Stress and heart rate variability in surgeons during a 24-hour shift

Archives of Surgery

Volumn 143, Issue 8, 2008, Pages 751-755

  Langelotz, Corinna ^a   Scharfenberg, Mark ^a   Haase, Oliver ^a   Schwenk, Wolfgang ^a  

^a CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; AUTONOMIC NERVOUS SYSTEM; CLINICAL ARTICLE; FATIGUE; FEMALE; HEART MUSCLE RELAXATION; HEART RATE VARIABILITY; HEART STRESS; HUMAN; MALE; OPERATION DURATION; PHYSICAL ACTIVITY; PRIORITY JOURNAL; PROSPECTIVE STUDY; REST; SHIFT WORKER; SURGEON; SURGICAL STRESS; VISUAL ANALOG SCALE;

ADULT; FEMALE; HEART DISEASES; HEART RATE; HUMANS; MALE; PERSONNEL STAFFING AND SCHEDULING; PROSPECTIVE STUDIES; STRESS; SURGERY; TIME FACTORS;

EID: 49949093050     PISSN: 00040010     EISSN: 15383644     Source Type: Journal    
DOI: 10.1001/archsurg.143.8.751     Document Type: Article

References (23)

1. Taffinder NJ, McManus IC, Gul Y, Russell RC, Darzi A. Effect of sleep deprivation on surgeons' dexterity on laparoscopy simulator. Lancet. 1998;352(9135):1191.
2. Gaba DM, Howard SK. Patient safety: fatigue among clinicians and the safety of patients. N Engl J Med. 2002;347(16):1249-1255.
3. Adams SL, Roxe DM, Weiss J, Zhang F, Rosenthal JE. Ambulatory blood pressure and Holter monitoring of emergency physicians before, during, and after a night shift. Acad Emerg Med. 1998;5(9):871-877.
4. Eastridge BJ, Hamilton EC, O'Keefe GE, et al. Effect of sleep deprivation on the performance of simulated laparoscopic surgical skill. Am J Surg. 2003;186(2):169-174.
5. Wetzel CM, Kneebone RL, Woloshynowych M, et al. The effects of stress on surgical performance. Am J Surg. 2006;191(1):5-10.
6. Aitken M, Paice E. Trainees' attitudes to shift work depend on grade and specialty. BMJ. 2003;326(7379):48.
7. Pickersgill T. The European working time directive for doctors in training. BMJ. 2001;323(7324):1266.
8. Kiernan M, Civetta J, Bartus C, Walsh S. 24 hours on-call and acute fatigue no longer worsen resident mood under the 80-hour work week regulations. Curr Surg. 2006;63(3):237-241.
9. Aasa U, Kalezic N, Lyskov E, Angquist KA, Barnekow-Bergkvist M. Stress monitoring of ambulance personnel during work and leisure time. Int Arch Occup Environ Health. 2006;80(1):51-59.
10. Vrijkotte TG, van Doornen LJ, de Geus EJ. Effects of work stress on ambulatory blood pressure, heart rate, and heart rate variability. Hypertension. 2000;35(4):880-886.
11. Dekker JM, Crow RS, Folsom AR, et al; Atherosclerosis Risk In Communities. Low heart rate variability in a 2-minute rhythm strip predicts risk of coronary heart disease and mortality from several causes: the ARIC Study. Circulation. 2000;102(11):1239-1244.
12. Böhm B, Rötting N, Schwenk W, Grebe S, Mansmann U. A prospective randomized trial on heart rate variability of the surgical team during laparoscopic and conventional sigmoid resection. Arch Surg. 2001;136(3):305-310.
13. Demirtas Y, Tulmac M, Yavuzer R, et al. Plastic surgeon's life: marvelous for mind, exhausting for body. Plast Reconstr Surg. 2004;114(4):923-933.
14. La Rovere MT, Bigger JT Jr, Marcus FI, Mortara A, Schwartz PJ; ATRAMI (Autonomic Tone and Reflexes After Myocardial Infarction) Investigators. Baroreflex sensitivity and heart-rate variability in prediction of total cardiac mortality after myocardial infarction. Lancet. 1998;351(9101):478-484.
15. Task Force of the European Society of Cardiology; North American Society of Pacing and Electrophysiology. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation. 1996;93(5):1043-1065.
16. Tsuji H, Larson MG, Venditti FJ Jr, et al. Impact of reduced heart rate variability on risk for cardiac events: the Framingham Heart Study. Circulation. 1996;94(11):2850-2855.
17. Gamelin FX, Berthoin S, Bosquet L. Validity of the polar S810 heart rate monitor to measure R-R intervals at rest. Med Sci Sports Exerc. 2006;38(5):887-893.
18. Green A, Duthie HL, Young HL, Peters TJ. Stress in surgeons. Br J Surg. 1990;77(10):1154-1158.
19. Hassan I, Weyers P, Maschuw K, et al. Negative stress-coping strategies among novices in surgery correlate with poor virtual laparoscopic performance. Br J Surg. 2006;93(12):1554-1559.
20. Mitani S, Fujita M, Shirakawa T. Circadian variation of cardiac autonomic nervous profile is affected in Japanese ambulance men with a working system of 24-h shifts. Int Arch Occup Environ Health. 2006;79(1):27-32.
21. Vrijkotte TG, van Doornen LJ, de Geus EJ. Overcommitment to work is associated with changes in cardiac sympathetic regulation. Psychosom Med. 2004;66(5):656-663.
22. Brosschot JF, Van Dijk E, Thayer JF. Daily worry is related to low heart rate variability during waking and the subsequent nocturnal sleep period. Int J Psychophysiol. 2007;63(1):39-47.
23. Furlan R, Barbic F, Piazza S, Tinelli M, Seghizzi P, Malliani A. Modifications of cardiac autonomic profile associated with a shift schedule of work. Circulation. 2000;102(16):1912-1916.