Sleep disorders among French anaesthesiologists and intensivists working in public hospitals A self-reported electronic survey

摘要

BACKGROUNDSleep disorders can affect the health of physicians and patient outcomes.OBJECTIVESTo determine the prevalence of sleep disorders among French anaesthesiologists and intensivists working in a public hospital.DESIGNA cross-sectional survey.SETTINGAnaesthesiologists and intensivists working in French public hospitals.MAIN OUTCOME MEASURESSleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS) was used to assess the degree of excessive daytime sleepiness.RESULTSAmong 1504 responders, 677 (45%) physicians reported sleep disorders. The independent factors associated with sleep disorders were reporting of sleep disorders [odds ratio (OR) 12.04, 95% CI (95% confidence interval) 8.89 to 16.46], sleep time less than 7h (OR 8.86, 95% CI 6.50 to 12.20), work stress (OR 2.04, 95% CI 1.49 to 2.83), stress at home (OR 1.77, 95% CI 1.24 to 2.53), anxiolytic use (OR 3.69, 95% CI 2.23 to 6.25), psychotropic drug use (OR 3.91, 95% CI 1.51 to 11.52) and excessive daytime sleepiness (OR 1.81, 95% CI 1.34 to 2.45). Six hundred and seventy-six (44%) responders reported excessive daytime sleepiness during their professional activity. The independent factors associated with excessive daytime sleepiness were female sex (OR 1.86, 95% CI 1.49 to 2.34), tea consumption (OR 1.47, 95% CI 1.14 to 1.91), regular practice of nap (OR 1.68, 95% CI 1.34 to 2.09), stress at home (OR 1.31, 95% CI 1.02 to 1.68), more than four extended work shifts monthly (OR 1.25, 95% CI 1.01 to 1.56) and sleep disorders (OR 1.73, 95% CI 1.31 to 2.29). Reporting sleep disorder duration and a sleep time less than 7h were the two major risk factors for sleep disorders. Female sex was the major risk factor for excessive daytime sleepiness.CONCLUSIONFrench anaesthesiologists did not report more sleep disorders than the general population, but their alertness is impaired by a factor of two.