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Title: Sleepiness, sleep-disordered breathing, and accident risk factors in commercial vehicle drivers.
Austin Authors: Howard, Mark E ;Desai, Anup V;Grunstein, Ronald R;Hukins, Craig;Armstrong, John G;Joffe, David;Swann, Philip;Campbell, Donald A;Pierce, Robert J
Affiliation: University of Melbourne, Heidelberg, Victoria, Australia
Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia
Issue Date: 18-Aug-2004
Publication information: American Journal of Respiratory and Critical Care Medicine 2004; 170(9): 1014-21
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.
Gov't Doc #: 15317672
DOI: 10.1164/rccm.200312-1782OC
Journal: American Journal of Respiratory and Critical Care Medicine
Type: Journal Article
Subjects: Accident Prevention
Accidents, Traffic.statistics & numerical data
Age Distribution
Automobile Driving
Cohort Studies
Confidence Intervals
Disorders of Excessive Somnolence.diagnosis.epidemiology
Middle Aged
Odds Ratio
Risk Assessment
Severity of Illness Index
Sex Distribution
Sleep Apnea Syndromes.diagnosis.epidemiology
Appears in Collections:Journal articles

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