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Risk factors for automobile accidents caused by falling asleep while driving in obstructive sleep apnea syndrome

PURPOSE: We examined the risk factors for automobile accidents caused by falling asleep while driving in subjects with obstructive sleep apnea syndrome (OSAS). METHODS: We asked licensed drivers with history of snoring and excessive daytime sleepiness who had undergone polysomnography (PSG) at the D...

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Autores principales: Arita, Aki, Sasanabe, Ryujiro, Hasegawa, Rika, Nomura, Atsuhiko, Hori, Reiko, Mano, Mamiko, Konishi, Noriyuki, Shiomi, Toshiaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4662952/
https://www.ncbi.nlm.nih.gov/pubmed/25716746
http://dx.doi.org/10.1007/s11325-015-1145-7
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author Arita, Aki
Sasanabe, Ryujiro
Hasegawa, Rika
Nomura, Atsuhiko
Hori, Reiko
Mano, Mamiko
Konishi, Noriyuki
Shiomi, Toshiaki
author_facet Arita, Aki
Sasanabe, Ryujiro
Hasegawa, Rika
Nomura, Atsuhiko
Hori, Reiko
Mano, Mamiko
Konishi, Noriyuki
Shiomi, Toshiaki
author_sort Arita, Aki
collection PubMed
description PURPOSE: We examined the risk factors for automobile accidents caused by falling asleep while driving in subjects with obstructive sleep apnea syndrome (OSAS). METHODS: We asked licensed drivers with history of snoring and excessive daytime sleepiness who had undergone polysomnography (PSG) at the Department of Sleep Medicine/Sleep Disorders Center at Aichi Medical University Hospital to complete the questionnaires on accidents caused by falling asleep while driving. As a subjective measure of sleepiness, we used the Epworth sleepiness scale (ESS). Based on PSG results, 2387 subjects diagnosed with OSAS were divided into three groups according to apnea-hypopnea index (AHI): mild-to-moderate (5 ≤ AHI < 30), severe (30 ≤ AHI < 60), and very severe (AHI ≥ 60). We performed univariate and multivariate logistic regression on variables that might explain falling asleep at the wheel. RESULTS: We compared results between each group and simple snorers (394 subjects with AHI < 5) and found the group with very severe OSAS reported significantly higher rates of driving when drowsy and having accidents in the past 5 years due to falling asleep. CONCLUSIONS: Our multivariate analysis suggests that scores on the ESS and patient-reported frequency of feeling drowsy while regular driving and working are related to automobile accidents caused by falling asleep while driving.
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spelling pubmed-46629522015-12-07 Risk factors for automobile accidents caused by falling asleep while driving in obstructive sleep apnea syndrome Arita, Aki Sasanabe, Ryujiro Hasegawa, Rika Nomura, Atsuhiko Hori, Reiko Mano, Mamiko Konishi, Noriyuki Shiomi, Toshiaki Sleep Breath Original Article PURPOSE: We examined the risk factors for automobile accidents caused by falling asleep while driving in subjects with obstructive sleep apnea syndrome (OSAS). METHODS: We asked licensed drivers with history of snoring and excessive daytime sleepiness who had undergone polysomnography (PSG) at the Department of Sleep Medicine/Sleep Disorders Center at Aichi Medical University Hospital to complete the questionnaires on accidents caused by falling asleep while driving. As a subjective measure of sleepiness, we used the Epworth sleepiness scale (ESS). Based on PSG results, 2387 subjects diagnosed with OSAS were divided into three groups according to apnea-hypopnea index (AHI): mild-to-moderate (5 ≤ AHI < 30), severe (30 ≤ AHI < 60), and very severe (AHI ≥ 60). We performed univariate and multivariate logistic regression on variables that might explain falling asleep at the wheel. RESULTS: We compared results between each group and simple snorers (394 subjects with AHI < 5) and found the group with very severe OSAS reported significantly higher rates of driving when drowsy and having accidents in the past 5 years due to falling asleep. CONCLUSIONS: Our multivariate analysis suggests that scores on the ESS and patient-reported frequency of feeling drowsy while regular driving and working are related to automobile accidents caused by falling asleep while driving. Springer Berlin Heidelberg 2015-02-26 2015 /pmc/articles/PMC4662952/ /pubmed/25716746 http://dx.doi.org/10.1007/s11325-015-1145-7 Text en © The Author(s) 2015 https://creativecommons.org/licenses/by/4.0/ Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Original Article
Arita, Aki
Sasanabe, Ryujiro
Hasegawa, Rika
Nomura, Atsuhiko
Hori, Reiko
Mano, Mamiko
Konishi, Noriyuki
Shiomi, Toshiaki
Risk factors for automobile accidents caused by falling asleep while driving in obstructive sleep apnea syndrome
title Risk factors for automobile accidents caused by falling asleep while driving in obstructive sleep apnea syndrome
title_full Risk factors for automobile accidents caused by falling asleep while driving in obstructive sleep apnea syndrome
title_fullStr Risk factors for automobile accidents caused by falling asleep while driving in obstructive sleep apnea syndrome
title_full_unstemmed Risk factors for automobile accidents caused by falling asleep while driving in obstructive sleep apnea syndrome
title_short Risk factors for automobile accidents caused by falling asleep while driving in obstructive sleep apnea syndrome
title_sort risk factors for automobile accidents caused by falling asleep while driving in obstructive sleep apnea syndrome
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4662952/
https://www.ncbi.nlm.nih.gov/pubmed/25716746
http://dx.doi.org/10.1007/s11325-015-1145-7
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