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O-010 Influence of thrombectomy volume on non-physician staff burnout and attrition in neurointerventional teams
  1. K Fargen1,
  2. S Ansari2,
  3. A Spiotta3,
  4. G Dabus4,
  5. M Mokin5,
  6. P Brown1,
  7. S Wolfe1,
  8. C Kittel1,
  9. P Kan6,
  10. B Baxter7,
  11. R de Leacy8,
  12. J Milburn9,
  13. S Munich10,
  14. A Ducruet11,
  15. A Reeves12,
  16. J Fraser13,
  17. R Starke14,
  18. A Jadhav15,
  19. W Mack16,
  20. A Arthur17,
  21. G Pride18,
  22. S Sheth19,
  23. T Leslie-Mazwi20,
  24. J Hirsch21
  1. 1Neurological Surgery and Radiology, Wake Forest Baptist University, Winston-Salem, NC
  2. 2Radiology, Neurology, Neurological Surgery, Northwestern University, Chicago, IL
  3. 3Neurosurgery, Medical University of South Carolina, Charleston, SC
  4. 4Miami Cardiac and Vascular Institute and Baptist Neuroscience Center, Miami, FL
  5. 5Neurology and Neurosurgery, University of South Florida, Tampa, FL
  6. 6Neurosurgery, Baylor College of Medicine, Houston, TX
  7. 7Radiology, Lehigh Valley Health Network, Allentown, PA
  8. 8Neurosurgery and Radiology, Mount Sinai Hospital, New York, NY
  9. 9Radiology, Ochnsner Medical Center, New Orleans, LA
  10. 10Neurosurgery, Rush University, Chicago, IL
  11. 11Neurosurgery, Barrow Neurological Institute, Phoenix, AZ
  12. 12Radiology, Neuroendovascular Division, University of Kansas Medical Center, Kansas City, KS
  13. 13Neurosurgery, Neurology, Radiology and Neuroscience, University of Kentucky, Lexington, KY
  14. 14Neurosurgery and Neuroradiology, University of Miami and Jackson Memorial Hospital, Miami, FL
  15. 15Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA
  16. 16Neurosurgery, University of Southern California, Los Angeles, CA
  17. 17Neurosurgery, University of Tennessee-Semmes Murphey Clinic, Memphis, TN
  18. 18Neurosurgery, University of Texas-Southwestern, Dallas, TX
  19. 19Neurology, University of Texas Medical Center, Houston, TX
  20. 20Radiology, West Virginia University, Morgantown, WV
  21. 21Interventional Neuroradiology, Massachusetts General Hospital, Boston, MA


Introduction Burnout takes a heavy toll on healthcare providers. We sought to assess the prevalence and risk factors for burnout among neurointerventional (NI) non-physician procedural staff (nurses and technologists) given increasing thrombectomy demands.

Materials and Methods A 41 question online survey containing questions including the Maslach Burnout Inventory-Human Services Survey for Medical Personnel was distributed to NI nurses and radiology technologists at 20 U.S. endovascular capable stroke centers.

Results 244 responses were received (64% response rate). Median (inter-quartile range) composite scores for emotional exhaustion were 25 (15–35), depersonalization 6 (2–11) and personal accomplishment 39 (35–43). Fifty-one percent of respondents met established criteria for burnout. There was no significant relationship between hospital thrombectomy volume, call frequency, call cases covered, or length of commute. On multiple logistic regression analysis, feeling under-appreciated by hospital leadership (OR 4.1; P<0.001) and working with difficult/unpleasant physicians (OR 1.2; P=0.05) were strongly associated with burnout. At participating centers, nurse and technologist attrition was 25% over the last year. Over 50% of respondents indicated they had strongly considered leaving their position over the last 2 years.

Abstract O-010 Table 1 Independent predictors of burnout

Conclusion This survey of United States NI non-physician procedural staff demonstrates a self-reported burnout prevalence of 51%. This was driven more by interaction with leadership and physician staff than by thrombectomy procedural volume and stroke call. Attrition among NI non-physician procedural staff is high.

Disclosures K. Fargen: None. S. Ansari: None. A. Spiotta: None. G. Dabus: None. M. Mokin: None. P. Brown: None. S. Wolfe: None. C. Kittel: None. P. Kan: None. B. Baxter: None. R. de Leacy: None. J. Milburn: None. S. Munich: None. A. Ducruet: None. A. Reeves: None. J. Fraser: None. R. Starke: None. A. Jadhav: None. W. Mack: None. A. Arthur: None. G. Pride: None. S. Sheth: None. T. Leslie-Mazwi: None. J. Hirsch: None.

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