SynthesisInternational archives of occupational and environmental health2020
Heart rate variability as a measure of mental stress in surgery: a systematic review.
Synthesis in International archives of occupational and environmental health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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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.
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Who cites it
33 citing papers in PubMed.
- Randomized cross-over trial comparing stress responses amongst undergraduates and surgeons with and without background music during simulated surgery.Scientific reports · 2025Trial
- Immediate Effects of Hypnosis, Mindfulness Meditation, and Prayer on Cold Pressor Outcomes: A Four-Arm Parallel Experimental Study.Journal of pain research · 2022Trial
- The effect of preferred music on mental workload and laparoscopic surgical performance in a simulated setting (OPTIMISE): a randomized controlled crossover study.Surgical endoscopy · 2021Trial
- Multimodal physiological correlates of surgeon stress in live robot-assisted surgery.Surgical endoscopy · 2026Observational
- Assessment methods for surgeons' ergonomics in the operating room: a scoping review.Surgical endoscopy · 2026Article
- ECG-Only Cognitive Workload State Classification in Laparoscopic Training Using Raw and Recurrence-Plot Representations.Sensors (Basel, Switzerland) · 2026Article
- From incision to implantation: holter-based stress profiling in ophthalmology residents during cataract surgery.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026Article
- Evaluating surgeons' stress using heart rate variability during minimally invasive surgery for gastric cancer: a single-center prospective cohort study.Langenbeck's archives of surgery · 2026Article
- A Systematic Review and Meta-Analysis of Heart Rate Variability in Assessing Surgeons' Stress Levels.Healthcare (Basel, Switzerland) · 2026Review
- Physiological Assessment of Mental Stress in Construction Workers Under High-Risk Working Conditions: ECG-Based Field Measurements on Inexperienced Scaffolders.Sensors (Basel, Switzerland) · 2026Article
- Dynamic patterns of communication and workload during cardiac surgery: An explorative study.PloS one · 2026Article
- Surgeons' physiological parameters and surgical performance: a systematic scoping review.Patient safety in surgery · 2025Review
- Ergonomics in percutaneous nephrolithotomy: a comparative analysis of musculoeskeletical and mental workload in prone vs. supine positions with two lithotripters-a pilot study.World journal of urology · 2025Article
- Validation of nocturnal resting heart rate and heart rate variability in consumer wearables.Physiological reports · 2025Article
- Monitoring Construction Workers' Mental Workload Due to Heat Exposure Using Heart Rate Variability and Eye Movement: A Study on Pipe Workers.Sensors (Basel, Switzerland) · 2025Article
- Daily physical activity habits influence surgeons' stress in the operating room: a prospective cohort study.International journal of surgery (London, England) · 2025Article
- Predicting task performance in robot-assisted surgery using physiological stress and subjective workload: a case study with interpretable machine learning.Frontiers in human neuroscience · 2025Article
- Association of Blood Glucose Data With Physiological and Nutritional Data From Dietary Surveys and Wearable Devices: Database Analysis.JMIR diabetes · 2024Article
- Cologne ergonomic measurement for robotic surgery (CEMRobSurg) using the Hugo™ RAS System.Surgical endoscopy · 2024Article
- Heart rate variability as a dynamic marker of surgeons' stress during vascular surgery.BJS open · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is increasing interest in the use of heart rate variability (HRV) as an objective measurement of mental stress in the surgical setting. To identify areas of improvement, the aim of our study was to review current use of HRV measurements in the surgical setting, evaluate the different methods used for the analysis of HRV, and to assess whether HRV is being measured correctly.
methodsA systematic review was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). 17 studies regarding HRV as a measurement of mental stress in the surgical setting were included and analysed.
results24% of the studies performed long-term measurements (24 h and longer) to assess the long-term effects of and recovery from mental stress. In 24% of the studies, artefact correction took place.
conclusionsHRV showed to be a good objective assessment method of stress induced in the workplace environment: it was able to pinpoint stressors during operations, determine which operating techniques induced most stress for surgeons, and indicate differences in stress levels between performing and assisting surgery. For future research, this review recommends using singular guidelines to standardize research, and performing artefact correction. This will improve further evaluation of the long-term effects of mental stress and its recovery.
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