AustralieFrV1, Main, Exploration, bibRecord, 000347

Stress and salivary cortisol in emergency medical dispatchers: A randomized shifts control trial

Identifieur interne : 000347 ( Main/Exploration ); précédent : 000346; suivant : 000348

Stress and salivary cortisol in emergency medical dispatchers: A randomized shifts control trial

Auteurs : Sarah Bedini [France] ; François Braun [France] ; Laurence Weibel [France] ; Michel Aussedat [France] ; Bruno Pereira [France] ; Frédéric Dutheil [France, Australie]

Source :

PLoS ONE [ 1932-6203 ] ; 2017.

RBID : PMC:5432068

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Facteurs temps, Femelle, Humains, Hydrocortisone (métabolisme), Jeune adulte, Mâle, Répartiteur aux urgences médicales, Salive (métabolisme), Services des urgences médicales, Stress physiologique, Urgences.
MESH :
- métabolisme : Hydrocortisone, Salive.
- Adulte, Adulte d'âge moyen, Facteurs temps, Femelle, Humains, Jeune adulte, Mâle, Répartiteur aux urgences médicales, Services des urgences médicales, Stress physiologique, Urgences.

English descriptors

KwdEn :
- Adult, Emergencies, Emergency Medical Dispatcher, Emergency Medical Services, Female, Humans, Hydrocortisone (metabolism), Male, Middle Aged, Saliva (metabolism), Stress, Physiological, Time Factors, Young Adult.
MESH :
- chemical , metabolism : Hydrocortisone.
- metabolism : Saliva.
- Adult, Emergencies, Emergency Medical Dispatcher, Emergency Medical Services, Female, Humans, Male, Middle Aged, Stress, Physiological, Time Factors, Young Adult.

Abstract

Stress at work is a public health concern. Phone operators in emergency medical dispatch centers are particularly at risk. We aimed to demonstrate that the most stressful time for emergency medical dispatchers is the shift when they receive emergency incoming calls, with cortisol as a biomarker of stress. For each emergency medical dispatcher, we measured outcomes over a control day and during three types of shift: Incoming emergency call, Dispatch and Re-assessment. The pattern of shifts was randomized. Saliva was sampled every 15 minutes for 2 hours, i.e. 6 consecutive times, starting 15 minutes after the first life-and-death incoming emergency call between 2 and 5 pm during three types of shift. We measured saliva cortisol every 2 hours over a control day, from 7am to 9pm. Perceived stress was assessed by a visual analog scale. We recruited 22 phone operators aged 36.4+/-10.8 years old (14 women and 8 men). Cortisol values were higher during the Incoming emergency call shift than during the Dispatch (p = .04) and Re-assessment (p = .04) shifts. The increase in cortisol levels was greater in men than in women (p = .009). There were no differences between control values and those of the three shifts. The kinetics of cortisol increased with greater perceived stress overall (p < .001) and for each type of shift (Incoming emergency call, p = .02; Dispatch p = .03; Re-assessment: p < .001). The kinetics of cortisol in response to incoming emergency calls was greater when the call was an absolute emergency (p = .03), and also tended to further increase when a subsequent absolute incoming emergency call was received (p = 0.07). In conclusion, the incoming emergency call shift carries particular risk for dispatchers, who have greater perceived stress and a greater increase in cortisol levels.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5432068

DOI: 10.1371/journal.pone.0177094
PubMed: 28505199
PubMed Central: 5432068

Affiliations:

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Emergencies</term>
<term>Emergency Medical Dispatcher</term>
<term>Emergency Medical Services</term>
<term>Female</term>
<term>Humans</term>
<term>Hydrocortisone (metabolism)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Saliva (metabolism)</term>
<term>Stress, Physiological</term>
<term>Time Factors</term>
<term>Young Adult</term>
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<term>Adulte d'âge moyen</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hydrocortisone (métabolisme)</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Répartiteur aux urgences médicales</term>
<term>Salive (métabolisme)</term>
<term>Services des urgences médicales</term>
<term>Stress physiologique</term>
<term>Urgences</term>
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<keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Hydrocortisone</term>
<term>Salive</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Emergencies</term>
<term>Emergency Medical Dispatcher</term>
<term>Emergency Medical Services</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Stress, Physiological</term>
<term>Time Factors</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Répartiteur aux urgences médicales</term>
<term>Services des urgences médicales</term>
<term>Stress physiologique</term>
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<front><div type="abstract" xml:lang="en"><p>Stress at work is a public health concern. Phone operators in emergency medical dispatch centers are particularly at risk. We aimed to demonstrate that the most stressful time for emergency medical dispatchers is the shift when they receive emergency incoming calls, with cortisol as a biomarker of stress. For each emergency medical dispatcher, we measured outcomes over a control day and during three types of shift: <italic>Incoming emergency call</italic>
, <italic>Dispatch</italic>
 and <italic>Re-assessment</italic>
. The pattern of shifts was randomized. Saliva was sampled every 15 minutes for 2 hours, i.e. 6 consecutive times, starting 15 minutes after the first life-and-death incoming emergency call between 2 and 5 pm during three types of shift. We measured saliva cortisol every 2 hours over a control day, from 7am to 9pm. Perceived stress was assessed by a visual analog scale. We recruited 22 phone operators aged 36.4+/-10.8 years old (14 women and 8 men). Cortisol values were higher during the <italic>Incoming emergency call</italic>
 shift than during the <italic>Dispatch</italic>
 (p = .04) and <italic>Re-assessment</italic>
 (p = .04) shifts. The increase in cortisol levels was greater in men than in women (p = .009). There were no differences between control values and those of the three shifts. The kinetics of cortisol increased with greater perceived stress overall (p < .001) and for each type of shift (<italic>Incoming emergency call</italic>
, p = .02; <italic>Dispatch</italic>
 p = .03; <italic>Re-assessment</italic>
: p < .001). The kinetics of cortisol in response to incoming emergency calls was greater when the call was an absolute emergency (p = .03), and also tended to further increase when a subsequent absolute incoming emergency call was received (p = 0.07). In conclusion, the incoming emergency call shift carries particular risk for dispatchers, who have greater perceived stress and a greater increase in cortisol levels.</p>
</div>
</front>
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</TEI>
<affiliations><list><country><li>Australie</li>
<li>France</li>
</country>
<region><li>Alsace (région administrative)</li>
<li>Auvergne (région administrative)</li>
<li>Auvergne-Rhône-Alpes</li>
<li>Grand Est</li>
<li>Île-de-France</li>
</region>
<settlement><li>Clermont-Ferrand</li>
<li>Paris</li>
<li>Strasbourg</li>
</settlement>
</list>
<tree><country name="France"><noRegion><name sortKey="Bedini, Sarah" sort="Bedini, Sarah" uniqKey="Bedini S" first="Sarah" last="Bedini">Sarah Bedini</name>
</noRegion>
<name sortKey="Aussedat, Michel" sort="Aussedat, Michel" uniqKey="Aussedat M" first="Michel" last="Aussedat">Michel Aussedat</name>
<name sortKey="Braun, Francois" sort="Braun, Francois" uniqKey="Braun F" first="François" last="Braun">François Braun</name>
<name sortKey="Braun, Francois" sort="Braun, Francois" uniqKey="Braun F" first="François" last="Braun">François Braun</name>
<name sortKey="Dutheil, Frederic" sort="Dutheil, Frederic" uniqKey="Dutheil F" first="Frédéric" last="Dutheil">Frédéric Dutheil</name>
<name sortKey="Pereira, Bruno" sort="Pereira, Bruno" uniqKey="Pereira B" first="Bruno" last="Pereira">Bruno Pereira</name>
<name sortKey="Weibel, Laurence" sort="Weibel, Laurence" uniqKey="Weibel L" first="Laurence" last="Weibel">Laurence Weibel</name>
</country>
<country name="Australie"><noRegion><name sortKey="Dutheil, Frederic" sort="Dutheil, Frederic" uniqKey="Dutheil F" first="Frédéric" last="Dutheil">Frédéric Dutheil</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Asie/explor/AustralieFrV1/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000347 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000347 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Asie
   |area=    AustralieFrV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     PMC:5432068
   |texte=   Stress and salivary cortisol in emergency medical dispatchers: A randomized shifts control trial
}}

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       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a AustralieFrV1

This area was generated with Dilib version V0.6.33.
Data generation: Tue Dec 5 10:43:12 2017. Site generation: Tue Mar 5 14:07:20 2024

Serveur d'exploration sur les relations entre la France et l'Australie

Stress and salivary cortisol in emergency medical dispatchers: A randomized shifts control trial

Stress and salivary cortisol in emergency medical dispatchers: A randomized shifts control trial

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Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Serveur d'exploration sur les relations entre la France et l'Australie
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