Improved night shift schedule related to the mortality of critically ill patients with Corona Virus Disease 2019

Zhang, Sun; Xu, Yang; Wu, Kang; Wang, Tao; Su, Xiaofen; Han, Qin; Xi, Yin; Zhu, Shitao; Gao, Yong; Wang, Hongbo; Hu, Yu; Liu, Chunli; Zhong, Nanshan; Ran, Pixin; Zhang, Nuofu

doi:10.1016/j.sleep.2020.08.010

Cited by 4 publications

(5 citation statements)

References 13 publications

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“… 74 , 75 A recent single-center, retrospective study showed that implementation of new night shift schedule, changing from a four-day cycle to only daytime work for doctors with emergency techniques and extensive first aid experience and a six-day cycle in other doctors and nurses, significantly decreased the mortality of critically ill patients with COVID-19. 76 Thus, more reasonable shift working schedules that allow for adequate rest for HWs and at the same time, ensure the continuity of treatments for patients, should be highly recommended during COVID-19 emergency status. 76 , 77 …”

Section: Resultsmentioning

confidence: 99%

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Burden of Sleep Disturbance During COVID-19 Pandemic: A Systematic Review

Lin¹,

Liu²,

Li³

et al. 2021

NSS

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Coronavirus disease 2019 (COVID-19) pandemic may exert adverse impacts on sleep among populations, which may raise awareness of the burden of sleep disturbance, and the demand of intervention strategies for different populations. We aimed to summarize the current evidence for the impacts of COVID-19 on sleep in patients with COVID-19, healthcare workers (HWs), and the general population. We searched PubMed and Embase for studies on the prevalence of sleep disturbance. Totally, 86 studies were included in the review, including 16 studies for COVID-19 patients, 34 studies for HWs, and 36 studies for the general population. The prevalence of sleep disturbance was 33.3%–84.7%, and 29.5–40% in hospitalized COVID-19 patients and discharged COVID-19 survivors, respectively. Physiologic and psychological traumatic effects of the infection may interact with environmental factors to increase the risk of sleep disturbance in COVID-19 patients. The prevalence of sleep disturbance was 18.4–84.7% in HWs, and the contributors mainly included high workloads and shift work, occupation-related factors, and psychological factors. The prevalence of sleep disturbance was 17.65–81% in the general population. Physiologic and social-psychological factors contributed to sleep disturbance of the general population during COVID-19 pandemic. In summary, the sleep disturbance was highly prevalent during COVID-19 pandemic. Specific health strategies should be implemented to tackle sleep disturbance.

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Section: Resultsmentioning

confidence: 99%

“… 76 Thus, more reasonable shift working schedules that allow for adequate rest for HWs and at the same time, ensure the continuity of treatments for patients, should be highly recommended during COVID-19 emergency status. 76 , 77 …”

Section: Resultsmentioning

confidence: 99%

Burden of Sleep Disturbance During COVID-19 Pandemic: A Systematic Review

Lin¹,

Liu²,

Li³

et al. 2021

NSS

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“…Long night shifts can disrupt homeostasis and circadian rhythms, disrupt the levels of several hormones (e.g., melatonin and cortisol), cause sleep deprivation, increase the chances of errors at work (Ballesio et al, 2021), and even increase the risk of infection (Lim et al, 2020). A new night shift schedule was tested in Wuhan, China, wherein doctors who were skilled in emergency techniques and had extensive first aid experience were only needed to work during the day, thus allowing them sufficient rest time, whereas for other doctors, their prior schedule was changed to ensure fewer night shift hours and was aligned with the already in‐practice schedule of the nurses (Zhang, Xu, et al, 2020). The results showed that this scheduling approach effectively improved the sleep quality of healthcare workers and increased the survival rate of patients.…”

Section: Discussionmentioning

confidence: 99%

“…Gender 8 (Ali et al, 2021;Cai et al, 2020;Wei et al, 2020;Xu et al, 2021;Yin et al, 2021;Zhan et al, 2020;Zheng et al, 2021) 79 in-practice schedule of the nurses (Zhang, Xu, et al, 2020). Worried about being infected 3 (Chen, Ma, et al, 2021;Deng et al, 2020;Zhang, Yang, et al, 2020) 4.9% rience (Wang, Hu, et al, 2020;Wang, Huang, et al, 2020;Wang, Ren, et al, 2020) and translate into poor readiness to cope with the crisis (Zhou et al, 2020) turn exacerbates these negative emotions, leading to a vicious cycle (Ballesio et al, 2021).…”

Section: Sociodemographic Factorsmentioning

confidence: 99%

Influencing factors of sleep disorders and sleep quality in healthcare workers during the COVID‐19 pandemic: A systematic review and meta‐analysis

Lv¹,

Kong

Chen

et al. 2023

Nursing Open

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AimThe aim of this study was to identify the influencing factors of sleep disorders and sleep quality in healthcare workers during the COVID‐19 pandemic.DesignSystematic review and meta‐analysis of observational research.MethodsThe databases of the Cochrane Library, Web of Science, PubMed, Embase, SinoMed database, CNKI, Wanfang Data, and VIP were systematically searched. The quality of studies was assessed using the Agency for Healthcare Research and Quality evaluation criteria and the Newcastle–Ottawa scale.ResultsA total of 29 studies were included, of which 20 were cross‐sectional studies, eight were cohort studies, and 1 was a case–control study; 17 influencing factors were finally identified. Greater risk of sleep disturbance was associated with female gender, single relationship status, chronic disease, insomnia history, less exercise, lack of social support, frontline work, days served in frontline work, department of service, night shift, years of work experience, anxiety, depression, stress, received psychological assistance, worried about being infected, and degree of fear with COVID‐19.ConclusionsDuring the COVID‐19 pandemic, healthcare workers did have worse sleep quality than the general population. The influencing factors of sleep disorders and sleep quality in healthcare workers are multifaceted. Identification and timely intervention of resolvable influencing factors are particularly important for preventing sleep disorders and improving sleep.Patient or Public ContributionThis is a meta‐analysis of previously published studies so there was no patient or public contribution.

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“…23,24 The abovementioned external environment and these symptoms may affect the sleep duration and quality of patients, especially those with primary hypertension complicated with COVID-19 infection. 25,26 These patients are more likely to have blood pressure fluctuations and even develop hypertension urgencies. Hypertension urgencies is a group of clinical syndromes caused by an acute increase in blood pressure with or without damage to target organs.…”

Section: Discussionmentioning

confidence: 99%

Effect of Sleep Duration on Blood Pressure in Patients with SARS-CoV-2 Infection and Hypertensive Urgencies in Shanghai Fangcang Shelter Hospital

Shi¹,

Ding²,

Hu³

et al. 2023

IDR

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Objective To evaluate the effect of sleep duration on blood pressure in patients with hypertension urgencies combined with SARS-CoV-2 infection in a Fangcang shelter hospital. Methods From April 10, 2020 to May 20, 2022, we statistically analyzed the blood pressure and sleep conditions of 52 patients with combined hypertension urgencies and SARS-CoV-2 infection admitted in Shanghai National Convention and Exhibition Center Fangcang shelter hospital. They were divided into the short-term (daily sleep duration: <7 h) and normal sleep group (7–9 h). We performed a comparison of the control effects of basic antihypertensive drugs. Additionally, patients in the short-term sleep group underwent drug therapy for sleep regulation and continuous monitoring of blood pressure. Results Among these patients, the blood pressure was higher in the short-term sleep group than that of the normal sleep group, and also more difficult to control ( p <0.05). Furthermore, the blood pressure of the patients in the short-term sleep group was more easily controlled after treatment with drugs for sleep regulation and basic antihypertensive drugs ( p <0.05). Conclusion The blood pressure level in patients with combined SARS-CoV-2 infection and hypertension urgencies was higher in those with a shorter duration of daily sleep, and also more difficult to control in Fangcang shelter hospital. Drug therapy for sleep regulation should be administered early to obtain sufficient blood pressure control effects.

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Improved night shift schedule related to the mortality of critically ill patients with Corona Virus Disease 2019

Cited by 4 publications

References 13 publications

Burden of Sleep Disturbance During COVID-19 Pandemic: A Systematic Review

Burden of Sleep Disturbance During COVID-19 Pandemic: A Systematic Review

Influencing factors of sleep disorders and sleep quality in healthcare workers during the COVID‐19 pandemic: A systematic review and meta‐analysis

Effect of Sleep Duration on Blood Pressure in Patients with SARS-CoV-2 Infection and Hypertensive Urgencies in Shanghai Fangcang Shelter Hospital

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