Self-perceived sleepiness in emergency training physicians: prevalence and relationship with quality of life

Jihane Belayachi, Oumama Benjelloun, Naoufel Madani, Khalid Abidi, Tarek Dendane, Amine Ali Zeggwagh, Redouane Abouqal, Jihane Belayachi, Oumama Benjelloun, Naoufel Madani, Khalid Abidi, Tarek Dendane, Amine Ali Zeggwagh, Redouane Abouqal

Abstract

Introduction: Sleep deprivation among training physicians is of growing concern; training physicians are susceptible due to their prolonged work hours and rotating work schedules. The aim of this study was to determine the prevalence of self-perceived sleepiness in emergency training physicians, and to establish a relationship between self-perceived sleepiness, and quality of life.

Methods: Prospective survey in Ibn Sina University hospital Center in Morocco from January to April 2011 was conducted. Questionnaires pertaining to socio-demographic, general, and sleep characteristics were completed by training physician who ensured emergency service during the month preceding the survey. They completed the Epworth sleepiness scale (ESS) which assessed the self-perceived sleepiness, and the EuroQol-5 dimensions (EQ-5D) scale which assessed the general quality of life.

Results: Total 81 subjects (49 men and 32 women) were enrolled with mean age of 26.1 ± 3.4 years. No sleepiness was found in 24.7% (n = 20), excessive sleepiness 39.5% (n = 32), and severe sleepiness in 35.8% (n = 29) of training physicians. After adjusting for multiple confounding variables, four independent variables were associated with poorer quality of life index in training physician; unmarried (ß -0.2, 95% CI -0.36 to -0.02; P = 0.02), no physic exercise (ß -0.2, 95% CI -0.39 to 0.006; P = 0.04), shift-off sleep hour less than 6 hours (ß -0.13, 95% CI -0.24 to -0.02; P = 0.01), and severe sleep deprivation(ß -0.2, 95% CI -0.38 to -0.2; P = 0.02).

Conclusion: Nearly two third of training physicians had suffered from sleepiness. There is an association between poor quality of life and severe sleepiness in unmarried physicians, sleeping less than 6 hours in shift-off day, and doing no physical activity.

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