Laparoscopic Skills and Cognitive Function are not Affected in Surgeons During a Night Shift
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Laparoscopic Skills and Cognitive Function are not Affected in Surgeons During a Night Shift. / Amirian, Ilda; Andersen, Lærke T; Rosenberg, Jacob; Gögenur, Ismail.
In: Journal of Surgical Education, Vol. 71, No. 4, 13.05.2014, p. 543–550.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Laparoscopic Skills and Cognitive Function are not Affected in Surgeons During a Night Shift
AU - Amirian, Ilda
AU - Andersen, Lærke T
AU - Rosenberg, Jacob
AU - Gögenur, Ismail
N1 - Copyright © 2014 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
PY - 2014/5/13
Y1 - 2014/5/13
N2 - OBJECTIVE: To monitor surgeons' performance and cognition during night shifts.DESIGN: Surgeons were monitored before call and on call (17-hour shift). Psychomotor performance was assessed by laparoscopic simulation and cognition by the d2 test of attention. The surgeons performed the laparoscopic simulation and the d2 test of attention at 8 a.m. before call and at 4 a.m. on call. Sleep was measured by wrist actigraphy and sleepiness by the Karolinska sleepiness scale.SETTING: Department of Surgery at Herlev Hospital, Denmark.PARTICIPANTS: Overall, 30 interns, residents, and attending surgeons were included and completed the study. One participant was subsequently excluded owing to myxedema.RESULTS: The surgeons slept significantly less on call than before call. There was increasing sleepiness on call; however, no significant differences were found in the precall laparoscopic simulation values compared with on-call values. The d2 test of attention showed significantly improved values on call compared with before call.CONCLUSION: Sleep deprivation during a 17-hour night shift did not impair surgeons' psychomotor or cognitive performance.
AB - OBJECTIVE: To monitor surgeons' performance and cognition during night shifts.DESIGN: Surgeons were monitored before call and on call (17-hour shift). Psychomotor performance was assessed by laparoscopic simulation and cognition by the d2 test of attention. The surgeons performed the laparoscopic simulation and the d2 test of attention at 8 a.m. before call and at 4 a.m. on call. Sleep was measured by wrist actigraphy and sleepiness by the Karolinska sleepiness scale.SETTING: Department of Surgery at Herlev Hospital, Denmark.PARTICIPANTS: Overall, 30 interns, residents, and attending surgeons were included and completed the study. One participant was subsequently excluded owing to myxedema.RESULTS: The surgeons slept significantly less on call than before call. There was increasing sleepiness on call; however, no significant differences were found in the precall laparoscopic simulation values compared with on-call values. The d2 test of attention showed significantly improved values on call compared with before call.CONCLUSION: Sleep deprivation during a 17-hour night shift did not impair surgeons' psychomotor or cognitive performance.
KW - Actigraphy
KW - Adult
KW - Attention
KW - Clinical Competence
KW - Cognition
KW - Female
KW - General Surgery
KW - Humans
KW - Internship and Residency
KW - Laparoscopy
KW - Male
KW - Psychomotor Performance
KW - Sleep Deprivation
KW - Sleep Disorders, Circadian Rhythm
U2 - 10.1016/j.jsurg.2013.12.007
DO - 10.1016/j.jsurg.2013.12.007
M3 - Journal article
C2 - 24813717
VL - 71
SP - 543
EP - 550
JO - Journal of Surgical Education
JF - Journal of Surgical Education
SN - 1931-7204
IS - 4
ER -
ID: 138419679