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Neurological Sciences

Erschienen in:

18.08.2021 | Original Article

The cognitive impact of guard shifts in physicians: a before-after study

verfasst von: Cristina Benítez-Provedo, Blanca Talavera, David García-Azorín, Alberto Marcos-Dolado

Erschienen in: Neurological Sciences | Ausgabe 3/2022

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Abstract

Objective

We intend to evaluate the change of different cognitive functions after a guard shift in physicians.

Methods

A descriptive observational study was performed. The study population included Spanish physicians who were asked to complete before and immediately after their guard shift the following tests: Digit Span, TMT-A, TMT-B, Symbol Digit, Stroop, Free and Cued Selective Reminding, creep and formal fluency, Visual Orientation and Space Perception tests, and the Leeds Sleep Questionnaire.

Results

Thirty subjects were included in the study among which 43.3% were female. The mean subjective impression of the guard shift was 4.47/10 (2.57) and was correlated with the number of sleep hours during the guard shift (r = 0.72, p < 0.001). Statistically significant differences in the comparison between pre- and post-guard period results were found for the Symbol Digit test (88.27 vs. 81.47, p = 0.005), Digit Span test (7.43 vs. 7.00, p = 0.025), Free and Cued Selective Reminding Test (22.73 vs. 21.20, p = 0.002), categorical fluency (39.03 vs. 34.53, p = 0.008), and phonemic fluency (19.57 vs. 16.13, p = 0.001).

Conclusions

The realization of guard shift was associated with a lower yield in several cognitive functions, especially in tasks related to executive function and attention.

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Yong LC, Li J, Calvert GM (2017) Sleep-related problems in the US working population: prevalence and association with shiftwork status. Occup Environ Med 74(2):93–104. https://doi.org/10.1136/oemed-2016-103638CrossRefPubMed

Persico N, Maltese F, Ferrigno C et al (2018) Influence of shift duration on cognitive performance of emergency physicians: a prospective cross-sectional study. Ann Emerg Med 72(2):171–180. https://doi.org/10.1016/j.annemergmed.2017.10.005CrossRefPubMed

Torquati L, Mielke GI, Brown WJ et al (2018) Shift work and the risk of cardiovascular disease. A systematic review and meta-analysis including dose-response relationship. Scand J Work Environ Health 44(3):229–238. https://doi.org/10.5271/sjweh.3700CrossRefPubMed

Brown JP, Martin D, Nagaria Z et al (2020) Mental health consequences of shift work: an updated review. Curr Psychiatry Rep 22(2):7. https://doi.org/10.1007/s11920-020-1131-zCrossRefPubMed

de Cordova PB, Bradford MA, Stone PW (2016) Increased errors and decreased performance at night: a systematic review of the evidence concerning shift work and quality. Work 53(4):825–834. https://doi.org/10.3233/WOR-162250CrossRefPubMed

Real Decreto 1146/2006, De 6 De Octubre, Por El Que Se Regula La Relación Laboral Especial De Residencia Para La Formación De Especialistas En Ciencias De La Salud. Vol BOE-A-2006–17498. Spain; 2006

Booker LA, Magee M, Rajaratnam SMW et al (2018) Individual vulnerability to insomnia, excessive sleepiness and shift work disorder amongst healthcare shift workers. A systematic review Sleep Med Rev 41:220–233. https://doi.org/10.1016/j.smrv.2018.03.005CrossRefPubMed

Arango-Lasprilla JC, Rivera D, Trapp S et al (2017) Symbol Digit Modalities Test: normative data for Spanish-speaking pediatric population. NeuroRehabilitation 41(3):639–647. https://doi.org/10.3233/NRE-172243CrossRefPubMed

Arango-Lasprilla JC, Rivera D, Aguayo A et al (2015) Trail Making Test: normative data for the Latin American Spanish speaking adult population. NeuroRehabilitation 37(4):639–661. https://doi.org/10.3233/NRE-151284CrossRefPubMed

10.

Albergo JI, Fernández MC, Zaifrani L et al (2016) ¿Cómo afecta la privación de sueño durante una guardia de 24 horas las funciones cognitivas de los residentes de ortopedia y traumatología? [How does sleep deprivation during 24 hours on call duty affect the cognitive performance orthopaedic residents?]. Rev Esp Cir Ortop Traumatol 60(2):113–118. https://doi.org/10.1016/j.recot.2015.11.002CrossRefPubMed

11.

Sanchez-Gonzalez JL, Calvo-Arenillas JI, Sanchez-Rodriguez JL (2018) Efectos del ejercicio fisico moderado sobre la cognicion en adultos mayores de 60 años [The effects of moderate physical exercise on cognition in adults over 60 years of age]. Rev Neurol 66(7):230–236PubMed

12.

Mowrey WB, Lipton RB, Katz MJ et al (2018) Memory Binding Test predicts incident dementia: results from the Einstein Aging Study. J Alzheimers Dis 62(1):293–304. https://doi.org/10.3233/JAD-170714CrossRefPubMed

13.

Calvo L, Casals-Coll M, Sánchez-Benavides G et al (2013) Spanish normative studies in young adults (NEURONORMA young adults project): norms for the Visual Object and Space Perception Battery and Judgment of Line Orientation tests. Neurologia 28(3):153–159. https://doi.org/10.1016/j.nrl.2012.03.007CrossRefPubMed

14.

Manzar MD, Salahuddin M, Maru TT et al (2018) Validation of the adapted Leeds Sleep Evaluation Questionnaire in Ethiopian university students. Health Qual Life Outcomes 16(1):49. https://doi.org/10.1186/s12955-018-0876-0CrossRefPubMedPubMedCentral

15.

Ganesan S, Magee M, Stone JE et al (2019) The impact of shift work on sleep, alertness and performance in healthcare workers. Sci Rep 9(1):4635. https://doi.org/10.1038/s41598-019-40914-xCrossRefPubMedPubMedCentral

16.

Chellappa SL, Morris CJ, Scheer FAJL (2019) Effects of circadian misalignment on cognition in chronic shift workers. Sci Rep 9(1):699. https://doi.org/10.1038/s41598-018-36762-wCrossRefPubMedPubMedCentral

17.

Grau-Guinea L, Pérez-Enríquez C, García-Escobar G et al (2021) Development, equivalence study, and normative data of version B of the Spanish-language Free and Cued Selective Reminding Test. Neurologia. https://doi.org/10.1016/j.nrl.2018.02.002CrossRefPubMed

18.

Chang LC, Mahoney JJ 3rd, Raty SR et al (2013) Neurocognitive effects following an overnight call shift on faculty anesthesiologists. Acta Anaesthesiol Scand 57(8):1051–1057. https://doi.org/10.1111/aas.12120CrossRefPubMed

19.

Hunter SJ, Gozal D, Smith DL et al (2016) Effect of sleep-disordered breathing severity on cognitive performance measures in a large community cohort of young school-aged children. Am J Respir Crit Care Med 194(6):739–747. https://doi.org/10.1164/rccm.201510-2099OCCrossRefPubMedPubMedCentral

20.

Rogé J, Gabaude C (2009) Deterioration of the useful visual field with age and sleep deprivation: insight from signal detection theory. Percept Mot Skills 109(1):270–284. https://doi.org/10.2466/PMS.109.1.270-284CrossRefPubMed

21.

Killgore WD, Kendall AP, Richards JM et al (2007) Lack of degradation in visuospatial perception of line orientation after one night of sleep loss. Percept Mot Skills 105(1):276–286. https://doi.org/10.2466/pms.105.1.276-286CrossRefPubMed

22.

Vanek J, Prasko J, Genzor S et al (2020) Obstructive sleep apnea, depression and cognitive impairment. Sleep Med 72:50–58. https://doi.org/10.1016/j.sleep.2020.03.017CrossRefPubMed

23.

Cederberg KL, Brinkley EB, Belotserkovkaya N et al (2020) Does restless legs syndrome impact cognitive function via sleep quality in adults with Parkinson’s disease? Int J Neurosci 130(4):322–329. https://doi.org/10.1080/00207454.2019.1681423CrossRefPubMed

24.

Killgore WD (2010) Effects of sleep deprivation on cognition. Prog Brain Res 185:105–129. https://doi.org/10.1016/B978-0-444-53702-7.00007-5CrossRefPubMed

25.

Ning Y, Li K, Zhang Y et al (2020) Assessing cognitive abilities of patients with shift work disorder: insights from RBANS and Granger causality connections among resting-state networks. Front Psychiatry 11:780. https://doi.org/10.3389/fpsyt.2020.00780CrossRefPubMedPubMedCentral

26.

Thomas J, Overeem S, Dresler M, et al (2020) Shift-work-related sleep disruption and the risk of decline in cognitive function: the CRUISE study. J Sleep Res e13068. https://doi.org/10.1111/jsr.13068

27.

Wolf LA, Perhats C, Delao A et al (2017) The effect of reported sleep, perceived fatigue, and sleepiness on cognitive performance in a sample of emergency nurses. J Nurs Adm 47(1):41–49. https://doi.org/10.1097/NNA.0000000000000435CrossRefPubMed

28.

Elkana O, Eisikovits OR, Oren N et al (2016) Sensitivity of neuropsychological tests to identify cognitive decline in highly educated elderly individuals: 12 months follow up. J Alzheimers Dis 49(3):607–616. https://doi.org/10.3233/JAD-150562CrossRefPubMed

29.

Landrigan CP, Rahman SA, Sullivan JP et al (2020) Effect on patient safety of a resident physician schedule without 24-hour shifts. N Engl J Med 382(26):2514–2523. https://doi.org/10.1056/NEJMoa1900669CrossRefPubMedPubMedCentral

30.

Brown M, Tucker P, Rapport F et al (2010) The impact of shift patterns on junior doctors’ perceptions of fatigue, training, work/life balance and the role of social support. Qual Saf Health Care 19(6):e36. https://doi.org/10.1136/qshc.2008.030734CrossRefPubMed

Titel: The cognitive impact of guard shifts in physicians: a before-after study
verfasst von: Cristina Benítez-Provedo
Blanca Talavera
David García-Azorín
Alberto Marcos-Dolado
Publikationsdatum: 18.08.2021
Verlag: Springer International Publishing
Erschienen in: Neurological Sciences / Ausgabe 3/2022
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-021-05501-x

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