Physiological restitution after night-call duty in anaesthesiologists: impact on metabolic factors.
Malmberg, Birgitta LU ; Persson, Roger LU
; Jönsson, Bo A
LU
; Erfurth, EM
LU
; Flisberg, Per
LU
; Ranklev, Eva
LU
and Örbaek, Palle
LU
(2007)
In Acta Anaesthesiologica Scandinavica
51.
p.823-830
- Abstract
- Background: Several studies have shown impaired mental well-being and performance in physicians work on call, but knowledge of the physiological effects is scarce. The aims of the present study were to investigate if there was a metabolic stress response in the restitutional phase after night-call duty, indicating potential negative health effects, and determine whether there were differences between physician specialities. Methods: Anaesthesiologists (n = 19) were compared with paediatricians/ear, nose and throat (ENT) surgeons (n = 18). On an ordinary workday, 1 and 3 days after work on night call, blood samples were taken for analysis of glucose, thyroid-stimulating hormone (TSH), free thyroxine, testosterone, insulin growth factor-1... (More)
- Background: Several studies have shown impaired mental well-being and performance in physicians work on call, but knowledge of the physiological effects is scarce. The aims of the present study were to investigate if there was a metabolic stress response in the restitutional phase after night-call duty, indicating potential negative health effects, and determine whether there were differences between physician specialities. Methods: Anaesthesiologists (n = 19) were compared with paediatricians/ear, nose and throat (ENT) surgeons (n = 18). On an ordinary workday, 1 and 3 days after work on night call, blood samples were taken for analysis of glucose, thyroid-stimulating hormone (TSH), free thyroxine, testosterone, insulin growth factor-1 (IGF-1), high- and low-density lipoprotein cholesterol (HDL and LDL), triglycerids (TG) and insulin. Saliva cortisol was sampled on an ordinary working day, a day including 16-h night call, the third day following, and for anaesthesiologists also on a day off work. Results: TSH differed significantly between days in both groups, with a 26% lower level 1 day after on-call duty (P < 0.001). A 48% cortisol rise in the morning preceding night duty was found for paediatricians/ENT surgeons (P < 0.01). Conclusion: The significant dip in TSH level 24 h after night-call duty indicates a metabolic effect of working on night call and should be studied further. However, the levels were within the normal range and the overall results do not imply any serious metabolic changes and only minor differences were seen between specialist groups. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/539716
- author
- Malmberg, Birgitta
LU
; Persson, Roger
LU
; Jönsson, Bo A
LU
; Erfurth, EM
LU
; Flisberg, Per
LU
; Ranklev, Eva
LU
and Örbaek, Palle
LU
- publishing date
- 2007
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Acta Anaesthesiologica Scandinavica
- volume
- 51
- pages
- 823 - 830
- publisher
- Wiley-Blackwell
- external identifiers
-
- wos:000248042800005
- scopus:34447335318
- pmid:17578458
- ISSN
- 0001-5172
- DOI
- 10.1111/j.1399-6576.2007.01350.x
- language
- English
- LU publication?
- no
- id
- eeaec680-7f5c-4af4-a4d4-79b178ac16f1 (old id 539716)
- alternative location
- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17578458&dopt=Abstract
- date added to LUP
- 2016-04-01 12:13:55
- date last changed
- 2023-10-04 13:35:33
@article{eeaec680-7f5c-4af4-a4d4-79b178ac16f1,
abstract = {{Background: Several studies have shown impaired mental well-being and performance in physicians work on call, but knowledge of the physiological effects is scarce. The aims of the present study were to investigate if there was a metabolic stress response in the restitutional phase after night-call duty, indicating potential negative health effects, and determine whether there were differences between physician specialities. Methods: Anaesthesiologists (n = 19) were compared with paediatricians/ear, nose and throat (ENT) surgeons (n = 18). On an ordinary workday, 1 and 3 days after work on night call, blood samples were taken for analysis of glucose, thyroid-stimulating hormone (TSH), free thyroxine, testosterone, insulin growth factor-1 (IGF-1), high- and low-density lipoprotein cholesterol (HDL and LDL), triglycerids (TG) and insulin. Saliva cortisol was sampled on an ordinary working day, a day including 16-h night call, the third day following, and for anaesthesiologists also on a day off work. Results: TSH differed significantly between days in both groups, with a 26% lower level 1 day after on-call duty (P < 0.001). A 48% cortisol rise in the morning preceding night duty was found for paediatricians/ENT surgeons (P < 0.01). Conclusion: The significant dip in TSH level 24 h after night-call duty indicates a metabolic effect of working on night call and should be studied further. However, the levels were within the normal range and the overall results do not imply any serious metabolic changes and only minor differences were seen between specialist groups.}},
author = {{Malmberg, Birgitta and Persson, Roger and Jönsson, Bo A and Erfurth, EM and Flisberg, Per and Ranklev, Eva and Örbaek, Palle}},
issn = {{0001-5172}},
language = {{eng}},
pages = {{823--830}},
publisher = {{Wiley-Blackwell}},
series = {{Acta Anaesthesiologica Scandinavica}},
title = {{Physiological restitution after night-call duty in anaesthesiologists: impact on metabolic factors.}},
url = {{http://dx.doi.org/10.1111/j.1399-6576.2007.01350.x}},
doi = {{10.1111/j.1399-6576.2007.01350.x}},
volume = {{51}},
year = {{2007}},
}