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Sleep deprivation and resident performance.

T F Deaconson1, D P O'Hair, M F Levy

  • 1Department of Surgery, Medical College, Milwaukee, WI 53226.

JAMA
|September 23, 1988
PubMed
Summary
This summary is machine-generated.

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Extended sleep deprivation from hospital on-call schedules did not significantly impair surgical residents' cognitive or motor performance. Objective data suggest patient care is not compromised by typical resident sleep patterns.

Area of Science:

  • Medical Science
  • Neuroscience
  • Sleep Medicine

Background:

  • Extended sleep deprivation is a concern for cognitive and motor performance.
  • Data on sleep deprivation effects from hospital on-call schedules are limited and conflicting.

Purpose of the Study:

  • To objectively assess the impact of sleep deprivation from hospital on-call schedules on surgical residents' cognitive and motor performance.

Main Methods:

  • Three cohorts of 26 surgical residents on every-other-night call schedules participated.
  • Residents maintained sleep diaries, self-assessed fatigue, and underwent daily psychometric testing for 18-19 days.
  • Sleep deprivation was defined as <4 hours continuous sleep in 24 hours; occurred in 89% of on-call nights.

Main Results:

Related Experiment Videos

  • Overall cognitive and complex motor performance were not affected by sleep deprivation.
  • Analysis revealed only trivial performance changes on specific tests despite significant sleep disruption.
  • No significant correlation found between sleep parameters and overall performance decline.

Conclusions:

  • The assumption that sleep deprivation from typical on-call schedules compromises resident performance and patient care is not supported by these findings.
  • Further research may explore specific resident subgroups or different on-call structures.