BACKGROUND: A physician's @entity1295 raises significant concerns regarding personal and @entity1 safety. Effects of @entity1949 on clinical performance and the quality of @entity1 care are major considerations of today's health care environment. AIM: To evaluate the impact of @entity1949 after a 17-h overnight call (3 pm-7 am) on the mood status and cognitive skills of anesthesiologists in an academic clinical hospital setting, as compared to these parameters during regular working hours. METHODS: Taking circadian rhythm into account, the following measures were assessed in 21 pediatric anesthesiologists at two time points over the course of the study; (i) between 7 and 8 am on a regular non call day, and (ii) between 7 and 8 am after a 17-h in-house call (3 pm-7 am). Six mood states were assessed using the Profile of Mood States. A @entity1316 ( @entity1316 ) score was obtained as the sum of all mood scores minus vigor. The total score provides a global estimate of affective state. Simple cognitive tests were similarly administered to assess cognitive skills. A two-tailed paired t-test was used to compare data between regular and post call days. A P < 0.05 was used. RESULTS: The study cohort included 21 pediatric anesthesiologists at a tertiary care @entity1 's hospital. Tension, anger, @entity1295 , @entity911 , @entity1316 , @entity146 , feeling jittery, and @entity25 were significantly affected (P < 0.05). A decrease in vigor, energy, and confidence was observed after a night call shift (P < 0.05). There was also a decrease in being "talkative" after the call shift (P < 0.05). CONCLUSION: Partial @entity1949 affects the total mood status of anesthesiologists and impacts their cognitive skills. These findings are particularly relevant in a context of increased work expectation, particularly on clinical performance in our modern medical system. Such observations suggest that there may be changes that impact the safety of our @entity1 and the quality of health care that is provided.

Time to talk about work-hour impact on anesthesiologists: The effects of XXXX on Profile of Mood States and cognitive tasks.

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'patient'] @entity1949 :: ('MESH:D012892', 'Disease') :: ['sleep deprivation', 'partial sleep deprivation'] @entity146 :: ('MESH:D001523', 'Disease') :: ['irritability'] @entity1295 :: ('MESH:D005221', 'Disease') :: ['fatigue'] @entity1316 :: ('MESH:D019964', 'Disease') :: ['TMD', 'Total Mood Disturbance'] @entity911 :: ('MESH:D003221', 'Disease') :: ['confusion'] @entity25 :: ('MESH:D012893', 'Disease') :: ['sleepiness']
@entity1949 :: (MESH:D012892,Disease) :: ['sleep deprivation']
