Biomarkers of Stress in Emergency Physicians Clinical Trial
— JOBSTRESSOfficial title:
Comparison of Biomarkers of Stress in Emergency Physicians Working a 24-hour Shift or a 14-hour Night Shift - the JOBSTRESS Randomized Trial
Verified date | June 2013 |
Source | University Hospital, Clermont-Ferrand |
Contact | n/a |
Is FDA regulated | No |
Health authority | France: Ministry of Health |
Study type | Interventional |
A stressful state can lead to symptoms of mental exhaustion, physical fatigue, medical errors, and also increase coronary heart disease. Emergency physicians subjectively complain of stress related to changes in work shifts. Several potential biomarkers of stress have been described, but never investigated in emergency physician, who may represent a good model of stress due to the complex interplay between stress (life-and-death emergencies, which is the defining characteristic of their job), lack of sleep and fatigue due to repeated changes in shifts.The aim of this study was to compare biomarkers in emergency physicians working a 24-hour shift (24hS) or a 14-hour night shift (14hS), and in those working a control day (clerical work on return from leave). We also followed these markers three days following each shift (D3/24hS and D3/14hS).
Status | Completed |
Enrollment | 19 |
Est. completion date | September 2011 |
Est. primary completion date | September 2010 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 60 Years and older |
Eligibility |
Inclusion Criteria: - emergency physician Exclusion Criteria: - endocrine disease, pregnancy, recent extraprofessional deleterious life event (such as death of a near relative, divorce), any current illness, drugs used to modulate inflammatory diseases (corticosteroids, anti-inflammatory drugs, immunomodulatory drugs), or any drugs with a chronotropic effect taken over the previous six months (beta blockers, diltiazem, verapamil, anxiolytics or antidepressants). |
Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Screening
Country | Name | City | State |
---|---|---|---|
France | CHU Clermont-Ferrand | Clermont-Ferrand |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Clermont-Ferrand | Association des Médecins des Urgences de Clermont-Ferrand, Université d'Auvergne |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Putative biomarkers of stress include heart rate variability (urinary and salivary steroids, saliva immunogobulin A, ...) | These biomarkers will be collected in emergency physicians | at day 1 | Yes |
Secondary | perceived stress measured using visual analog scale (VAS) | at day 1 | No | |
Secondary | perceived fatigue (VAS) | at day 1 | No | |
Secondary | sleep duration (hours) | at day 1 | No | |
Secondary | sleep quality (VAS) | at ady 1 | No | |
Secondary | workload within the emergency department during the shifts | at day 1 | No |