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Urinary interleukin-8 is a biomarker of stress in emergency physicians, especially with advancing age--the JOBSTRESS* randomized trial.

Identifieur interne : 003883 ( PubMed/Checkpoint ); précédent : 003882; suivant : 003884

Urinary interleukin-8 is a biomarker of stress in emergency physicians, especially with advancing age--the JOBSTRESS* randomized trial.

Auteurs : Frédéric Dutheil [France] ; Marion Trousselard ; Christophe Perrier ; Gérard Lac ; Alain Chamoux ; Martine Duclos ; Geraldine Naughton ; George Mnatzaganian ; Jeannot Schmidt

Source :

RBID : pubmed:23977105

Descripteurs français

English descriptors

Abstract

Emergency physicians are exposed to greater stress during a 24-hour shift (24 hS) than a 14-hour night shift (14 hS), with an impact lasting several days. Interleukin-8 (IL-8) is postulated to be a chronic stress biomarker. However, no studies have tracked IL-8 over several shifts or used it for monitoring short-term residual stress. The IL-8 response to the shifts may also increase with age. Conveniently, IL-8 can be measured non-intrusively from urine.

DOI: 10.1371/journal.pone.0071658
PubMed: 23977105


Affiliations:


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pubmed:23977105

Le document en format XML

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<term>Adult</term>
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<term>Biomarkers (urine)</term>
<term>Burnout, Professional (physiopathology)</term>
<term>Burnout, Professional (urine)</term>
<term>Emergency Service, Hospital</term>
<term>Fatigue (urine)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Interleukin-8 (urine)</term>
<term>Male</term>
<term>Multivariate Analysis</term>
<term>Physicians</term>
<term>Regression Analysis</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Interleukine-8 (urine)</term>
<term>Marqueurs biologiques (urine)</term>
<term>Mâle</term>
<term>Médecins</term>
<term>Service hospitalier d'urgences</term>
<term>Sommeil</term>
<term>Stress psychologique (physiopathologie)</term>
<term>Stress psychologique (urine)</term>
<term>Vieillissement (urine)</term>
<term>Épuisement professionnel (physiopathologie)</term>
<term>Épuisement professionnel (urine)</term>
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<term>Adult</term>
<term>Age Factors</term>
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<term>Female</term>
<term>Follow-Up Studies</term>
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<term>Male</term>
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<div type="abstract" xml:lang="en">Emergency physicians are exposed to greater stress during a 24-hour shift (24 hS) than a 14-hour night shift (14 hS), with an impact lasting several days. Interleukin-8 (IL-8) is postulated to be a chronic stress biomarker. However, no studies have tracked IL-8 over several shifts or used it for monitoring short-term residual stress. The IL-8 response to the shifts may also increase with age. Conveniently, IL-8 can be measured non-intrusively from urine.</div>
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<ArticleTitle>Urinary interleukin-8 is a biomarker of stress in emergency physicians, especially with advancing age--the JOBSTRESS* randomized trial.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Emergency physicians are exposed to greater stress during a 24-hour shift (24 hS) than a 14-hour night shift (14 hS), with an impact lasting several days. Interleukin-8 (IL-8) is postulated to be a chronic stress biomarker. However, no studies have tracked IL-8 over several shifts or used it for monitoring short-term residual stress. The IL-8 response to the shifts may also increase with age. Conveniently, IL-8 can be measured non-intrusively from urine.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We conducted a shifts-randomized trial comparing 17 emergency physicians' urinary IL-8 levels during a 24 hS, a 14 hS, and a control day (clerical work on return from leave). Mean levels of IL-8 were compared using a Wilcoxon matched-pairs test. Independent associations of key factors including shifts, stress, and age with IL-8 levels were further assessed in a multivariable generalized estimating equations model.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Mean urinary IL-8 levels almost doubled during and after a 24 hS compared with a 14 hS or a control day. Furthermore, IL-8 levels failed to return to control values at the end of the third day after the shift despite a rest day following the 24 hS. In the multivariable model, engaging in a 24 hS, self-reported stress, and age were independently associated with higher IL-8 levels. A 24 hS significantly increased IL-8 levels by 1.9 ng (p = .007). Similarly, for every unit increase in self-reported stress, there was a 0.11 ng increase in IL-8 levels (p = .003); and for every one year advance in age of physicians, IL-8 levels also increased by 0.11 ng (p = .018).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The 24 hS generated a prolonged response of the immune system. Urinary IL-8 was a strong biomarker of stress under intensive and prolonged demands, both acutely and over time. Because elevated IL-8 levels are associated with cardiovascular disease and negative psychological consequences, we suggest that emergency physicians limit their exposure to 24 hS, especially with advancing age.</AbstractText>
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<ForeName>Frédéric</ForeName>
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<Affiliation>Emergency Department, University Hospital (CHU), G. Montpied Hospital, Clermont-Ferrand, France ; Department of Occupational Medicine, University Hospital (CHU), G. Montpied Hospital, Clermont-Ferrand, France ; Laboratory of Metabolic Adaptations to Exercise in Physiological and Pathological Conditions EA3533, Blaise Pascal University, Clermont-Ferrand, France ; School of Exercise Science, Australian Catholic University, Melbourne, Victoria, Australia ; Department of Sport Medicine and Functional Exploration, University Hospital (CHU), G. Montpied Hospital, Clermont-Ferrand, France.</Affiliation>
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