Réplica a la carta al director "Sobre el síndrome de quemarse por el trabajo en anestesiología" / Comments on the letter to the editor "On burnout syndrome in anesthesiology"

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[Prevalence of burnout among anesthesiologists at Hospital Universitario Virgen Macarena de Sevilla]. / Prevalencia del síndrome de burnout en los anestesiólogos del Hospital Universitario Virgen Macarena de Sevilla.

Burnout, characterized by emotional exhaustion, depersonalization, and lowered sense of professional accomplishment, is a consequence of chronic stress. Few studies have been published on burnout in anesthesiology even though this specialty is considered particularly stressful. We surveyed members of the department of anesthesiology and postoperative care in our hospital, using an anonymous questionnaire including items on social and personal characteristics and the Spanish language version of the Maslach Burnout Inventory. Forty-valid questionnaires were returned, for a response rate of 69.4%. Mean (SD) scores were 19.5 (9.5) points for emotional exhaustion, 7.4 (5.5) for depersonalization, and 32.5 (9.1) for professional accomplishment. We detected high levels of emotional exhaustion in 19.5% of the anesthesiologists and of depersonalization in 31.7%. Scores reflecting low levels of sense of personal accomplishment were recorded for 41.4%. Scores for concern on at least 1 subscale were noted for 58.3% of the anesthesiologists, on 2 subscales for 21.8%, and on 3 subscales for 12.1%. No significant differences were detected in relation to gender, age, stage in professional life, or employment status. Burnout levels in our department are similar to those reported for anesthesiologists in other countries and detectably lower than those of other specialties in Spain.

Prevalencia del síndrome de Burnout en los anestesiólogos del Hospital Universitario Virgen Macarena de Sevilla / Prevalence of burnout among anesthesiologists at Hospital Universitario Virgen Macarena de Sevilla

El “síndrome de burnout” se produce como consecuenciadel estrés crónico y se caracteriza por “cansancioemocional”, “despersonalización” y disminución delsentimiento de “realización profesional”. Se han publicadomuy pocos estudios sobre anestesiólogos a pesar deque se considera una especialidad especialmente estresante.Para conocer la prevalencia en el Departamentode Anestesiología y Reanimación de nuestro Hospitalrealizamos un estudio transversal utilizando un cuestionariocon cuestiones sociodemográficas y la versiónespañola del Maslach Burnout Inventory. Con un total de41 cuestionarios válidos (tasa de respuesta del 69,4%),los valores medios fueron 19,5 (DE 9,5) puntos para el“cansancio emocional”, 7,4 (DE 5,5) para la “despersonalización”y 32,5 (DE 9,1) para la “realización profesional”.Encontramos niveles altos de “cansancio emocional”en el 19,5% de los anestesiólogos y de“despersonalización” en el 31,7%, y niveles bajos de“realización profesional” en el 41,4%. Presentaron nivelespreocupantes en al menos una de las dimensiones el58,3% de los anestesiólogos; en dos el 21,8% y en las tresescalas simultáneamente el 12,1%. No hubo diferenciassignificativas relacionadas con el sexo, edad, tiempo devida profesional o situación laboral. Los niveles de “burnout”de nuestro Departamento son similares a los quepresentan anestesiólogos de otros países y sensiblementeinferiores a los de otras especialidades de nuestro país

Burnout, characterized by emotional exhaustion,depersonalization, and lowered sense of professionalaccomplishment, is a consequence of chronic stress. Fewstudies have been published on burnout in anesthesiologyeven though this specialty is considered particularlystressful. We surveyed members of the department ofanesthesiology and postoperative care in our hospital,using an anonymous questionnaire including items onsocial and personal characteristics and the Spanish languageversion of the Maslach Burnout Inventory. Fortyonevalid questionnaires were returned, for a responserate of 69.4%. Mean (SD) scores were 19.5 (9.5) points foremotional exhaustion, 7.4 (5.5) for depersonalization, and32.5 (9.1) for professional accomplishment. We detectedhigh levels of emotional exhaustion in 19.5% of the anesthesiologistsand of depersonalization in 31.7%. Scoresreflecting low levels of sense of personal accomplishmentwere recorded for 41.4%. Scores for concern on at least 1subscale were noted for 58.3% of the anesthesiologists, on2 subscales for 21.8%, and on 3 subscales for 12.1%. Nosignificant differences were detected in relation to gender,age, stage in professional life, or employment status. Burnoutlevels in our department are similar to those reportedfor anesthesiologists in other countries and detectablylower than those of other specialties in Spain