Miguel A. Sosa-Medellín, Cuidados Intensivos, Unidad Médica de Alta Especialidad #21, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México
Mayra G. García-Muñoz, Servicio de Urgencias, Hospital General de Zona #4, Instituto Mexicano del Seguro Social, Guadalupe, Nuevo León, México.
María G. Treviño-Alanis, Educacion y Humanidades. Universidad de Monterrey, San Pedro Garza García, Nuevo León, México
Gerardo Rivera-Silva, Educacion y Humanidades. Universidad de Monterrey, San Pedro Garza García, Nuevo León, México
Jesús N. Garza-González, Educacion y Humanidades. Universidad de Monterrey, San Pedro Garza García, Nuevo León, México
Jaziel I. Mendoza-Villalba, Servicio de Urgencias, Hospital General de Zona #2, Monterrey, Nuevo León, México
Ruth K. Fernández-Mancilla, Unidad de Medicina Familiar #64, Instituto Mexicano del Seguro Social, Santa Catarina. Nuevo León, México
Introduction. The medical degree is one of the degrees that last more than 4 years of study, in addition, resident doctors undergo shifts of more than 24 hours of work during their academic training. Objective. To know the clinical effects of the shifts in the resident doctors of the Emergency Medicine specialty of the hospitals of Monterrey, Nuevo León. Material and methods. An analytical, longitudinal, prospective, pre-post and multicenter study was carried out. Twenty-eight residents of the specialty of Emergency Medicine were studied, in three hospitals of the City of the public sector. Only emergency medicine residents were included, with prior informed consent, who attended a 24-hour shift; all variables were collected upon admission to the shift. Those residents who did not finish the entire guard or who did not attend data collection in their post-guard stage were excluded. Results. Twenty-eight residents were studied, where 60.7% were men, 75% of the residents have altered body mass index, 100% of the participants have ABCD guards. Median admission systolic blood pressure was 119 mmHg and post-guard 124 mmHg (p = 0.20); median admission arterial pressure was 91.2 and post-guard 95.3 (p = 0.15). Respiratory rate at admission was 16 per minute and after the guard 18 per minute (p = 0.005). The degree of stress of the residents was moderate, with 57%. Conclusions. The 24-hour shifts generate negative clinical effects in the resident doctors of the Emergency Medicine specialty.
Keywords: Resident physician. Clinical effects. Emergency medicine.