From the Department of Anesthesiology, Frank H Netter School of Medicine, Quinnipiac University, Hartford Health Care, St. Vincent's Medical Center, Bridgeport, Connecticut.
Anesth Analg. 2021 May 1;132(5):1338-1343. doi: 10.1213/ANE.0000000000005369.
The negative impacts of sleep deprivation and fatigue have long been recognized. Numerous studies have documented the ill effects of impaired alertness associated with the disruption of the sleep-wake cycle; these include an increased incidence of human error-related accidents, increased morbidity and mortality, and an overall decrement in social, financial, and human productivity. While there are multiple studies on the impact of sleep deprivation and fatigue in resident physicians, far fewer have examined the effects on attending physicians, and only a handful addresses the accumulated effects of chronic sleep disturbances on acute sleep loss during a night call-shift. Moreover, the rapid and unprecedented spread of coronavirus disease 2019 (COVID-19) pandemic significantly increased the level of anxiety and stress on the physical, psychological, and the economic well-being of the entire world, with heightened effect on frontline clinicians. Additional studies are necessary to evaluate the emotional and physical toll of the pandemic in clinicians, and its impact on sleep health, general well-being, and performance.
睡眠剥夺和疲劳的负面影响早已被认识到。大量研究记录了与睡眠-觉醒周期中断相关的警觉性受损的不良影响；其中包括人为错误相关事故的发生率增加、发病率和死亡率增加，以及社会、财务和人力生产力的整体下降。虽然有许多关于睡眠剥夺和疲劳对住院医师影响的研究，但对主治医生影响的研究要少得多，只有少数研究涉及慢性睡眠障碍对夜间值班时急性睡眠丧失的累积影响。此外，2019 年冠状病毒病 (COVID-19) 大流行的迅速和前所未有的传播极大地增加了整个世界在身体、心理和经济福祉方面的焦虑和压力，对一线临床医生的影响更为显著。需要进一步的研究来评估大流行对临床医生的情绪和身体影响，以及对睡眠健康、整体健康和表现的影响。
