Abstract
Objective Excessive daytime sleepiness (EDS) in emergency medicine (EM) residents is associated with patient safety. However, studies regarding EDS in EM residents are limited. The objective of this study was to identify the prevalence of EDS and its associated factors among EM residents. Methods Epworth sleepiness scale scores, working hours per week (WHW), night working days per month, working environment, and depression were analyzed using data from the 2019 Korean Emergency Medicine Resident Survey. Results The survey response rate was 63.8% (384/601). Among 241 respondents, the prevalence rate of EDS was 32.4%. Multivariable logistic regression analysis demonstrated that WHW (odds ratio [OR] = 1.03, 95% confidence interval [CI] = 1.01–1.06) and depression (OR = 3.64, 95% CI = 1.91–6.96) had increased ORs for EDS. Conclusions Approximately one-third of EM residents had EDS. Depression and WHW were the associated factors.
Highlights
Emergency medical centers are places where lights are never switched off, whether they are crowded or not
Comparison of Demographic Characteristics and Work Environment in emergency medicine (EM) Residents according to excessive daytime sleepiness (EDS). e mean Epworth sleepiness scale (ESS) score of EM residents with EDS was 15.0 ± 3.4 and those without EDS was 6.3 ± 2.8. e proportion of alcohol consumers and prevalence rate of depression was significantly higher in respondents with EDS than in those without EDS
Respondents with EDS had significantly higher working hours per week (WHW) and night working days per month (NWM) than those without EDS did. e proportion of those who were satisfied with their work schedule was significantly different between respondents with EDS and those without
Summary
Emergency medical centers are places where lights are never switched off, whether they are crowded or not. Working in night shifts may be a regular affair for emergency physicians. Sleep deprivation due to circadian rhythm changes caused by night shift work can cause insomnia and excessive daytime sleepiness (EDS). EDS in EM residents at work could be more serious because it may potentially threaten patient safety. A study found that senior EM residents experienced no decrease in their ability to make accurate decisions in critical cases even after night shift work, a large number of residents perceived that sleep loss and fatigue had a major impact on their personal lives and abilities to perform their work. Studies have reported the use of psychostimulants and sedatives by EM residents to aid in night shift work and an association between self-apprehended sleepiness and quality of life [14, 15]. Information about the prevalence of EDS and its associated factors in EM residents is currently limited. erefore, the purposes of this study were to (1) investigate the prevalence of EDS and (2) identify the factors associated with EDS among EM residents
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
