Burnout, Professional, Cognition Disorders, Sleep Deprivation
Conditions
Keywords
sleep deprivation, internal medicine residency, on call, cognitive impairment, burn out, safety, depression
Brief summary
A quasi-experimental design where internal medicine residents in a high complexity hospital were assessed after a 24-hour shift for cognitive impairment by a trained neurologist.
Detailed description
The investigators conducted a cross sectional study during the 2014-2016 period in a high complexity school hospital in Buenos Aires. Second and third year Internal Medicine residents who consented to participate were included. A neurologist conducted a cognitive evaluation to the residents who had done 24 hours shifts (with sleep deprivation) within 6 hours of its end. Auditory memory deficit was evaluated (PASAT - Paced Auditory Serial Addition Test), verbal fluency (FAS), direct and indirect Digit-Span, Rey auditory verbal learning test (RAVLT) and Continuous Performance Test 2 (CPT2). Results were presented as means of standardized scores (z score) with their interquartile range (IQR).
Interventions
None listed
Sponsors
Hospital Italiano de Buenos Aires
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Internal Medicine residents on the second or third year of formation.
Exclusion criteria
* Denial to participate in the study or to the informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Burn Out | through study completion, an average of one year | Maslach questionaire filled by participant |
| F-A-S test | Immediately after a 24 hours on call period, wth a maximum delay of 6 hours after night shift end. | Post on-call verbal fluency |
| Neurological evaluation using Paced Auditory Serial Addition Test (PASAT) | Immediately after a 24 hours on call period, wth a maximum delay of 6 hours after night shift end. | Post on-call cognition assessment |
| Direct and indirect digit span | Immediately after a 24 hours on call period, wth a maximum delay of 6 hours after night shift end. | Post on-call short-term verbal memory |
| Conners Continuous Performance Test 2 (CPT) | Immediately after a 24 hours on call period, wth a maximum delay of 6 hours after night shift end. | Post on-call attention test |
| Rey auditory verbal learning test (RAVLT) | Immediately after a 24 hours on call period, wth a maximum delay of 6 hours after night shift end. | Post on-call cognition assessment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Depression | through study completion, an average of one year | Questionaire filled by participant |
Countries
Argentina
Outcome results
None listed