ArticleAEM education and training2020
Salivary Cortisol Concentrations, Grit, and the Effect of Time.
Article in AEM education and training, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed, 7 citations in OpenAlex.
- Salivary Cortisol Concentrations, Grit, and the Effect of Time.AEM education and training · 2020Article
- Pulse Rate Variability in Emergency Physicians During Shifts: Pilot Cross-Sectional Study.JMIR mHealth and uHealth · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStress is a common experience in the emergency department (ED) and is a balance of personal capabilities versus demands. Residency training is meant to improve individuals' capabilities and therefore may attenuate an individual's stress response. Grit is a personality trait that may attenuate stress in individuals. In this study we explore the relationship between time of year, postshift salivary cortisol concentrations, and the influence of grit among attendings and residents in an academic ED.
methodsThirty-nine residents and 17 attendings were enrolled and followed for two academic years at an urban academic medical center. Postwork salivary cortisol samples were collected quarterly, and Duckworth 12-point Grit Scales were administered annually. Data from the relative quarters of the first and second years were combined, and the results were analyzed using descriptive statistics and generalized estimating equations.
resultsWe analyzed 216 cortisol samples and 87 grit scores over 2 academic years. Between the first and fourth quarters of the academic year, the percentage of subjects with a detectable postshift cortisol sample decreased from 47.6% (30 of 62) to 18.4% (9 of 49). In the fourth academic quarter compared to the first, the odds that an individual had a detectable cortisol were significantly lower overall (odds ratio [OR] = 0.25, 95% confidence interval [CI] = 0.10 to 0.59, p = 0.01), including the subset of only trainees (OR = 0.26, 95% CI = 0.07 to 0.88, p = 0.01), and adjusting for grit did not meaningfully change the ORs.
conclusionOver the course of the academic year, the odds that an individual's postshift salivary cortisol concentration will be above detectable concentration significantly decrease over time, and this relationship is not confounded by grit.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.