Neumann Tim, Neuner Bruno, Weiss-Gerlach Edith, Spies Claudia
Department of Anaesthesiology and Intensive Care Medicine, Charité-Universitaetsmedizin Berlin, Campus Virchow-Klinikum, Charitéplatz 1, 10117 Berlin, Germany.
Alcohol Alcohol. 2008 May-Jun;43(3):305-13. doi: 10.1093/alcalc/agn007. Epub 2008 Feb 16.
Among other lifestyle problems, sleeping problems have been related to alcohol use.
The aim of this study was to evaluate complaints about sleep in trauma patients in an emergency department and its relation to alcohol use disorders (AUD).
In an emergency department, trauma patients (1014 females, 1680 males) were screened using a computerized questionnaire addressing AUD (AUD identification test, AUDIT), smoking, drug and medication use, and sleep (presence of difficulties in falling asleep and/or sleeping through). Age, BMI, income, employment, partner status, and "feeling fit" were additionally assessed.
An AUDIT score > or = 8 points was found in 24.2% of the males and 8.3% of the females. Complaints about sleep were reported by 28% and 34% of the patients, respectively. These complaints about sleep were more likely in males at-risk drinkers (AUDIT > or = 8 versus 1-4 points (Adjusted odds ratio: AOR = 1.60, P = 0.001) or abstainers (AUDIT = 0 versus 1-4 points, AOR = 1.55, P = 0.029), and with increasing age (AOR = 1.01, P = 0.010), in patients not feeling "fit" (AOR = 2.15, P < 0.001), and users of pain (AOR = 2.24, P < 0.001) and sleep medication (AOR = 8.03, P < 0.001). In females, complaints about sleep were more likely with higher age (AOR = 1.04, P = 0.023), higher BMI (AOR = 1.04, P = 0.023), with not-feeling-fit (AOR = 1.87, P < 0.001) and sleep medication (AOR = 5.24, P < 0.001), and less likely in patients with a higher education (AOR = 0.57, P < 0.001).
Complaints about sleep were reported frequently by trauma patients. There was an association between AUDs and sleep complaints (mainly problems about sleeping through) in males, but not in females.
在其他生活方式问题中，睡眠问题与饮酒有关。
本研究的目的是评估急诊科创伤患者的睡眠相关主诉及其与酒精使用障碍（AUD）的关系。
在一家急诊科，使用计算机化问卷对创伤患者（1014名女性，1680名男性）进行筛查，问卷涉及酒精使用障碍（酒精使用障碍识别测试，AUDIT）、吸烟、药物和药物使用以及睡眠（入睡困难和/或睡眠中易醒情况）。此外，还评估了年龄、体重指数、收入、就业、伴侣状况和“感觉良好”情况。
男性中24.2%、女性中8.3%的AUDIT评分≥8分。分别有28%和34%的患者报告有睡眠相关主诉。这些睡眠相关主诉在男性高危饮酒者（AUDIT≥8分与1 - 4分相比，调整优势比：AOR = 1.60，P = 0.001）或戒酒者（AUDIT = 0与1 - 4分相比，AOR = 1.55，P = 0.029）中更常见，且随着年龄增长（AOR = 1.01，P = 0.010）、感觉“不舒服”的患者（AOR = 2.15，P < 0.001）以及使用止痛药物（AOR = 2.24，P < 0.001）和睡眠药物（AOR = 8.03，P < 0.001）的患者中更常见。在女性中，睡眠相关主诉在年龄较大（AOR = 1.04，P = 0.023）、体重指数较高（AOR = 1.04，P = 0.023）、感觉“不舒服”（AOR = 1.87，P < 0.001）和使用睡眠药物（AOR = 5.24，P < 0.001）的患者中更常见，而在受过高等教育的患者中不太常见（AOR = 0.57，P < 0.001）。
创伤患者经常报告睡眠相关主诉。男性中酒精使用障碍与睡眠相关主诉（主要是睡眠中易醒问题）之间存在关联，而女性中不存在这种关联。
