التفاصيل البيبلوغرافية
| العنوان: |
Night shift decreases cognitive performance of ICU physicians. |
| المؤلفون: |
Maltese, François, Adda, Mélanie, Bablon, Amandine, Hraeich, Sami, Guervilly, Christophe, Lehingue, Samuel, Wiramus, Sandrine, Leone, Marc, Martin, Claude, Vialet, Renaud, Thirion, Xavier, Roch, Antoine, Forel, Jean-Marie, Papazian, Laurent |
| المصدر: |
Intensive Care Medicine; Mar2016, Vol. 42 Issue 3, p393-400, 8p, 2 Color Photographs, 1 Diagram, 2 Charts |
| مصطلحات موضوعية: |
NIGHT work, COGNITION research, HEALTH of physicians, CRITICAL care medicine, MEDICAL errors, PHYSIOLOGY, WORK & psychology, COGNITION, COMPARATIVE studies, CROSSOVER trials, WORKING hours, INTELLIGENCE tests, INTENSIVE care units, LONGITUDINAL method, RESEARCH methodology, MEDICAL cooperation, PATIENT safety, PSYCHOLOGY of physicians, RESEARCH, SLEEP, EVALUATION research, RANDOMIZED controlled trials, PSYCHOLOGY |
| مستخلص: |
Background: The relationship between tiredness and the risk of medical errors is now commonly accepted. The main objective of this study was to assess the impact of an intensive care unit (ICU) night shift on the cognitive performance of a group of intensivists. The influence of professional experience and the amount of sleep on cognitive performance was also investigated.Methods: A total of 51 intensivists from three ICUs (24 seniors and 27 residents) were included. The study participants were evaluated after a night of rest and after a night shift according to a randomized order. Four cognitive skills were tested according to the Wechsler Adult Intelligence Scale and the Wisconsin Card Sorting Test.Results: All cognitive abilities worsened after a night shift: working memory capacity (11.3 ± 0.3 vs. 9.4 ± 0.3; p < 0.001), speed of processing information (13.5 ± 0.4 vs. 10.9 ± 0.3; p < 0.001), perceptual reasoning (10.6 ± 0.3 vs. 9.3 ± 0.3; p < 0.002), and cognitive flexibility (41.2 ± 1.2 vs. 44.2 ± 1.3; p = 0.063). There was no significant difference in terms of level of cognitive impairment between the residents and ICU physicians. Only cognitive flexibility appeared to be restored after 2 h of sleep. The other three cognitive skills were altered, regardless of the amount of sleep during the night shift.Conclusions: The cognitive abilities of intensivists were significantly altered following a night shift in the ICU, regardless of either the amount of professional experience or the duration of sleep during the shift. The consequences for patients' safety and physicians' health should be further evaluated. [ABSTRACT FROM AUTHOR] |
|
Copyright of Intensive Care Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
