Sleepiness, sleep-disordered breathing, and accident risk factors in commercial vehicle drivers - PubMed (original) (raw)
Comparative Study
. 2004 Nov 1;170(9):1014-21.
doi: 10.1164/rccm.200312-1782OC. Epub 2004 Aug 18.
Affiliations
- PMID: 15317672
- DOI: 10.1164/rccm.200312-1782OC
Comparative Study
Sleepiness, sleep-disordered breathing, and accident risk factors in commercial vehicle drivers
Mark E Howard et al. Am J Respir Crit Care Med. 2004.
Abstract
Sleep-disordered breathing and excessive sleepiness may be more common in commercial vehicle drivers than in the general population. The relative importance of factors causing excessive sleepiness and accidents in this population remains unclear. We measured the prevalence of excessive sleepiness and sleep-disordered breathing and assessed accident risk factors in 2,342 respondents to a questionnaire distributed to a random sample of 3,268 Australian commercial vehicle drivers and another 161 drivers among 244 invited to undergo polysomnography. More than half (59.6%) of drivers had sleep-disordered breathing and 15.8% had obstructive sleep apnea syndrome. Twenty-four percent of drivers had excessive sleepiness. Increasing sleepiness was related to an increased accident risk. The sleepiest 5% of drivers on the Epworth Sleepiness Scale and Functional Outcomes of Sleep Questionnaire had an increased risk of an accident (odds ratio [OR] 1.91, p = 0.02 and OR 2.23, p < 0.01, respectively) and multiple accidents (OR 2.67, p < 0.01 and OR 2.39, p = 0.01), adjusted for established risk factors. There was an increased accident risk with narcotic analgesic use (OR 2.40, p < 0.01) and antihistamine use (OR 3.44, p = 0.04). Chronic excessive sleepiness and sleep-disordered breathing are common in Australian commercial vehicle drivers. Accident risk was related to increasing chronic sleepiness and antihistamine and narcotic analgesic use.
Comment in
- Sleepiness, sleep apnea, and driving: still miles to go before we safely sleep.
George CF. George CF. Am J Respir Crit Care Med. 2004 Nov 1;170(9):927-8. doi: 10.1164/rccm.2408009. Am J Respir Crit Care Med. 2004. PMID: 15504813 No abstract available.
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