Impact of 24-Hour On-Call Shifts on Headache in Medical Residents: A Cohort Study.
Headache
; 60(7): 1427-1431, 2020 07.
Article
em En
| MEDLINE
| ID: mdl-32492184
ABSTRACT
BACKGROUND:
During 24-hour on-call shifts medical residents are exposed to diverse circumstances such as sleep deprivation and stress.OBJECTIVE:
Our aim is to assess the effect of 24-hour on-call shifts on medical residents' headache-related disability.METHODS:
The Migraine Disability Assessment Scale (MIDAS), the Headache Impact Test (HIT-6), the Pittsburgh Sleep Quality Index (PSQI), and the Hospital Anxiety and Depression Scale (HADS) questionnaires were administered to medical residents who had never performed on-call shifts at baseline and 6 months after beginning 24-hour on-call shifts. Scores were compared.RESULTS:
About 66 medical residents completed this study. About 21.2% (n = 14) had history of migraine, 42.4% (n = 28) had a history of tension-type headache (TTH) and 12.1% (n = 8) had a history of both migraine and TTH. Among medical residents with migraine, the median MIDAS score was significantly higher after starting 24-hour on-call shifts than at a baseline (4.0 vs 8.0; Wilcoxon, P = .001), meaning that, on average, disability increased from little or no disability, to moderate disability. No difference in HIT-6 scores was found. The median score of PSQI and HADS was higher at 6 months (PSQI 7.0 vs 8.0; P = .003), (HADS 5.0 vs 8.0; P < .001) for the general group.CONCLUSIONS:
In medical residents with migraine, migraine-related disability increased after starting 24-hour on-call shifts. We also found a worsening in depression and anxiety symptoms and self-reported sleep quality in medical residents with and without headache history.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Médicos
/
Privação do Sono
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Cefaleia do Tipo Tensional
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Estresse Ocupacional
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Jornada de Trabalho em Turnos
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Internato e Residência
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Transtornos de Enxaqueca
Tipo de estudo:
Etiology_studies
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Incidence_studies
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Observational_studies
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Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Headache
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Espanha