Effect of working consecutive night shifts on sleep time, prior wakefulness, perceived levels of fatigue and performance on a psychometric test in emergency registrars

Haire, Julia Christine Lydia; Ferguson, Sally A.; Tilleard, James D.; Negus, Paul; Dorrian, Jillian; Thomas, Matthew J. W.

doi:10.1111/j.1742-6723.2012.01533.x

Cited by 5 publications

(3 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The after-hours presentation is a risk factor for patients with acute conditions such as stroke, traumatic brain injury, pulmonary embolism, myocardial infarction, cardiac arrest, and ruptured an aortic aneurysm. [293031323334] The factors speculated to increase the mortality in our study may be: reduction in staffing levels during off hours,[35] impairment in performance in emergency settings due to fatigue,[3637] disrupted circadian rhythms, and increased medical errors and complications. [3839] More research is needed to determine the contribution of each on mortality.…”

Section: Discussionmentioning

confidence: 99%

Do the care process and survival chances differ in patients arriving to a level 1 Indian trauma center, during-hours and after-hours?

Soni

Mahindrakar

Kaushik

et al. 2019

J Emerg Trauma Shock

View full text Add to dashboard Cite

Introduction: Trauma systems vary in performance during different time periods and may affect the patient outcomes, especially in resource-limited settings. The present study was undertaken to study the pattern, epidemiological profile, processes of care variations of trauma victims presenting during-hours and after-hours in a level 1 trauma Center of a lower middle-income country. Methodology: Retrospective analyses of prospectively collected data registry at a single tertiary care center. Data collected from 2013 to 2015 were analyzed. Patients with a history of trauma and admission to the center or death between arrival and admission were included. Isolated limb injury and patients dead on arrival were excluded. Results: Of 4692, 1789 (38.1%) patients arrived and were admitted during-hours and 2903 (61.9%) after-hours. The overall in-hospital mortality was 14.9% in the cohort. Moreover, it was 16.10% during after-hours in comparison to 13.0% during-hours. The Revised Trauma Score was statistically different during-hours and after-hours suggesting patients with greater physiological derangement after-hours. The Kaplan–Meier survival curves for 7 days were comparable in two groups with the log-rank test of 078. The proportion of initial radiological investigations (chest X-ray, focused assessment sonography in trauma [FAST], and computerized tomography [CT] scans) was ranged from 84.9% for CT scans in the cohort to 99.3% for FAST. Conclusions: Processes of care do not differ significantly for the patients admitted at a level 1 trauma center irrespective of time of the day. Although survival probability for the initial 7 days of follow-up is comparable between two groups; however, for 30 and 90 days of follow-up they are significantly different between during-hours and after-hours, likely due to injury severity.

show abstract

Section: Discussionmentioning

confidence: 99%

Do the care process and survival chances differ in patients arriving to a level 1 Indian trauma center, during-hours and after-hours?

Soni

Mahindrakar

Kaushik

et al. 2019

J Emerg Trauma Shock

View full text Add to dashboard Cite

show abstract

“…Even so, it is known that the effects of sleeplessness make it hard for one to handle various activities when he or she is awake. 27 , 28 …”

Section: Discussionmentioning

confidence: 99%

The Effects of the Sleep Quality of 112 Emergency Health Workers in Kayseri, Turkey on Their Professional Life

Şenol

Soyuer

Güleser

et al. 2014

Turkish Journal of Emergency Medicine

View full text Add to dashboard Cite

SUMMARYObjectivesSleep adequacy is one of the major determinants of a successful professional life. The aim of this study is to determine the sleep quality of emergency health workers and analyze its effects on their professional and social lives.MethodsThe study was carried out on 121 voluntary emergency health workers in 112 Emergency Aid Stations in Kayseri, Turkey, in 2011. The data was collected through the Socio-Demographics Form and the Pittsburgh Sleep Quality Index (PSQI) and analyzed via SPSS 18.00. The statistical analysis involved percentage and frequency distributions, mean±standard deviations, a chi-square test, correlations, and logistic regression analysis.ResultsThe mean score of the participants according to the Pittsburgh Sleep Quality Index was 4.14±3.09, and 28.9% of participants had poor sleep quality. Being single and being a woman accounted for 11% (p=0.009, 95% CI: 0.111–0.726) and 7% (p=0.003, 95% CI: 0.065–0.564) of poor sleep quality respectively. There was a positive correlation between sleep quality scores and negative effects on professional and social life activities. Negative effects on professional activities included increased loss of attention and concentration (40.0%, p=0,016), increased failure to take emergency actions (57.9%, p=0.001), reduced motivation (46.2%, p=0.004), reduced performance (41.4%, p=0.024), and low work efficiency (48.1%, p=0.008). Poor sleep quality generally negatively affected the daily life of the workers (51.6%, p=0.004), restricted their social life activities (45.7%, p=0.034), and caused them to experience communication difficulties (34.7%, p=0.229).ConclusionsOne third of the emergency health workers had poor sleep quality and experienced high levels of sleep deficiency. Being a woman and being single were the most important factors in low sleep quality. Poor sleep quality continuously affected daily life and professional life negatively by leading to a serious level of fatigue, loss of attention-concentration, and low levels of motivation, performance and efficiency.

show abstract

“…conducted on a group of 11 emergency physicians showed no significant differences in reaction times at the end of a night shift compared with the beginning of a day shift. 15 Machi et al 16 evaluated cognition in 13 emergency physicians before and after day and overnight shifts. They showed that short-term memory appears to decline similarly after day and overnight shifts, whereas another study showed that the performance of psychometric tests was not altered after a work shift of 16 hours.…”

Section: How This Is Relevant To Clinical Practicementioning

confidence: 99%

Influence of Shift Duration on Cognitive Performance of Emergency Physicians: A Prospective Cross-Sectional Study

Persico

Maltese

Ferrigno

et al. 2018

Annals of Emergency Medicine

View full text Add to dashboard Cite

show abstract

Effect of working consecutive night shifts on sleep time, prior wakefulness, perceived levels of fatigue and performance on a psychometric test in emergency registrars

Cited by 5 publications

References 28 publications

Do the care process and survival chances differ in patients arriving to a level 1 Indian trauma center, during-hours and after-hours?

Do the care process and survival chances differ in patients arriving to a level 1 Indian trauma center, during-hours and after-hours?

The Effects of the Sleep Quality of 112 Emergency Health Workers in Kayseri, Turkey on Their Professional Life

Influence of Shift Duration on Cognitive Performance of Emergency Physicians: A Prospective Cross-Sectional Study

Contact Info

Product

Resources

About