Background Healthcare workers (HCWs) exposed to coronavirus 19 (COVID-19) are at high risk of developing mental health concerns across several domains. The aim of this study is to determine the updated, global frequency of these outcomes. Methods A multistep literature search was performed from database inception until March 1, 2021. PRISMA/MOOSE-compliant systematic review and PROSPERO protocol were used to identify studies reporting on depression, anxiety, acute stress, post-traumatic symptoms, insomnia, and burnout in HCWs exposed to COVID-19. A quantitative meta-analysis with random effects was conducted to analyze the proportion rate of the mental health disorders. Sensitivity analyses were performed to investigate the effect of the different continents and scales. Meta-regression analyses were conducted to examine the effect of gender, age, and work position. Results 239 articles were included ( n = 271,319 HCWs, mean age = 36.08 ± 8.33 (66.99% female). 33% HCWs exposed to COVID-19 reported depressive symptoms (95% confidence intervals [CI] = 28–38%), 42% anxiety features (95% CI = 35–48), 40% acute stress (95% CI = 32–47), 32% post-traumatic symptoms (95% CI = 26–37%), 42% insomnia (95% CI = 36–48), 37% burnout (95% CI = 31–42). Sensitivity analyses did not show statistically significant differences. Meta-regressions found a statistically significant lower prevalence of post-traumatic symptoms in Asia. Conclusions HCWs exposed to COVID-19 were found to have a significant prevalence of mental health concerns in all domains analyzed. The effects of COVID-19 on HCWs’ mental health could be underestimated and the future consequences dismissed.
【저자키워드】 COVID-19, coronavirus, Healthcare workers, mental health, 【초록키워드】 Meta-analysis, coronavirus, protocol, Burnout, Anxiety, Depression, mental health, systematic review, Gender, Symptom, database, Symptoms, healthcare worker, Asia, Prevalence, outcomes, Depressive symptoms, HCWs, female, age, Insomnia, Quantitative, mental health disorders, Frequency, post-traumatic, Analysis, Acute stress, high risk, HCW, confidence interval, domains, domain, Sensitivity analyses, depressive, article, random effect, mental health concerns, Meta-regression analyses, Effect, feature, consequence, depressive symptom, Result, analyzed, identify, performed, proportion, reported, conducted, was performed, were used, determine, statistically significant, mental health concern, 【제목키워드】 Meta-analysis, COVID-19 pandemic, Health, Effect, Mental,