Aeromedical Center, Percy Military Hospital, Clamart, France.
Aeromedical Center, Percy Military Hospital, Clamart, France.
Sleep Med. 2022 Dec;100:183-189. doi: 10.1016/j.sleep.2022.08.013. Epub 2022 Aug 28.
/objectives: Sleep disorders are a critical issue for flight safety. Previous studies have shown a high prevalence of sleep disorders and excessive sleepiness in the general population and some aircrews. The objectives of this study are to measure the prevalence of excessive daytime sleepiness and sleep disorders in aircrews, and to determine the risk factors of falling asleep during a flight.
this is a monocentric study based on questionnaires, including all professional civilian and military aircrews examined in an aeromedical center between January and May 2021. The questionnaire, created for this study, included information about socio-demographic characteristics, aeronautical experience, lifestyle, sleep habits, an Epworth sleepiness scale, and screening tests for chronic insomnia, sleep apnea syndrome and restless legs syndrome.
749 aircrew members were included (86.2% male, 58.9% civilian, 74.1% pilot, mean age 43.4 ± 9.6 years), 45.9% of the population had at least one sleep disorder (chronic insomnia 39.5%, sleep apnea syndrome 10.5%, restless legs syndrome 4.1%), 15.5% had an excessive daytime sleepiness, and 24.6% reported in-flight sleep while on duty. Chronic insomnia, screen use before bedtime, use of sleeping pills, inadequate recovery time after a flight, female gender and civilian status were found as risk factors of in-flight sleep in the multivariate analysis.
this study emphasizes the need to improve the screening and prevention of sleep disorders in this particular population.
/目的：睡眠障碍是飞行安全的一个关键问题。先前的研究表明，普通人群和一些机组人员中睡眠障碍和过度嗜睡的发生率很高。本研究的目的是测量机组人员中过度日间嗜睡和睡眠障碍的发生率，并确定在飞行中入睡的危险因素。
这是一项基于问卷调查的单中心研究，包括 2021 年 1 月至 5 月期间在航空医学中心检查的所有专业民用和军事机组人员。本研究创建的问卷包括社会人口统计学特征、航空经验、生活方式、睡眠习惯、Epworth 嗜睡量表以及慢性失眠、睡眠呼吸暂停综合征和不宁腿综合征的筛查测试信息。
共纳入 749 名机组人员（86.2%为男性，58.9%为平民，74.1%为飞行员，平均年龄为 43.4 ± 9.6 岁），45.9%的人群至少有一种睡眠障碍（慢性失眠 39.5%，睡眠呼吸暂停综合征 10.5%，不宁腿综合征 4.1%），15.5%有日间过度嗜睡，24.6%报告在飞行中值班时入睡。多因素分析发现，慢性失眠、睡前使用屏幕、使用安眠药、飞行后恢复时间不足、女性和平民身份是飞行中睡眠的危险因素。
本研究强调需要改善该特定人群的睡眠障碍筛查和预防。
