P Daniel Patterson1, Joshua D Ghen2, Samuel F Antoon2, Christian Martin-Gill3, Francis X Guyette3, Patricia M Weiss4, Rose L Turner4, Daniel J Buysse5. 1. University of Pittsburgh, School of Medicine, Department of Emergency Medicine, 3600 Forbes Avenue, Iroquois Bldg., Suite 400A, Pittsburgh, PA 15261, USA; University of Pittsburgh, Department of Rehabilitation Science & Technology, Program in Emergency Medicine, 230 McKee Place, Pittsburgh, PA 15261, USA. Electronic address: pdp3@pitt.edu. 2. University of Pittsburgh, School of Medicine, Department of Emergency Medicine, 3600 Forbes Avenue, Iroquois Bldg., Suite 400A, Pittsburgh, PA 15261, USA; University of Pittsburgh, Department of Rehabilitation Science & Technology, Program in Emergency Medicine, 230 McKee Place, Pittsburgh, PA 15261, USA. 3. University of Pittsburgh, School of Medicine, Department of Emergency Medicine, 3600 Forbes Avenue, Iroquois Bldg., Suite 400A, Pittsburgh, PA 15261, USA. 4. University of Pittsburgh, Health Sciences Library System, 200 Scaife Hall, 3550 Terrace Street, Pittsburgh, PA 15261, USA. 5. University of Pittsburgh, School of Medicine, Department of Psychiatry, 3811 O'Hara Street, Pittsburgh, PA 15213, USA.
Abstract
BACKGROUND: Sleep deprivation is common in shift work occupations, including safety-sensitive occupations. While extending sleep prior to scheduled shifts (i.e., "banking sleep") may be an intuitive strategy for fatigue mitigation, the evidence behind this strategy is unclear. METHODS: We performed a systematic review of literature retrieved in searches of four databases. We examined agreement between two independent screeners, abstracted key findings, reviewed and synthesized findings, and evaluated the quality of evidence using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodology. The Cochrane Collaboration's risk of bias tool was used to evaluate bias of individual studies. We reported findings as prescribed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. RESULTS: Of the 3007 records screened, five met inclusion criteria. The inter-rater agreement for inclusion/exclusion was high (κ = 0.87). One study addressed patient safety outcomes. Four studies assessed the impact of banking sleep on performance, five assessed measures of acute fatigue, and three evaluated banking sleep on indicators of health. All five studies presented a very serious risk of bias and the quality of evidence was very low. Given these caveats, the findings, in aggregate, support banking sleep as a strategy to improve indicators of performance and acute fatigue. CONCLUSIONS: This systematic review identifies gaps in research of shift workers on the efficacy of banking sleep as a fatigue risk management strategy. The available evidence supports banking sleep prior to shiftwork as a strategy for improved patient safety, performance, and reducing acute fatigue.
BACKGROUND: Sleep deprivation is common in shift work occupations, including safety-sensitive occupations. While extending sleep prior to scheduled shifts (i.e., "banking sleep") may be an intuitive strategy for fatigue mitigation, the evidence behind this strategy is unclear. METHODS: We performed a systematic review of literature retrieved in searches of four databases. We examined agreement between two independent screeners, abstracted key findings, reviewed and synthesized findings, and evaluated the quality of evidence using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodology. The Cochrane Collaboration's risk of bias tool was used to evaluate bias of individual studies. We reported findings as prescribed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. RESULTS: Of the 3007 records screened, five met inclusion criteria. The inter-rater agreement for inclusion/exclusion was high (κ = 0.87). One study addressed patient safety outcomes. Four studies assessed the impact of banking sleep on performance, five assessed measures of acute fatigue, and three evaluated banking sleep on indicators of health. All five studies presented a very serious risk of bias and the quality of evidence was very low. Given these caveats, the findings, in aggregate, support banking sleep as a strategy to improve indicators of performance and acute fatigue. CONCLUSIONS: This systematic review identifies gaps in research of shift workers on the efficacy of banking sleep as a fatigue risk management strategy. The available evidence supports banking sleep prior to shiftwork as a strategy for improved patient safety, performance, and reducing acute fatigue.
Authors: Indira Gurubhagavatula; Laura K Barger; Christopher M Barnes; Mathias Basner; Diane B Boivin; Drew Dawson; Christopher L Drake; Erin E Flynn-Evans; Vincent Mysliwiec; P Daniel Patterson; Kathryn J Reid; Charles Samuels; Nita Lewis Shattuck; Uzma Kazmi; Gerard Carandang; Jonathan L Heald; Hans P A Van Dongen Journal: J Clin Sleep Med Date: 2021-11-01 Impact factor: 4.062
Authors: Ingrid Gomes Abdala; Sheila Giardini Murta; Jordana Calil Lopes de Menezes; Larissa de Almeida Nobre-Sandoval; Maria do Socorro Mendes Gomes; Karina Damous Duailibe; Danielle Aranha Farias Journal: Int J Environ Res Public Health Date: 2020-09-24 Impact factor: 3.390