Liz Hamui-Sutton1, Virginia Barragán-Pérez2, Ruth Fuentes-García3, Erika Cristina Monsalvo-Obregón4, Claudia Fouilloux-Morales2. 1. Departamento de Investigación Educativa. División de Estudios de Posgrado. Facultad de Medicina, Universidad Nacional Autónoma de México, México DF, Mexico. lizhamui@gmail.com. 2. Departamento de Psiquiatría y Salud Mental. Facultad de Medicina, Universidad Nacional Autónoma de México, México DF, Mexico. 3. Departamento de Matemáticas. Facultad de Ciencias, Universidad Nacional Autónoma de México, México DF, Mexico. 4. Coordinación de Servicios a la Comunidad. Facultad de Medicina, Universidad Nacional Autónoma de México, México DF, Mexico.
Abstract
BACKGROUND: In countries such as United States and European Nations changes have been proposed regarding to duty and academic structure of specialists in training, this implies adjustments in the norms concerning the number of hours a week that residents work. The main argument which has underpinned such transformations is based on the assumption that excessive working hours (more than 16 hours uninterrupted) cause cognitive and psychomotor disorders in residents. OBJECTIVE: To evaluate the association between sleep deprivation and cognitive and psychomotor skills of a sample of residents of different specialties of Medicine. METHODS: Longitudinal study with measurements pre and post shifts, in 31 residents of Medicine. The measured variables were: cognitive and psychomotor skills, demographic data and conditions of the shift, quality of sleep and psychopathology. RESULTS: 81% residents showed detriment in at least one of the tests, however, in psychomotor skills significant different results were found in CPR maneuvers between pre and post shift with an improvement in scores. CONCLUSIONS: Sleep deprivation causes detriment of cognitive and psychomotor skills. While our results can't be generalized, they may constitute a precedent for possible changes in the working hours of medical residencies.
BACKGROUND: In countries such as United States and European Nations changes have been proposed regarding to duty and academic structure of specialists in training, this implies adjustments in the norms concerning the number of hours a week that residents work. The main argument which has underpinned such transformations is based on the assumption that excessive working hours (more than 16 hours uninterrupted) cause cognitive and psychomotor disorders in residents. OBJECTIVE: To evaluate the association between sleep deprivation and cognitive and psychomotor skills of a sample of residents of different specialties of Medicine. METHODS: Longitudinal study with measurements pre and post shifts, in 31 residents of Medicine. The measured variables were: cognitive and psychomotor skills, demographic data and conditions of the shift, quality of sleep and psychopathology. RESULTS: 81% residents showed detriment in at least one of the tests, however, in psychomotor skills significant different results were found in CPR maneuvers between pre and post shift with an improvement in scores. CONCLUSIONS: Sleep deprivation causes detriment of cognitive and psychomotor skills. While our results can't be generalized, they may constitute a precedent for possible changes in the working hours of medical residencies.
Entities:
Keywords:
cognitive abilities; habilidades cognitivas; habilidades psicomotoras; medical residents; médicos residentes; privación de sueño; psychomotor skills; sleep deprivation
Authors: Daniel San-Juan; Raúl Nathanael May Mas; Cuauhtémoc Gutiérrez; Jorge Morales; Ana Díaz; Gerardo Quiñones; Axel Kevin Galindo; Luis Armando Baigts; Cecilia Ximenez-Camilli; David Anschel Journal: Sleep Sci Date: 2022 Jan-Mar