Effects of Sleep Deprivation on Surgeons Dexterity

Banfi, Tommaso; Coletto, Erika; D'Ascanio, Paola; Dario, P.; Menciassi, Arianna; Faraguna, Ugo; Ciuti, Gastone

doi:10.3389/fneur.2019.00595

Cited by 26 publications

(17 citation statements)

References 150 publications

(202 reference statements)

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“…Referral to ophthalmology outpatient settings remains essential for patients with eye-specific complaints. In addition, increased surgical risks were reported in surgeons with sleep deprivation due to the loss of surgeons' dexterity 21 . Using VA for determining the time for managing eye-related ED visits could decrease the risk caused by sleep deprivation of a surgeon in a cost-effective fashion.…”

Section: Discussionmentioning

confidence: 99%

Eye-related Emergency Department Visits with Ophthalmology Consultation in Taiwan: Visual Acuity as an Indicator of Ocular Emergency

Kang

Tai

Lin

et al. 2020

Sci Rep

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to investigate the epidemiology of eye-related emergency department (eD) visits and to determine if visual acuity (VA) could be an indicator for determining the timing for managing ocular emergencies, we have conducted the retrospective study which included patients visited the eD for eye-related reasons and had received ophthalmology consultations at a referral center in Taiwan in 2015. Among 46,514 consultations, 5,493 were ophthalmology consultations (11.8%). After exclusion, 5,422 were eligible for analysis. Among them, 1,165 (21.5%) had not likely emergent diagnoses, 4,048 (74.7%) had likely emergent diagnoses, and 209 patients (3.9%) could not be determined. The logMAR VA was 0.31 ± 0.48, 0.66 ± 0.78, and 1.00 ± 0.94 in groups with not likely emergent, likely emergent, and undetermined diagnoses, respectively. Among all eye-related ED visits, 10.3% of patients received ophthalmologic intervention or were admitted to the ophthalmology ward. A LogMAR VA score of 0.45 (decimal equivalent of 0.4) had the highest discrimination power for identifying whether a patient needed ophthalmology intervention or admission to ophthalmology ward (area under the curve: 0.802, sensitivity: 0.800, specificity: 0.672). In our study, we found VA could be an indicator for determining the priority and time of ocular emergencies requiring ophthalmic intervention in patients visiting the ED for eye-related reasons. People often visit the emergency department (ED) first for some ocular diseases. The most commonly reported eye condition in the ED is conjunctivitis followed by corneal injury, eye pain, and hordeolum 1. Although the ED can offer rapid management of ocular problems, an excessive number of nonemergent eye-related visits may overcrowd the ED, and limit the resources available for real emergent ophthalmic and other medical issues 2. A US study reported that approximately half of all ocular ED visits were not related to emergent conditions 3. Informing patients on how to appropriately seek eye care was suggested 4. The cost of ED visits in Taiwan is covered by Taiwan's National Health Insurance, making Taiwan health care renowned for its low cost and overloaded services 5. The average treatment-associated expenditure and drug-associated expenditure for a single ED visit are NT$1,155

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Section: Discussionmentioning

confidence: 99%

Eye-related Emergency Department Visits with Ophthalmology Consultation in Taiwan: Visual Acuity as an Indicator of Ocular Emergency

Kang

Tai

Lin

et al. 2020

Sci Rep

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“…Sleep is very important for workers' health, safety, well-being, and productivity (Garbarino et al, 2016c; Magnavita and Garbarino, 2017). Sleep loss can have serious detrimental effects on cognitive performance, including vigilant attention (Hudson et al, 2019), dexterity (Banfi et al, 2019), executive functioning and performance (Massar et al, 2019), and memory and emotional function (Cousins and Fernández, 2019). These may increase the rate of occupational road accidents, near-miss accidents (Garbarino et al, 2016a, 2017), and occupational injuries (Garbarino et al, 2016b), and lead to negative organizational and individual outcomes in the workplace.…”

Section: Introductionmentioning

confidence: 99%

Sleep Problems and Workplace Violence: A Systematic Review and Meta-Analysis

et al. 2019

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Background: This systematic review with meta-analysis was carried out to study the relationship between workplace violence and sleep problems.Methods: The PRISMA statement was used to conduct a systematic search of the literature on PubMed/MEDLINE, Scopus, Sociological abstract, DOAJ, Web of Science, and Google Scholar databases. Of the original number of 749 studies, 34 were included in the systematic review, and 7 in the meta-analysis.Results: A total of 119,361 participants from 15 different countries took part in these studies which were published between 1999 and 2019. Significant heterogeneity was observed among the studies (I2 = 96%). In a random-effects meta-analysis model, pooled odds ratio (OR) analysis revealed that there was a direct relationship between occupational exposure to violence and sleep problems (OR = 2.55; 95% CI = 1.77–3.66). According to the GRADE guidelines, the quality of evidence of the association was low.Conclusions: The findings of this study demonstrate that occupational exposure to physical, verbal, or sexual violence is associated with sleep problems. Further research on the relationship between violence and sleep is needed so that appropriate measures can be taken to prevent violence and improve sleep hygiene in the workplace.Trial Registration Number: PROSPERO International prospective register of systematic reviews (CRD42019124903) February 9, 2019.

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“…The group was homogenous, with subjects having similar age and experience, avoiding biases related to this and reported in the literature [2]. A study reported that senior surgeons performed better than residents put in same sleep deprivation conditions, hypothesising that they had acquired a special ability regarding subjective alertness during their residency [8].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, slight chronic sleep deprivation/suboptimal sleep duration is as bad as an acute whole night without sleeping [12]. Although there is no consensus related to the optimal sleep duration in adults, there are studies showing that continuous sleep restriction to 6 h per day for a week leads to the same neurobehavioural performance as in subjects deprived of sleep for a whole night or alcohol intoxicated with blood alcohol levels of 0.04-0.05‰ [2,13].…”

Section: Discussionmentioning

confidence: 99%

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Does sleep deprivation alter virtual reality-based robotic surgical skills?

Cumpanas

Ferician

Latcu

et al. 2020

wiitm

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Introduction: Robotic surgery is widely used in many surgical specialities, and there has been no study to assess the impact of sleep deprivation on the complex environment of robotic surgery. Aim: To compare specific metrics of selected robotic simulator exercises on sleep-deprived and non-sleep-deprived surgical residents. Material and methods: We enrolled 20 volunteers, residents in surgery, evaluated before and after an 18-hour overnight shift, regarding their results on virtual robotic surgery simulator-the sleep deprivation (SD) group. As a control group, the same subjects were evaluated 5-7 days after the post-shift evaluation, without having a shift overnight and at least 7 h of sleep the previous night-the non-sleep-deprivation (nSD) group. Results: A statistically significant difference between the pre-shift and post-shift overall results for all exercises in the SD group and no statistical differences for the nSD group were observed. As the difficulty of the exercises increased, statistical differences were observed on specific metrics for all exercises between the pre-shift and post-shift as well as between the post-shift and the morning after a normal sleep period overnight. In a subgroup analysis, the overall results revealed a stronger statistical difference between pre-shift and post-shift for residents with more intense sleep deprivation (< 3 h of sleep vs. > 3 h of sleep). Conclusions: Sleep deprivation leads to impairment of surgical skills assessed by robotic virtual simulator. The more complex and skill demanding the exercise, the higher the difference between sleep deprived and non-deprived residents.

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Effects of Sleep Deprivation on Surgeons Dexterity

Cited by 26 publications

References 150 publications

Eye-related Emergency Department Visits with Ophthalmology Consultation in Taiwan: Visual Acuity as an Indicator of Ocular Emergency

Eye-related Emergency Department Visits with Ophthalmology Consultation in Taiwan: Visual Acuity as an Indicator of Ocular Emergency

Sleep Problems and Workplace Violence: A Systematic Review and Meta-Analysis

Does sleep deprivation alter virtual reality-based robotic surgical skills?

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