Evaluation on the Effect on Cognition and Emotional Exhaustion With a Change of Long Night Shift System Versus Reduced Night Shift in Residents of Internal Medicine
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Neurological evaluation using Paced Auditory Serial Addition Test (PASAT)
研究概览
简要总结
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.
详细描述
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).
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Internal Medicine residents on the second or third year of formation.
排除标准
- •Denial to participate in the study or to the informed consent.
结局指标
主要结局
Neurological evaluation using Paced Auditory Serial Addition Test (PASAT)
时间窗: Immediately after a 24 hours on call period, wth a maximum delay of 6 hours after night shift end.
Post on-call cognition assessment
Conners Continuous Performance Test 2 (CPT)
时间窗: Immediately after a 24 hours on call period, wth a maximum delay of 6 hours after night shift end.
Post on-call attention test
F-A-S test
时间窗: Immediately after a 24 hours on call period, wth a maximum delay of 6 hours after night shift end.
Post on-call verbal fluency
Burn Out
时间窗: through study completion, an average of one year
Maslach questionaire filled by participant
Rey auditory verbal learning test (RAVLT)
时间窗: 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
时间窗: 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
次要结局
- Depression(through study completion, an average of one year)