Stress and salivary cortisol in emergency medical dispatchers: A randomized shifts control trial.
Identifieur interne : 000C78 ( PubMed/Curation ); précédent : 000C77; suivant : 000C79Stress 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]Source :
- PloS one [ 1932-6203 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- 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.
DOI: 10.1371/journal.pone.0177094
PubMed: 28505199
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shifts control trial.</title><author><name sortKey="Bedini, Sarah" sort="Bedini, Sarah" uniqKey="Bedini S" first="Sarah" last="Bedini">Sarah Bedini</name><affiliation wicri:level="1"><nlm:affiliation>The Mercy Regional Hospital Centre (CHR) of Metz-Thionville, Emergency department, Ars-Laquenexy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>The Mercy Regional Hospital Centre (CHR) of Metz-Thionville, Emergency department, Ars-Laquenexy</wicri:regionArea></affiliation></author><author><name sortKey="Braun, Francois" sort="Braun, Francois" uniqKey="Braun F" first="François" last="Braun">François Braun</name><affiliation wicri:level="1"><nlm:affiliation>The Mercy Regional Hospital Centre (CHR) of Metz-Thionville, Emergency department, Ars-Laquenexy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>The Mercy Regional Hospital Centre (CHR) of Metz-Thionville, Emergency department, Ars-Laquenexy</wicri:regionArea></affiliation></author><author><name sortKey="Weibel, Laurence" sort="Weibel, Laurence" uniqKey="Weibel L" first="Laurence" last="Weibel">Laurence Weibel</name><affiliation wicri:level="1"><nlm:affiliation>The CARSAT Alsace, Strasbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>The CARSAT Alsace, Strasbourg</wicri:regionArea></affiliation></author><author><name sortKey="Aussedat, Michel" sort="Aussedat, Michel" uniqKey="Aussedat M" first="Michel" last="Aussedat">Michel Aussedat</name><affiliation wicri:level="1"><nlm:affiliation>The Mercy Regional Hospital Centre (CHR) of Metz-Thionville, Emergency department, Ars-Laquenexy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>The Mercy Regional Hospital Centre (CHR) of Metz-Thionville, Emergency department, Ars-Laquenexy</wicri:regionArea></affiliation></author><author><name sortKey="Pereira, Bruno" sort="Pereira, Bruno" 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Psychosocial Stress, University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, Preventive and Occupational Medicine, WittyFit, Clermont-Ferrand</wicri:regionArea></affiliation></author></analytic><series><title level="j">PloS one</title><idno type="eISSN">1932-6203</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><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></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><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></keywords><keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Hydrocortisone</term></keywords><keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Saliva</term></keywords><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><term>Urgences</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28505199</PMID><DateCreated><Year>2017</Year><Month>05</Month><Day>15</Day></DateCreated><DateCompleted><Year>2017</Year><Month>09</Month><Day>20</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>20</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1932-6203</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><Issue>5</Issue><PubDate><Year>2017</Year></PubDate></JournalIssue><Title>PloS one</Title><ISOAbbreviation>PLoS ONE</ISOAbbreviation></Journal><ArticleTitle>Stress and salivary cortisol in emergency medical dispatchers: A randomized shifts control trial.</ArticleTitle><Pagination><MedlinePgn>e0177094</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1371/journal.pone.0177094</ELocationID><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bedini</LastName><ForeName>Sarah</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>The Mercy Regional Hospital Centre (CHR) of Metz-Thionville, Emergency department, Ars-Laquenexy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Braun</LastName><ForeName>François</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>The Mercy Regional Hospital Centre (CHR) of Metz-Thionville, Emergency department, Ars-Laquenexy, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>SAMU-Urgences de France, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Weibel</LastName><ForeName>Laurence</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>The CARSAT Alsace, Strasbourg, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aussedat</LastName><ForeName>Michel</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>The Mercy Regional Hospital Centre (CHR) of Metz-Thionville, Emergency department, Ars-Laquenexy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pereira</LastName><ForeName>Bruno</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, Clinical Research Direction, Clermont-Ferrand, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dutheil</LastName><ForeName>Frédéric</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, Preventive and Occupational Medicine, WittyFit, Clermont-Ferrand, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Australian Catholic University, Faculty of Health, School of Exercise Science, Melbourne, Victoria, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>05</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>PLoS One</MedlineTA><NlmUniqueID>101285081</NlmUniqueID><ISSNLinking>1932-6203</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>WI4X0X7BPJ</RegistryNumber><NameOfSubstance 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Version="1">19533163</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004630" MajorTopicYN="N">Emergencies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000071822" MajorTopicYN="Y">Emergency Medical Dispatcher</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004632" MajorTopicYN="N">Emergency Medical Services</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006854" MajorTopicYN="N">Hydrocortisone</DescriptorName><QualifierName UI="Q000378" MajorTopicYN="Y">metabolism</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" 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PubStatus="entrez"><Year>2017</Year><Month>5</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>5</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>9</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28505199</ArticleId><ArticleId IdType="doi">10.1371/journal.pone.0177094</ArticleId><ArticleId IdType="pii">PONE-D-16-42705</ArticleId><ArticleId IdType="pmc">PMC5432068</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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