PDF(Pubmed)
Abstract：
UNASSIGNED: A pediatric surgery fellow is often regarded as a cornerstone of an academic children\'s hospital due to the need for their clinical services with overnight coverage being an important aspect of the care provided. There is little known about the objective sleep patterns and work-related communications of a pediatric surgery fellow during overnight home call. The aim of this study is to better understand the sleep patterns and interruptions of an on-call pediatric surgery fellow.
UNASSIGNED: A prospective observational study of 60 call nights and 60 non-call nights of a pediatric surgery senior fellow was performed from September 2022 to February 2023.
UNASSIGNED: An academic Children\'s Hospital.
UNASSIGNED: An ACGME-accredited clinical pediatric surgery fellow.
UNASSIGNED: On average, the pediatric surgery fellow spent 6.9 and 5.8 total hours in bed and asleep each night, respectively. The total sleep time was less for call nights compared to non-call nights (5.4 versus 6.3 h, p < 0.0001). The mean number of work-related communications per 12-hour night shift was four. The majority of communications were regarding new consults (63.8 %). The pediatric surgery fellow spent an average of 5.9 min per communication and approximately 23.8 min total during each 12-hour night shift. Approximately half of these communications occurred during sleep hours.
UNASSIGNED: This study reveals overall sleep duration was below recommended levels. There were significant alterations in sleep patterns during call nights. Work-related communications further compounded sleep disturbances. Further research and interventions in this area are warranted.
UNASSIGNED: A prospective observational study of 60 call nights and 60 non-call nights of a pediatric surgery senior fellow was performed from September 2022 to February 2023.
UNASSIGNED: An academic Children\'s Hospital.
UNASSIGNED: An ACGME-accredited clinical pediatric surgery fellow.
UNASSIGNED: On average, the pediatric surgery fellow spent 6.9 and 5.8 total hours in bed and asleep each night, respectively. The total sleep time was less for call nights compared to non-call nights (5.4 versus 6.3 h, p < 0.0001). The mean number of work-related communications per 12-hour night shift was four. The majority of communications were regarding new consults (63.8 %). The pediatric surgery fellow spent an average of 5.9 min per communication and approximately 23.8 min total during each 12-hour night shift. Approximately half of these communications occurred during sleep hours.
UNASSIGNED: This study reveals overall sleep duration was below recommended levels. There were significant alterations in sleep patterns during call nights. Work-related communications further compounded sleep disturbances. Further research and interventions in this area are warranted.
摘要：
儿科外科研究员通常被视为学术儿童医院的基石，因为他们需要临床服务，隔夜保险是所提供护理的重要方面。关于儿科手术研究员在通宵家访期间的客观睡眠模式和与工作相关的沟通知之甚少。这项研究的目的是更好地了解值班儿科手术研究员的睡眠模式和中断情况。
■从2022年9月至2023年2月，对儿科外科高级研究员的60个呼叫之夜和60个非呼叫之夜进行了前瞻性观察性研究。
■一家学术儿童医院。
■ACGME认可的临床儿科外科研究员。
■平均而言，儿科手术研究员每晚在床上睡觉共花费6.9小时和5.8小时，分别。与非通话之夜相比，通话之夜的总睡眠时间较少（5.4小时对6.3小时，p<0.0001)。每12小时夜班与工作相关的通信平均次数为4次。大多数来文涉及新咨询（63.8％）。儿科手术人员平均每次交流花费5.9分钟，每12小时夜班总计约23.8分钟。大约一半的通信发生在睡眠时间。
■这项研究显示总体睡眠持续时间低于推荐水平。通话之夜的睡眠模式发生了显着变化。与工作相关的沟通进一步加剧了睡眠障碍。需要在这一领域进行进一步的研究和干预。
■从2022年9月至2023年2月，对儿科外科高级研究员的60个呼叫之夜和60个非呼叫之夜进行了前瞻性观察性研究。
■一家学术儿童医院。
■ACGME认可的临床儿科外科研究员。
■平均而言，儿科手术研究员每晚在床上睡觉共花费6.9小时和5.8小时，分别。与非通话之夜相比，通话之夜的总睡眠时间较少（5.4小时对6.3小时，p<0.0001)。每12小时夜班与工作相关的通信平均次数为4次。大多数来文涉及新咨询（63.8％）。儿科手术人员平均每次交流花费5.9分钟，每12小时夜班总计约23.8分钟。大约一半的通信发生在睡眠时间。
■这项研究显示总体睡眠持续时间低于推荐水平。通话之夜的睡眠模式发生了显着变化。与工作相关的沟通进一步加剧了睡眠障碍。需要在这一领域进行进一步的研究和干预。
