Cognitive performance and mood after a weekend on call in a surgical unit

Wesnes, K. A.; Walker, Mary B.; Walker, L. G.; Heys, S; White, Linda R.; Warren, Ricks; Eremin, O.

doi:10.1046/j.1365-2168.1997.02618.x

Cited by 36 publications

(22 citation statements)

References 3 publications

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“…Studies have shown the negative effects of sleep deprivation on clinical performance, mood and cognitive abilities 5 . Surgical procedures have always been a stressful situation for both the patient and patient's relatives.…”

Section: Discussionmentioning

confidence: 99%

“…The life-time risk of acute appendicitis is around 7% 2 . Although the exact mechanism leading to this condition is still obscure, it is likely that luminal obstruction by external (lymphoid hyperplasia) or internal (inspissated fecal material, appendicoliths) compression plays a key pathogenic role 3,4,5 . The traditional management for acute appendicitis had been an appendectomy as early as possible.…”

Section: Introductionmentioning

confidence: 99%

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Does hospital delay in appendectomy affect immediate surgical outcome in adults with acute appendicitis?

Dhital

Koirala

Karki

et al. 2017

J. Kathmandu Med. Coll.

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Background: Emergency appendectomy is the commonest emergency surgical procedure being performed for many years. Till now, the dictum is that it should be done as soon as possible from the onset of attack. Objectives: To evaluate immediate surgical outcome in cases undergone appendectomy after hospital delay of more than 12 hours duration compared with appendectomy done immediately within 12 hours of presentation. Methods: This is a retrospective study of 118 patients on whom appendectomies were done between 1 st June 2008 to 31 st August 2010. These patients were divided into two groups on the basis whether the appendectomy was done ≤ 12 hours or >12 hours from the time of presentation in the hospital and intergroup comparison was made regarding length of hospital stay, rate of perforation and post operative complications. Results: A total of 118 patients were included in the study. Out of which 71(60.2%) were male and 47(39.8%) were female. Mean age of patients was 30.97 ± 12 years. Mean duration of hospital stay was 4.35 ± 1.75 days. In comparison of two groups of ≤ 12 hours or >12 hours from the time of presentation in the hospital, there were no statistically signifi cant difference in length of hospital stay (4.29 vs 4.4 days, p=0.7), rate of perforation of appendix (9.25% vs 10.93%, p=0.3) and post-operative wound infection (16.66% vs 17.18%, p = 0.9). Conclusion: Delaying an appendectomy for a valid reason can be considered. Prospective trials are required to establish fi ndings of this study.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Does hospital delay in appendectomy affect immediate surgical outcome in adults with acute appendicitis?

Dhital

Koirala

Karki

et al. 2017

J. Kathmandu Med. Coll.

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“…Taffinder et al 1998 Assistenzärzte nach diesen Dienstwochenenden im Vergleich zu einem Montag morgen nach einem dienstfreien Wochenende fest (vgl. Wesnes et al 1997 Z u einer Ableitung von möglichen Determinanten der Auswirkungen unter schiedlich langer Arbeitstage auf die Leistungsfähigkeit der Arbeitnehmer ist man daher weitgehend auf einen meta-analytischen Vergleich der Studien angewiesen.…”

Section: Alternative Interpretationsmuster Der Mangelnden Verbreitungunclassified

“…Der Unterschied zwi schen den Produktionsfunktionen (2) und (3) ist also lediglich arbeitszeitorgawsatorischer Natur. 56 Wesnes et al 1997;Boudreaux et al 1998;Cydulka et al 1994;Spurgeon/Harrington 1989) Z u einer Ableitung von möglichen Determinanten der Auswirkungen unter schiedlich langer Arbeitstage auf die Leistungsfähigkeit der Arbeitnehmer ist man daher weitgehend auf einen meta-analytischen Vergleich der Studien angewiesen. …”

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Theorie und Empirie unterschiedlich langer Arbeitstage am Beispiel von Schicht- und Teilzeitarbeit

Krings¹

2001

German Journal of Human Resource Management

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“…8 Cognitivefunction is clearly impaired. 9 With regard to technicalperformance,surgeonsawake all night have been found to make 20% more errors and take 14% longer to completetasksonalaparoscopicsimulator. 10 Sleep deprivation is also dangerous to us personally.…”

mentioning

confidence: 99%

Attending Work Hour Restrictions

Hyman¹

2009

Arch Surg

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Cognitive performance and mood after a weekend on call in a surgical unit

Abstract: A weekend on call has significant deleterious effects on cognitive performance and mood. The findings have implications for staffing levels and the design of duty rosters.

Cited by 36 publications

References 3 publications

Does hospital delay in appendectomy affect immediate surgical outcome in adults with acute appendicitis?

Does hospital delay in appendectomy affect immediate surgical outcome in adults with acute appendicitis?

Theorie und Empirie unterschiedlich langer Arbeitstage am Beispiel von Schicht- und Teilzeitarbeit

Attending Work Hour Restrictions

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