ArticleLa Medicina del lavoro2026
Sleep Quality and Physiological Stress in Emergency Physicians During 24‑Hour Shifts: A Wearable‑Based Occupational Health Assessment.
Article in La Medicina del lavoro, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
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.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShift-based work schedules may disrupt circadian rhythm and adversely affect sleep and stress regulation among healthcare workers. Emergency physicians are particularly exposed to high-intensity workloads and prolonged 24-hour shifts, which can increase occupational strain. Methods: This study was conducted between April and December 2024 in a tertiary emergency department. Participants wore a smartwatch continuously for 30 days to record sleep architecture and heart rate variability-based stress indicators. Physiological parameters obtained during 24-hour shifts and at home were compared. Analyses were performed across four professional-experience groups.
resultsSleep duration, deep sleep percentage, deep sleep continuity score, breathing quality score, and overall sleep score were lower during 24-hour shifts, whereas light sleep percentage, nighttime awakenings, and stress levels were higher (all p < 0.001). Physicians with greater professional experience had longer sleep duration and lower stress levels during 24-hour shifts compared with early-career residents. Multiple linear regression analysis indicated that professional experience was the only independent predictor of stress levels during shifts.
conclusionsShift work in emergency medicine is associated with impaired sleep quality and increased physiological stress. Professional experience appears to mitigate stress responses but does not fully restore sleep quality. These findings support the need for targeted occupational strategies, including optimized workload distribution and structured support for early-career physicians, to improve well-being and ensure patient safety in high-intensity clinical environments.
Indexed as
Identifiers
What OpenQuestion holds
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.