| Title |
Night shift decreases cognitive performance of ICU physicians
|
|---|---|
| Published in |
Intensive Care Medicine, November 2015
|
| DOI | 10.1007/s00134-015-4115-4 |
| Pubmed ID | |
| Authors |
François Maltese, Mélanie Adda, Amandine Bablon, Sami Hraeich, Christophe Guervilly, Samuel Lehingue, Sandrine Wiramus, Marc Leone, Claude Martin, Renaud Vialet, Xavier Thirion, Antoine Roch, Jean-Marie Forel, Laurent Papazian |
| Abstract |
The relationship between tiredness and the risk of medical errors is now commonly accepted. The main objective of this study was to assess the impact of an intensive care unit (ICU) night shift on the cognitive performance of a group of intensivists. The influence of professional experience and the amount of sleep on cognitive performance was also investigated. A total of 51 intensivists from three ICUs (24 seniors and 27 residents) were included. The study participants were evaluated after a night of rest and after a night shift according to a randomized order. Four cognitive skills were tested according to the Wechsler Adult Intelligence Scale and the Wisconsin Card Sorting Test. All cognitive abilities worsened after a night shift: working memory capacity (11.3 ± 0.3 vs. 9.4 ± 0.3; p < 0.001), speed of processing information (13.5 ± 0.4 vs. 10.9 ± 0.3; p < 0.001), perceptual reasoning (10.6 ± 0.3 vs. 9.3 ± 0.3; p < 0.002), and cognitive flexibility (41.2 ± 1.2 vs. 44.2 ± 1.3; p = 0.063). There was no significant difference in terms of level of cognitive impairment between the residents and ICU physicians. Only cognitive flexibility appeared to be restored after 2 h of sleep. The other three cognitive skills were altered, regardless of the amount of sleep during the night shift. The cognitive abilities of intensivists were significantly altered following a night shift in the ICU, regardless of either the amount of professional experience or the duration of sleep during the shift. The consequences for patients' safety and physicians' health should be further evaluated. |
X Demographics
The data shown below were collected from the profiles of 85 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Japan | 19 | 22% |
| France | 3 | 4% |
| Argentina | 3 | 4% |
| Paraguay | 2 | 2% |
| United States | 2 | 2% |
| Uruguay | 1 | 1% |
| Honduras | 1 | 1% |
| Côte d'Ivoire | 1 | 1% |
| Netherlands | 1 | 1% |
| Other | 1 | 1% |
| Unknown | 51 | 60% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 76 | 89% |
| Practitioners (doctors, other healthcare professionals) | 5 | 6% |
| Scientists | 4 | 5% |
Mendeley readers
The data shown below were compiled from readership statistics for 196 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 196 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 37 | 19% |
| Researcher | 27 | 14% |
| Student > Master | 17 | 9% |
| Other | 15 | 8% |
| Student > Ph. D. Student | 14 | 7% |
| Other | 37 | 19% |
| Unknown | 49 | 25% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 68 | 35% |
| Nursing and Health Professions | 19 | 10% |
| Psychology | 18 | 9% |
| Neuroscience | 5 | 3% |
| Business, Management and Accounting | 5 | 3% |
| Other | 25 | 13% |
| Unknown | 56 | 29% |
Attention Score in Context
This research output has an Altmetric Attention Score of 104. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 September 2021.
All research outputs
#410,178
of 25,701,027 outputs
Outputs from Intensive Care Medicine
#364
of 5,467 outputs
Outputs of similar age
#5,827
of 295,116 outputs
Outputs of similar age from Intensive Care Medicine
#1
of 64 outputs
Altmetric has tracked 25,701,027 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 5,467 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 29.7. This one has done particularly well, scoring higher than 93% of its peers.
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We're also able to compare this research output to 64 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 98% of its contemporaries.