Key result
A 17-hour night shift significantly decreased heart rate variability in surgeons, increasing the median LF:HF ratio from 2.7 precall to 4.9 on call (p<0.001).
Why the study?
Does a 17-hour night shift decrease heart rate variability in surgeons?
Observational (n=29)
Does a 17-hour night shift decrease heart rate variability in surgeons?
Absolute Event Rate: 4.9% vs 2.7%
p-value: p=<0.001
Working a 17-hour night shift significantly decreases heart rate variability and increases pulse rate in surgeons, indicating sympathetic dominance.
Night shifts were associated with reduced HRV in surgeons; leaves open effects on performance and patient outcomes, needing prospective validation.
BACKGROUND: Heart rate variability (HRV) has been used as a measure of stress and mental strain in surgeons. Low HRV has been associated with death and increased risk of cardiac events in the general population. The aim of this study was to clarify the effect of a 17-hour night shift on surgeons' HRV. METHODS: Surgeons were monitored prospectively with an ambulatory electrocardiography device for 48 consecutive hours, beginning on a precall day and continuing through an on-call (17-h shift) day. We measured HRV by frequency domain parameters. RESULTS: We included 29 surgeons in our analysis. The median pulse rate was decreased precall (median 64, interquartile range [IQR] 56-70 beats per minute [bpm]) compared with on call (median 81, IQR 70-91 bpm, p < 0.001). Increased high-frequency (HF) activity was found precall (median 199, IQR 75-365 ms2) compared with on call (median 99, IQR 48-177 ms2, p < 0.001). The low-frequency:high-frequency (LF:HF) ratio was lower precall (median 2.7, IQR 1.9-3.9) than on call (median 4.9, IQR 3.7-6.5, p < 0.001). We found no correlation between the LF:HF ratio and performance in laparoscopic simulation. CONCLUSION: Surgeons working night shifts had a significant decrease in HRV and a significant increase in pulse rate, representing sympathetic dominance in the autonomic nervous system. TRIAL REGISTRATION: NCT01623674 (www.clinicaltrials.gov).
No takes yet. Share an insight, caveat, or question.
Amirian et al. (2014) conducted an observational in Stress and mental strain (n=29). 17-hour night shift vs. Precall day was evaluated on Low-frequency:high-frequency (LF:HF) ratio (p=<0.001). A 17-hour night shift significantly decreased heart rate variability in surgeons, increasing the median LF:HF ratio from 2.7 precall to 4.9 on call (p<0.001).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: