Objective: To assess the level of anxiety among doctors during COVID-19 pandemic and the associated risk factors. Methods: This cross-sectional study was conducted from 30th April to 16th May, 2020 in Karachi, Pakistan. The data was collected via an online web-based questionnaire. Questionnaire was used to assess anxiety level using GAD-7 scale among health-care professionals and the risk factors playing role in it. Results: One hundred and fifty-one doctors participated in our study. Out of these 151 participants, 69 (45.7%) had mild, 22 (14.6%) had moderate, and 5 (3.3%) had severe symptoms of anxiety, whereas the remaining 55 (36.4%) had no anxiety according to GAD-7 scale. The median [interquartile range (IQR)] GAD-7 scale scores are 6.0 [3.00-9.00]. Females showed more severe degrees of measurement of anxiety symptoms than males. Doctors dealing with COVID-19 patients showed higher level of anxiety as compared to the doctors who were not dealing with COVID-19 patients, having a significant difference (U = 9.697, p = 0.008). One hundred and forty-one (93.4%) participants were concerned about being exposed to COVID-19 at work and 112 (74.2 %) thought they have inadequate protective equipment for safety. Conclusions: During COVID-19 pandemic, doctors exhibited different grades of anxiety. In order for healthcare workers to perform to the best of their capability, certain guidelines and interventions are needed. doi: https://doi.org/10.12669/pjms.36.6.3113 How to cite this:Hasan SR, Hamid Z, Jawaid MT, Ali RK. Anxiety among Doctors during COVID-19 Pandemic in Secondary and Tertiary Care Hospitals. Pak J Med Sci. 2020;36(6):---------. doi: https://doi.org/10.12669/pjms.36.6.3113 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

ABRI correlates strongly with mortality.

Background and Objective: COVID-19 took the world by a storm and impacted not only the general population but the doctors as well. This study was done in order to determine the financial and economic burden faced by the doctors working in COVID-19 pandemic in Pakistan. Methods: This longitudinal study was carried out from May 9th to May 23rd, 2020 in Pakistan. A self-designed validated Questionnaire was distributed to doctors working in different hospitals of Pakistan through online Google form. Questions regarding emotional and financial stress in Pakistani doctors dealing with COVID-19 patients were included. Results: One hundred and twenty doctors responded to the current study. Majority of them 97 (80.6%) reported stress during duty hours. Stress level was high among 78 (65.3%) doctors to the extent they thought of leaving the job because of risk of getting infected. Less salaries and family pressure were the other demotivating factors. Most of the doctors 71 (59.2%)] were younger than 30 years of age. Eighty-five (71%) doctors reported being pressurized by the families to leave the job. Shortage of protective gears was also the challenge. A total of 65 (54.2%) doctors got their gears from their institutes, 27 (22.2%) bought their own gears, 23 (19.4%) worked without gears, and 5 (4.8%) got gears from non-governmental organizations (NGOs). Conclusion: Majority of the doctors reported stress during duty hours regardless of level or experience in that job; the contributing factors included risk of getting infected, lesser salaries and family pressure. During COVID-19 pandemic, doctors feel that they are not only emotionally exhausted but also tried to cope financial challenges while endangering themselves to save the lives of patients.