title: Sleep disorders among French anaesthesiologists and intensivists working in public hospitals: a self-reported electronic survey.
abstract: BACKGROUND
  Sleep disorders can affect the health of physicians and patient outcomes.
  
  
  OBJECTIVE
  To determine the prevalence of sleep disorders among French anaesthesiologists and intensivists working in a public hospital.
  
  
  METHODS
  A cross-sectional survey.
  
  
  METHODS
  Anaesthesiologists and intensivists working in French public hospitals.
  
  
  METHODS
  Sleep 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.
  
  
  RESULTS
  Among 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 7 h (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 7 h were the two major risk factors for sleep disorders. Female sex was the major risk factor for excessive daytime sleepiness.
  
  
  CONCLUSIONS
  French anaesthesiologists did not report more sleep disorders than the general population, but their alertness is impaired by a factor of two.
authors.affiliation: From the Department of Anesthesiology and Intensive Care Medicine, Conception Hospital (ER, VB, LR, KH, CN, JA), the Department of Anesthesiology and Intensive Care Medicine, North Hospital (FA, ML) and the Department of Sleep Medicine, Timone Hospital (MR), Aix Marseille University, Marseille, France (AN).
authors.forename: Elisa
authors.initials: E
authors.lastname: Richter
authors.forename: Valery
authors.initials: V
authors.lastname: Blasco
authors.forename: François
authors.initials: F
authors.lastname: Antonini
authors.forename: Marc
authors.initials: M
authors.lastname: Rey
authors.forename: Laurent
authors.initials: L
authors.lastname: Reydellet
authors.forename: Karim
authors.initials: K
authors.lastname: Harti
authors.forename: Cyril
authors.initials: C
authors.lastname: Nafati
authors.forename: Jacques
authors.initials: J
authors.lastname: Albanèse
authors.forename: Marc
authors.initials: M
authors.lastname: Leone
mesh_terms: D000328:Adult; D000776:Anesthesiology; D003430:Cross-Sectional Studies; D003625:Data Collection; D006970:Disorders of Excessive Somnolence / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D005602:France / Q000453:epidemiology; D006779:Hospitals, Public; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D015995:Prevalence; D012307:Risk Factors; D012737:Sex Factors; D012893:Sleep Wake Disorders / Q000453:epidemiology* / Q000209:etiology