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Research ArticleOriginal Research

Three Measures of Sleep, Sleepiness, and Sleep Deprivation and the Risk of Injury: A Case-Control and Case-Crossover Study

Jason N. Edmonds and Daniel C. Vinson
The Journal of the American Board of Family Medicine January 2007, 20 (1) 16-22; DOI: https://doi.org/10.3122/jabfm.2007.01.060087
Jason N. Edmonds
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Daniel C. Vinson
MD, MSPH
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  • Article
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Article Figures & Data

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    Table 1.

    Description of Participants

    All Cases (N = 2517) Number (%)Cases from Covered ED Shifts (N = 2161) Number (%)Community Controls (N = 1856) Number (%)
    Gender
        Women1085 (43.1)967 (44.7)908 (48.9)
        Men1432 (56.9)1194 (55.3)948 (51.1)
    Age
        18 to 20 years419 (16.6)379 (17.5)201 (10.8)
        21 to 29716 (28.4)636 (29.4)560 (30.2)
        30 to 44761 (30.2)658 (30.4)616 (33.2)
        45 to 64421 (16.7)325 (15.0)329 (17.7)
        65 and older200 (7.9)163 (7.5)150 (8.1)
    • View popup
    Table 2.

    Measures of Sleepiness, Quality, and Quantity of Recent Sleep and Risk of Injury

    Case-Crossover AnalysesCase-Control Analyses
    Self-perceived sleepiness at injury or matched time
        Per unit on a 0-to-12 scale0.78 (0.75 to 0.81)0.74 (0.72 to 0.77)
        Dichotomous: >0 vs 00.47 (0.39 to 0.55)0.27 (0.23 to 0.33)
        Trichotomous: 1 to 3 vs 00.60 (0.50 to 0.72)0.48 (0.39 to 0.59)
            4 to 12 vs 00.24 (0.18 to 0.30)0.14 (0.11 to 0.17)
    Usual Sleep
        Quality (per point on a 5-point ordinal scale)Because these variables address longer-term constructs, only case-control analyses are possible.1.04 (0.98 to 1.10)
        Quantity (per hour)0.98 (0.94 to 1.03)
        Quantity in past 7 days compared with your usual (per point on a 5-point ordinal scale)0.97 (0.90 to 1.05)
        Quality in past 7 days compared with your usual (per point on a 5-point ordinal scale)0.88 (0.80 to 0.97)
    Sleep in past 48 hours
        Sleep in past 24 hours compared with the 24 hours before that, per hour1.06 (1.03 to 1.09)Data not available from control group.
        Last episode of sleep compared with the previous one, per hour1.01 (0.98 to 1.04)
        Trichotomous, past 24 hours compared with previous 24 hours
            Less than 5 hours compared with 5 to 9 hours0.88 (0.68 to 1.13)
            10 hours or more compared with 5 to 9 hours1.28 (1.07 to 1.55)
        Sleep in past 24 hours compared with usual quantity (per hour)1.29 (1.24 to 1.34)
    • ORs (95% CI).

    • View popup
    Table 3.

    Measures of Sleepiness, Quality, and Quantity of Recent Sleep and Risk of Injury, Controlling for Activity, Location, and Drinking in the Previous 6 Hours

    Case-Crossover AnalysesCase-Control Analyses
    Self-perceived sleepiness at injury or matched time
        Per unit on a 0 to 12 scale0.82 (0.78 to 0.86)0.76 (0.73 to 0.80)
        Dichotomous: >0 vs 00.56 (0.45 to 0.70)0.29 (0.24 to 0.37)
        Trichotomous: 1 to 3 vs 00.67 (0.53 to 0.84)0.49 (0.38 to 0.63)
            4 to 12 vs 00.30 (0.22 to 0.42)0.16 (0.12 to 0.21)
    Usual sleep
        Quality (per point on a 5-point ordinal scale)
        Quantity (per hour)
        Quantity in past 7 days compared with your usual (per point on a 5-point ordinal scale)
        Quality in past 7 days compared with usual0.87 (0.76 to 1.01)
    Sleep in past 48 hours
        Sleep in past 24 hours compared with the 24 hours before that1.01 (0.97 to 1.05)
        Last episode of sleep compared with the previous one1.00 (0.96 to 1.04)
        Trichotomous, past 24 hours compared with previous 24:
            Less than 5 hours compared with 5 to 9 hours1.14 (0.81 to 1.61)
            10 hours or more compared with 5 to 9 hours1.01 (0.78 to 1.31)
        Sleep in past 24 hours compared with usual quantity (per hour)1.01 (0.96 to 1.05)
    • OR (95% CI).

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The Journal of the American Board of Family Medicine: 20 (1)
The Journal of the American Board of Family Medicine
Vol. 20, Issue 1
January-February 2007
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Three Measures of Sleep, Sleepiness, and Sleep Deprivation and the Risk of Injury: A Case-Control and Case-Crossover Study
Jason N. Edmonds, Daniel C. Vinson
The Journal of the American Board of Family Medicine Jan 2007, 20 (1) 16-22; DOI: 10.3122/jabfm.2007.01.060087

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Three Measures of Sleep, Sleepiness, and Sleep Deprivation and the Risk of Injury: A Case-Control and Case-Crossover Study
Jason N. Edmonds, Daniel C. Vinson
The Journal of the American Board of Family Medicine Jan 2007, 20 (1) 16-22; DOI: 10.3122/jabfm.2007.01.060087
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