The Effect of the Duty Loading on the Stress Response of Physician
1 other identifier
observational
15
1 country
1
Brief Summary
The investigators will study in the possibility of cardiovascular disease, caused by the duty loading, of physician of internal medicine. The investigators will also explore if there {dose response effect} between the duty loading and the stress response of physicians of internal medicine. Therefore, the investigators will compare the stress responses of physicians of internal medicine during with different duty loading ( non-duty day, one duty area with 3 wards, 2 duty areas with 6 wards) in a observational method. Those stress response will be measured by cardiovascular risk indicators, including blood pressure, heart rate variability, blood sampling and urine sampling.
Trial Health
Trial Health Score
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participants targeted
Target at below P25 for all trials
Started Jun 2011
1 active site
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Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2011
CompletedFirst Submitted
Initial submission to the registry
June 3, 2011
CompletedFirst Posted
Study publicly available on registry
June 7, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2012
CompletedJanuary 5, 2012
January 1, 2012
1.5 years
June 3, 2011
January 3, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The physiological change of physician during different duty loadings
The investigators will also explore if there {dose response effect} between the duty loading and the stress response of physicians of internal medicine, and will compare the stress responses of physicians of internal medicine during with different duty loading in a observational method. Those stress response will be measured by cardiovascular risk indicators, including blood pressure, heart rate variability, blood sampling and urine sampling.
4 months
Study Arms (1)
Physician of internal medicine in Taipei city hospital
Interventions
All subjects will have non-invasive 24 hour EKG and 24 hour EKG monitoring for 24 hours.
Right before and after the duty loading, all subjects will have blood samplings, including CRP, WBC, IL-6, Fibrinogen, insulin, IL-6, Procalcitonin, TNF-alfa, catecholamine level. Right after the duty loading, all subjects will have urine samplings for cortisol and catecholamine level.(blood : 15CC/time and 2\~4 times/month)
Eligibility Criteria
Attending physicians of internal medicine of Taipei municipal hospital, certified by Taiwan society of internal medicine. We will compare those results of outcome variables of different amount of duty area.
You may qualify if:
- Attending physicians of internal medicine of Taipei municipal hospital, certified by Taiwan society of internal medicine.
You may not qualify if:
- thyroid dysfunction
- pregnancy, diabetes mellitus
- history of cardiovascular disease (stroke, coronary arterial disease, or myocardial infraction)
- current smokers, or
- taking sleeping pills or B-blocker
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- National Taiwan University Hospitallead
- Taipei City Hospitalcollaborator
Study Sites (1)
National Taiwan university hospital
Taipei, 100, Taiwan
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Yue Leon Guo, Professor
National Taiwan University Hospital
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CROSSOVER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 3, 2011
First Posted
June 7, 2011
Study Start
June 1, 2011
Primary Completion
December 1, 2012
Study Completion
December 1, 2012
Last Updated
January 5, 2012
Record last verified: 2012-01