Systematic Review and Meta-analysis of the Effects of Caffeine in Fatigued Shift Workers: Implications for Emergency Medical Services Personnel
Temple JL, Hostler D, Martin-Gill C, Moore CG, Weiss PM, Sequeira DJ, Condle JP, Lang ES, Higgins JS, Patterson PD
Prehospital emergency care · 29 citas
Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- U.S. Department of Transportation
- Gobierno
- National Highway Traffic Safety Administration
- Subvenciones
- National Highway Traffic Safety Administration (DTNH2215R00029)
Según 2 financiadores declarados.
Publicación
- Publicado
- 2018-01-11 · Prehosp Emerg Care · vol. 22 · número sup1 · págs. 37–46
- Editorial
- Taylor & Francis
- Citado
- 53 citas · más que el 74% de estudios similares · 1.3× el promedio de su campo
- Referencias
- 52 trabajos
- Acceso
- Lectura gratuita
- Áreas de investigación
- Sleep and Work-Related Fatigue · Coffee research and impacts · Circadian rhythm and melatonin
- Palabras clave
- caffeine, fatigue, shift work, emergency medical personnel, psychomotor vigilance, reaction time, sleep quality, sleep duration, countermeasures, patient safety, prehospital care
- MeSH
- humans, fatigue, caffeine, arousal, sleep, emergency medical technicians, emergency medical services, patient safety, shift work schedule
10 autores
- Jennifer L. Temple🇺🇸University at Buffalo, State University of New York
- David P. Hostler🇺🇸University at Buffalo, State University of New York
- Christian Martin‐Gill🇺🇸University of Pittsburgh
- Charity Galena Moore🇺🇸University at Buffalo, State University of New York
- Patricia M. Weiss🇺🇸University at Buffalo, State University of New York
- Denisse J. Sequeira🇺🇸University of Pittsburgh
- Joseph P. Condle🇺🇸University of Pittsburgh
- Eddy Lang
- J. Stephen Higgins🇺🇸University at Buffalo, State University of New York
- Paul Daniel Patterson🇺🇸 · autor de correspondenciaUniversity of Pittsburgh
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Emergency Medical Services (EMS) workers may experience fatigue as a consequence of shift work. We reviewed the literature to determine the impact of caffeine as a countermeasure to fatigue in EMS personnel and related shift workers.
Methods
We employed the GRADE methodology to perform a systematic literature review and search multiple databases for research that examined the impact of caffeine on outcomes of interest, such as patient and EMS personnel safety. For selected outcomes, we performed a meta-analysis of pooled data and reported the pooled effect in the form of a Standardized Mean Difference (SMD) with corresponding 95% confidence intervals.
Results
There are no studies that investigate caffeine use and its effects on EMS workers or on patient safety. Four of 8 studies in shift workers showed that caffeine improved psychomotor vigilance, which is important for performance. Caffeine decreased the number of lapses on a standardized test of performance [SMD = 0.75 (95% CI: 0.30 to 1.19), p = 0.001], and lessened the slowing of reaction time at the end of shifts [SMD = 0.52 (95% CI: 0.19 to 0.85); p = 0.002]. Finally, 2 studies reported that caffeine reduced sleep quality and sleep duration.
Conclusions
Although the quality of evidence was judged to be low to moderate, when taken together, these studies demonstrate that caffeine can improve psychomotor performance and vigilance. However, caffeine negatively affects sleep quality and sleep duration. More systematic, randomized studies need to be conducted in EMS workers in order to address the critical outcomes of health and safety of EMS personnel and patients. The risk/benefit ratio of chronic caffeine use in shift workers is currently unknown.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
Confianza de la comunidad
Cargando…
¿Cuánto confías en los hallazgos de este estudio?
Comentarios
¿Algo está mal aquí?
Señala este estudio si su información, etiquetas o financiación parecen incorrectas. Un editor revisa cada señalamiento.
Información educativa sobre investigación publicada. No es consejo médico ni una recomendación para empezar o dejar nada.