Sleep characteristics in health workers exposed to the COVID-19 pandemic.

Autor: Herrero San Martin A; Department of Neurology, Hospital Universitario, '12 de Octubre', Madrid, Spain; Multidisciplinary Sleep Unit, Hospital Universitario, '12 de Octubre', Madrid, Spain; Group of Neurodegenerative Diseases, Instituto de Investigación, Hospital 12 de Octubre (I+12), Madrid, Spain; Biomedical Research Networking Center in Neurodegenerative Diseases (CIBERNED), Madrid, Spain. Electronic address: alexportalrubio@gmail.com., Parra Serrano J; Department of Neurology, Hospital Universitario, '12 de Octubre', Madrid, Spain., Diaz Cambriles T; Department of Neumology, Hospital Universitario, '12 de Octubre', Madrid, Spain; Multidisciplinary Sleep Unit, Hospital Universitario, '12 de Octubre', Madrid, Spain., Arias Arias EM; Department of Neumology, Hospital Universitario, '12 de Octubre', Madrid, Spain; Multidisciplinary Sleep Unit, Hospital Universitario, '12 de Octubre', Madrid, Spain., Muñoz Méndez J; Department of Neumology, Hospital Universitario, '12 de Octubre', Madrid, Spain; Multidisciplinary Sleep Unit, Hospital Universitario, '12 de Octubre', Madrid, Spain., Del Yerro Álvarez MJ; Department of Psychiatry Hospital Universitario, '12 de Octubre', Madrid, Spain; Multidisciplinary Sleep Unit, Hospital Universitario, '12 de Octubre', Madrid, Spain., González Sánchez M; Department of Neurology, Hospital Universitario, '12 de Octubre', Madrid, Spain; Group of Neurodegenerative Diseases, Instituto de Investigación, Hospital 12 de Octubre (I+12), Madrid, Spain; Biomedical Research Networking Center in Neurodegenerative Diseases (CIBERNED), Madrid, Spain.
Jazyk: angličtina
Zdroj: Sleep medicine [Sleep Med] 2020 Nov; Vol. 75, pp. 388-394. Date of Electronic Publication: 2020 Aug 17.
DOI: 10.1016/j.sleep.2020.08.013
Abstrakt: Introduction: The development of sleep disorders, and specifically insomnia, has been linked to the exposure to different stressors. In this line, Coronavirus disease 2019 (COVID-19) outbreak caused by the new coronavirus SARS-CoV-2, has caused a huge impact on our environment, and has exposed healthcare workers to an unprecedented threat. In this study, we try to assess sleep quality and the development of sleep disorders in health personnel directly dedicated to the care of COVID-19 patients at the height of the pandemic, compared to the general population.
Materials and Methods: A cross-sectional, anonymized, self-reported questionnaire survey was carried out at the "12 de Octubre" Hospital, in Madrid, Spain, during the outbreak of COVID-19, from March 1st to April 30th 2020. We compared two groups, healthcare workers who have treated directly COVID-19 patients versus non-healthcare workers. The questionnaire included demographic data, sleep related aspects, Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI) and 17-items Hamilton Rating Scale (HRS).
Results: In total 170 participants completed the questionnaire successfully, 100 healthcare workers and 70 non-healthcare workers. Self-reported insomnia, nightmares, sleepwalking, sleep terrors and PSQI>6 were more frequent in the healthcare group (p < 0,05). Shift work was associated to greater risk when performing multiple logistic regression analysis.
Conclusions: We observed that, during the outbreak of COVID-19, healthcare workers on the front line developed more sleep disturbances than non-healthcare professionals, and they had worse quality of sleep. Special attention should be paid to shift workers. Concrete protection and prevention measures for particularly exposed population should be considered in pandemic situations.
(Copyright © 2020 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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