ReviewJournal of occupational medicine and toxicology (London, England)2021
Heart rate variability as a strain indicator for psychological stress for emergency physicians during work and alert intervention: a systematic review.
Review in Journal of occupational medicine and toxicology (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
What it found
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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.
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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
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Continuous heart rate variability monitoring, stress and recovery in doctors: a systematic review and meta-analysis.Occupational medicine (Oxford, England) · 2025Pooled it
- Analysis of Work Related Factors, Behavior, Well-Being Outcome, and Job Satisfaction of Workers of Emergency Medical Service: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Applicability of Physiological Monitoring Systems within Occupational Groups: A Systematic Review.Sensors (Basel, Switzerland) · 2021Pooled it
- Physiological adjustment effects of viewing natural environment images on heart rate variability in individuals with depressive and anxiety disorders.Scientific reports · 2025Trial
- Exploratory analysis of machine learning models for state and trait anxiety based on Spielberger questionnaire data in nursing students.BMC medical education · 2026Article
- Dynamic patterns of communication and workload during cardiac surgery: An explorative study.PloS one · 2026Article
- Article
- A Pilot Study Examining Sleep Deprivation Among Liver Transplant Surgeons. Are Patient Outcomes at Risk?Clinical transplantation · 2025Article
- Article
- Evaluation of Disparities in Emergency Department Admission and Wait Times for Non-English Preferred Patients.The western journal of emergency medicine · 2025Article
- Innovative approaches to pericardiocentesis training: a comparative study of 3D-printed and virtual reality simulation models.Advances in simulation (London, England) · 2025Article
- Regulation of autonomic nervous system by acupuncture: a heart rate variability study on physical stress.Frontiers in human neuroscience · 2025Article
- Work stress and changes in heart rate variability among employees after first acute coronary syndrome: a hospital-based longitudinal cohort study.Frontiers in public health · 2024Article
- Heart Rate Variability for Evaluating Psychological Stress Changes in Healthy Adults: A Scoping Review.Neuropsychobiology · 2023Article
- Physiological adjustment effect of visual stimulation by fresh rose flowers on sympathetic nervous activity.Frontiers in psychology · 2023Article
- Stress and strain among veterinarians: a scoping review.Irish veterinary journal · 2022Article
- A Study of the Effects of Different Indoor Lighting Environments on Computer Work Fatigue.International journal of environmental research and public health · 2022Article
- Evaluation of Stress Levels of Trainee Cardiac Surgery Residents during Training Interventions Using Physiological Stress Parameters.International journal of environmental research and public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe workloads of emergency physicians are severe. The prevalence of burnout among emergency physicians is higher than with other physicians or compared to the general population. The analysis of heart rate variability (HRV) is a valid method for objective monitoring of workload. The aim of this paper is to systematically evaluate the literature on heart rate variability as an objective indicator for mental stress of emergency physicians.
methodsA systematic literature review examining heart rate variability of emergency physicians in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement for reporting systematic reviews was performed. PubMed, Ovid, Cochrane Libary, Scopus, and Web of Science electronic databases were used. The methodological quality was evaluated by using a modified STARD for HRV.
resultsTwo studies matched the inclusion criteria by using HRV between alert intervention and two other studies were considered that used HRV in other question areas. It showed an adaptation of HRV under stress. The studies were not comparable.
conclusionsThere is a need for occupational health studies that examine strains and stress of emergency physicians. The well-established parasympathetic mediated HRV parameters seem to be suitable parameters to objectify the stress.
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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.