Sleep deprivation and cognitive testing in internal medicine house staff.
作者信息
Robbins J, Gottlieb F
机构信息
Department of Internal Medicine, University of California, Davis, Medical Center, Sacramento.
出版信息
West J Med. 1990 Jan;152(1):82-6.
Abstract
There is increased concern about the effects of sleep deprivation on physician performance. We administered four standard tests of cognitive function to 23 university hospital house staff. Each physician served as his or her own control, and the tests were administered at rest, after a night on call, and after a night of sleep for recovery. The study was designed so that normal learning would minimize any deterioration in the post-on-call test performance. Statistically significant deterioration occurred in 3 of the 4 tests after a night on call. Even physicians acclimated to sleep deprivation on a regular, every-third-or-fourth-night basis showed functional impairment. The results have implications for patient care under conditions where house staff are stressed by sleep deprivation and prolonged fatigue.
摘要
相似文献
1
Sleep deprivation and cognitive testing in internal medicine house staff.
West J Med. 1990 Jan;152(1):82-6.
2
Impact of sleep deprivation on medium-term psychomotor and cognitive performance of surgeons: prospective cross-over study with a virtual surgery simulator and psychometric tests.
Surgery. 2010 Feb;147(2):246-54. doi: 10.1016/j.surg.2009.08.007.
3
24 hours on-call and acute fatigue no longer worsen resident mood under the 80-hour work week regulations.
Curr Surg. 2006 May-Jun;63(3):237-41. doi: 10.1016/j.cursur.2006.03.002.
4
Sleep deprivation and house staff performance. Update 1984-1991.
J Occup Med. 1992 Dec;34(12):1153-60.
5
Influence of sleep deprivation on learning among surgical house staff and medical students.
Surgery. 1994 May;115(5):604-10.
6
Post-call cognitive function and satisfaction in medical students on different call schedules: a prospective observational pilot study.
Am J Obstet Gynecol. 2006 Nov;195(5):1484-8. doi: 10.1016/j.ajog.2006.05.004. Epub 2006 Jun 21.
7
Time to talk about work-hour impact on anesthesiologists: The effects of sleep deprivation on Profile of Mood States and cognitive tasks.
Paediatr Anaesth. 2016 Jan;26(1):66-71. doi: 10.1111/pan.12809. Epub 2015 Nov 12.
8
Effects of rotating night shifts: literature review.
J Adv Nurs. 2005 May;50(4):433-9. doi: 10.1111/j.1365-2648.2005.03409.x.
9
The performance effects of sleep deprivation and fatigue.
Surgery. 2010 Feb;147(2):255-6. doi: 10.1016/j.surg.2009.09.031.
10
Overnight duty impairs behaviour, awake activity and sleep in medical doctors.
Eur J Emerg Med. 2007 Aug;14(4):199-203. doi: 10.1097/MEJ.0b013e3280bef7b0.
引用本文的文献
1
On-Call Duties: The Perceived Impact on Veterinarians' Job Satisfaction, Well-Being and Personal Relationships.
Front Vet Sci. 2021 Oct 27;8:740852. doi: 10.3389/fvets.2021.740852. eCollection 2021.
2
Assessment of Physician Sleep and Wellness, Burnout, and Clinically Significant Medical Errors.
JAMA Netw Open. 2020 Dec 1;3(12):e2028111. doi: 10.1001/jamanetworkopen.2020.28111.
3
Impact of intervention time on hospital survival in patients requiring emergent airway management: a preliminary study.
J Anesth. 2018 Apr;32(2):153-159. doi: 10.1007/s00540-018-2456-1. Epub 2018 Jan 18.
4
Resident duty hours in Canada: a survey and national statement.
BMC Med Educ. 2014;14 Suppl 1(Suppl 1):S9. doi: 10.1186/1472-6920-14-S1-S9. Epub 2014 Dec 11.
5
Effect of on-call-related sleep deprivation on physicians' mood and alertness.
Ann Thorac Med. 2013 Jan;8(1):22-7. doi: 10.4103/1817-1737.105715.
6
Anesthesiologists work-related exhaustion: A comparison study with other hospital employees.
Saudi J Anaesth. 2011 Jul;5(3):244-7. doi: 10.4103/1658-354X.84095.
7
Errors in fracture diagnoses in the emergency department--characteristics of patients and diurnal variation.
BMC Emerg Med. 2006 Feb 16;6:4. doi: 10.1186/1471-227X-6-4.
8
On-call work and health: a review.
Environ Health. 2004 Dec 8;3(1):15. doi: 10.1186/1476-069X-3-15.
9
Call nights and patients care: effects on inpatients at one teaching hospital.
J Gen Intern Med. 1992 Jul-Aug;7(4):405-10. doi: 10.1007/BF02599156.
本文引用的文献
1
AFTEREFFECT OF SLEEP DEPRIVATION.
J Exp Psychol. 1963 Nov;66:439-42. doi: 10.1037/h0047363.
2
House officer stress syndrome.
Psychosomatics. 1981 Oct;22(10):860-9. doi: 10.1016/S0033-3182(81)73093-7.
3
The internship year: a study of sleep, mood states, and psychophysiologic parameters.
South Med J. 1984 Nov;77(11):1435-42. doi: 10.1097/00007611-198411000-00019.
4
Resident performance and sleep deprivation: a review.
J Med Educ. 1983 May;58(5):382-8. doi: 10.1097/00001888-198305000-00003.
5
Neurological findings following short-term sleep deprivation.
Arch Neurol. 1970 Jan;22(1):54-6. doi: 10.1001/archneur.1970.00480190058009.
6
The intern and sleep loss.
N Engl J Med. 1971 Jul 22;285(4):201-3. doi: 10.1056/NEJM197107222850405.
7
A comparison of continuous and distributed reduced sleep schedules.
Q J Exp Psychol. 1974 Feb;26(1):8-14. doi: 10.1080/14640747408400382.
8
Psychological problems associated with sleep deprivation in interns.
J Med Educ. 1973 May;48(5):436-41. doi: 10.1097/00001888-197305000-00004.
9
Sleep and nutritional deprivation and performance of house officers.
J Med Educ. 1985 Jul;60(7):530-5. doi: 10.1097/00001888-198507000-00004.
10
The distress of internship. Causes and prevention.
N Engl J Med. 1985 Feb 14;312(7):449-52. doi: 10.1056/NEJM198502143120725.
Zotero 插件