bade, C. Brandt, M. Farmer, K. Crothers, M. Skanderson, C. Ruser, J. Spelman, I. Bazan, A. Justice, C. Rentsch, K. Akgun","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3695","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3695","url":null,"abstract":"","PeriodicalId":229442,"journal":{"name":"C14. BURNOUT, DISPARITIES, AND OUTCOMES OF THE COVID-19 PANDEMIC","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132320206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Color of a Pandemic: The Association Between Historical Residential Redlining and COVID-19 Outcomes in California","authors":"E. Casillas, M. Ye, J. Vargo, A. Nardone, P. Shete, N. Thakur","doi":"10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3693","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3693","url":null,"abstract":"","PeriodicalId":229442,"journal":{"name":"C14. BURNOUT, DISPARITIES, AND OUTCOMES OF THE COVID-19 PANDEMIC","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126268073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}