Biomarkes Of Job STRess In Emergency Senior Physicians - Detection of Stressful Events

NCT04334083 | Completed

• 2 other identifiers: RBHP 2019 DUTHEIL 22019-A02961-56
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

Emergency medicine is a unique specialty focusing on a breadth of acute care, on demand . Shift work is also a fundamental component of emergency medicine, and is associated with chronic stress, including stress at work. Consequently, stress may lead to symptoms of mental exhaustion, physical fatigue, detachment from work, and feelings of diminished competence . Emergency physicians (EPs) are exposed to a complex interplay between stress (life-and-death emergencies - a defining characteristic of their job), sleep deprivation, and fatigue due to repeated changes in, and duration of shifts. Work-related exhaustion can lead to various physical and psychological symptoms, and also may be associated with delayed decision-making . The combined effects of stress and fatigue can impact on job performance, often resulting in otherwise preventable medical errors. Moreover, prolonged stress may expose EPs to a higher risk of multiple diseases, predominantly systemic inflammation and coronary heart disease. All these contribute to the premature departure of EPs to other specialties. Furthermore, low HRV has been associated with stress, burnout, and is linked with an increased risk of cardiovascular diseases. This project proposes to evaluate if life-and-death emergencies or specific situations will induce abrupt changes in HRV among emergency physicians. Moreover, we would like to compare reactions between being an actor (EPs) and being a spectator and assess the role of expertise and habituation to stressful emergency situations.

Conditions

Heart Rate Variability

Keywords

Heart rate variability; stress; cortisol

Outcome Measures

Primary Outcomes (2)

• heart rate variability at night work

  measure of abrupt changes in HRV signals during 14 hours

  from 18:30 to 8:30, during the 14 hours of the night shift

• heart rate variability at day work

  measure of abrupt changes in HRV signals during 10 hours

  from 8:30 to 18:30, during the 10 hours of the day shift

Secondary Outcomes (67)

• Stress

  18:30, baseline of the night shift

• Fatigue

  at 18:30, baseline of the night shift

• Stress

  at 8h30, at the end of the night shift

• Fatigue

  at 8:30, at the end of the night shift

• Stress

  at 8:30, 24 hours after the end of night shift

Study Arms (2)

Emergency physicians

EXPERIMENTAL

actors during the work

Behavioral: Comparison of biomarkers of stress

medical externship student

EXPERIMENTAL

spectator during the emergency physician work

Behavioral: Comparison of biomarkers of stress

Interventions

Comparison of biomarkers of stress BEHAVIORAL

Emergency will be followed during a night shift and the rest day et during a day shift and the rest day. They will be observed by a medical externship student. We will assess the role of expertise and habituation to stressful emergency situations.

Emergency physicians; medical externship student

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Emergency physicians from the emergency department of CHU Clermont-Ferrand will be accompanied by a medical externship student.
• Ability to give a written informed consent.

You may not qualify if:

• Participant refusal to participate

Sponsors & Collaborators

• University Hospital, Clermont-Ferrand: lead

Study Sites (1)

Chu Clermont Ferrand

Clermont-Ferrand, 63003, France

Location

Study Officials

• Frédéric Dutheil

  University Hospital, Clermont-Ferrand

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 25, 2020
• First Posted: April 6, 2020
• Study Start: February 17, 2022
• Primary Completion: December 21, 2023
• Study Completion: December 21, 2023
• Last Updated: December 29, 2023

Record last verified: 2023-12

Locations

FR (1)