• Elisa Richter, Valery Blasco, François Antonini, Marc Rey, Laurent Reydellet, Karim Harti, Cyril Nafati, Jacques Albanèse, Marc Leone, and AzuRea Network.
• 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).
• Eur J Anaesthesiol. 2015 Feb 1;32(2):132-7.

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 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.ConclusionFrench anaesthesiologists did not report more sleep disorders than the general population, but their alertness is impaired by a factor of two.

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