Li-Tan Yang1, Po-Wei Chen1, Tsung-Hsien Lin2, Kuang-Hsing Chiang3, Chun-Ming Shih3, Ming-Chia Hsieh4, Wei-Kung Tseng5, Hung-I Yeh6, Ping-Yen Liu7. 1. Department of Internal Medicine, National Cheng Kung University Hospital, Tainan; 2. Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung; 3. Taipei Medical University Hospital, Taipei; 4. Changhua Christian Hospital, Changhua; 5. E-Da Hospital, Kaohsiung; 6. Mackay Memorial Hospital, Taipei; 7. Department of Internal Medicine, National Cheng Kung University Hospital, Tainan; ; Institute of Clinical Medicine, National Cheng Kung University, Tainan, Taiwan.
Abstract
BACKGROUND: Sudden death is a rare but real threat to hospital-based physicians and surgeons. The association between sudden death and blood pressure (BP) fluctuations in healthcare providers has not been documented. We hypothesized that work-shift loading may lead to variable BP surges in hospital-based healthcare staff, which might contribute to their development of cardiovascular disease. METHODS: Our intention is to ask 150 healthcare staff (doctors, medical technicians, and nurses) working in the coronary catheterization lab, intensive care unit, and the medical wards, respectively, to volunteer for the study. Their changes in BP would automatically be recorded every 60 minutes on an ambulatory BP monitoring machine for 24 hours during a normal workday. All events and activities would be recorded in a diary, which would allow us to coordinate BP changes with the work being done during the shift. All cardiovascular outcomes would be followed-up for a five-year duration. CONCLUSIONS: We herein report the rationale and design of this first multicenter trial in Taiwan to explore the BP behavior associated with long work shifts in healthy hospital-based healthcare providers. KEY WORDS: Ambulatory blood pressure; Health-care staff; Occupation; Work shift.
BACKGROUND:Sudden death is a rare but real threat to hospital-based physicians and surgeons. The association between sudden death and blood pressure (BP) fluctuations in healthcare providers has not been documented. We hypothesized that work-shift loading may lead to variable BP surges in hospital-based healthcare staff, which might contribute to their development of cardiovascular disease. METHODS: Our intention is to ask 150 healthcare staff (doctors, medical technicians, and nurses) working in the coronary catheterization lab, intensive care unit, and the medical wards, respectively, to volunteer for the study. Their changes in BP would automatically be recorded every 60 minutes on an ambulatory BP monitoring machine for 24 hours during a normal workday. All events and activities would be recorded in a diary, which would allow us to coordinate BP changes with the work being done during the shift. All cardiovascular outcomes would be followed-up for a five-year duration. CONCLUSIONS: We herein report the rationale and design of this first multicenter trial in Taiwan to explore the BP behavior associated with long work shifts in healthy hospital-based healthcare providers. KEY WORDS: Ambulatory blood pressure; Health-care staff; Occupation; Work shift.
Authors: Yolande Esquirol; Bertrand Perret; Jean Bernard Ruidavets; Jean Claude Marquie; Eloi Dienne; Michel Niezborala; Jean Ferrieres Journal: Arch Cardiovasc Dis Date: 2011-11-21 Impact factor: 2.340
Authors: P Stiefel; J Gimenez; M L Miranda; J Villar; O Muñiz-Grijalvo; E Pamies; V Martin-Sanz; J Carneado Journal: Int J Cardiol Date: 1994-07 Impact factor: 4.164
Authors: I Kawachi; G A Colditz; M J Stampfer; W C Willett; J E Manson; F E Speizer; C H Hennekens Journal: Circulation Date: 1995-12-01 Impact factor: 29.690