Elevated Risk of Motor Vehicle Accident for Male Drivers with Obstructive Sleep Apnea Syndrome in the Tokyo Metropolitan Area

Komada, Yoko; Nishida, Yasushi; Namba, Kazuyoshi; Abe, Takashi; Tsuiki, Satoru; Inoue, Yuichi

doi:10.1620/tjem.219.11

Cited by 52 publications

(46 citation statements)

References 34 publications

(41 reference statements)

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“…This result is consistent with those obtained in an earlier study of drivers in Western countries (29). Sleep apnea syndrome has also been shown to be a risk factor for falling asleep while driving in Asian populations (11,22). Komada et al (11) reported that approximately 58% of patients with sleep apnea syndrome had experienced falling asleep while driving during the previous year, which is clearly higher than the rate among the Japanese general population (approximately 8%).…”

Section: Discussionsupporting

confidence: 90%

“…Sleep apnea syndrome has also been shown to be a risk factor for falling asleep while driving in Asian populations (11,22). Komada et al (11) reported that approximately 58% of patients with sleep apnea syndrome had experienced falling asleep while driving during the previous year, which is clearly higher than the rate among the Japanese general population (approximately 8%). Considering that habitual snoring is an important indicator of sleep apnea syndrome, even in Asian populations (30,31), there seems to be little doubt that a large number of drivers with witnessed loud snoring or apnea in the present general population are affected by sleep apnea syndrome.…”

Section: Discussionmentioning

confidence: 98%

“…Previous reports have indicated that a short sleep duration, snoring and feeling sleepiness while driving are risk factors for motor vehicle crashes (MVCs), not only in Western countries (1)(2)(3)(4)(5)(6)(7)(8)(9), but also in Asian countries (10)(11)(12)(13)(14). Recently, we reported questionnaire-based evidence that feeling sleepiness while driving is associated with MVCs that are subjectively assessed as not caused by falling asleep (12).…”

Section: Introductionmentioning

confidence: 99%

“…The inadequacy of information about Asian populations regarding this important subject encourages us to investigate whether sleep duration and snoring are associated with falling asleep or feeling sleepiness while driving. Although factors associated with falling asleep and feeling Usually (n=71) 50.7% (36) sleepiness while driving have been studied among professional drivers (21) and patients with sleep apnea syndrome (11,22) …”

Section: Introductionmentioning

confidence: 99%

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Short Sleep Duration, Snoring and Subjective Sleep Insufficiency Are Independent Factors Associated with both Falling Asleep and Feeling Sleepiness while Driving

Abe¹,

Komada

Inoue

2012

Intern. Med.

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Objective This study of drivers in Tokyo was conducted to clarify the factors related to falling asleep and sleepiness while driving, particularly addressing short sleep duration, loud snoring or apnea witnessed by others and/or subjective sleep insufficiency. Methods This study was conducted as a questionnaire-based cross-sectional survey. Responses from drivers who visited a driver licensing center in Tokyo were evaluated in relation to socio-demographic variables, sleep-related variables and experiences of falling asleep or feeling sleepiness while driving. The analyses included 4,097 experienced drivers. Results Among the 4,097 drivers, 11.4% had experienced at least one incident of falling asleep while driving during the prior year and 67.6% had some prior experience of feeling sleepiness while driving. Logistic regression analyses revealed that witnessed snoring or apnea, short sleep duration and subjective insufficiency of nocturnal sleep were each independently associated with falling asleep and feeling sleepiness while driving. Subjective sleepiness while driving was associated with a sleep duration of less than six hours. However, falling asleep while driving was associated with a sleep duration of less than seven hours. Conclusion Drivers with a sleep duration shorter than seven hours have a higher risk of falling asleep while driving without experiencing subjective sleepiness. Irrespective of perceived sleep insufficiency, drivers should sleep more than seven hours, and those suspected of having respiratory pauses during sleep should undergo sleep apnea syndrome screening.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Short Sleep Duration, Snoring and Subjective Sleep Insufficiency Are Independent Factors Associated with both Falling Asleep and Feeling Sleepiness while Driving

Abe¹,

Komada

Inoue

2012

Intern. Med.

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“…Multiple studies have shown a 2-to 12-fold greater rate of car accidents in patient with obstructive sleep apnea symptoms than in drivers without obstructive sleep apnea symptoms [11]. Previous studies regarding the relationship between risk of car accident and ESS score were conflicting [12].…”

Section: Discussionmentioning

confidence: 99%

Sleep apnea symptoms and accident risk factors in Persian commercial vehicle drivers

et al. 2011

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International Consensus Statement on Obstructive Sleep Apnea

Chang

Goldberg

Alt

et al. 2023

Int Forum Allergy Rhinol

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Background: Evaluation and interpretation of the literature on obstructive sleep apnea (OSA) allows for consolidation and determination of the key factors important for clinical management of the adult OSA patient. Toward this goal, an international collaborative of multidisciplinary experts in sleep apnea evaluation and treatment have produced the International Consensus statement on Obstructive Sleep Apnea (ICS:OSA). Methods: Using previously defined methodology, focal topics in OSA were assigned as literature review (LR), evidence-based review (EBR), or evidencebased review with recommendations (EBR-R) formats. Each topic incorporated the available and relevant evidence which was summarized and graded on study quality. Each topic and section underwent iterative review and the ICS:OSA was created and reviewed by all authors for consensus. Results: The ICS:OSA addresses OSA syndrome definitions, pathophysiology, epidemiology, risk factors for disease, screening methods, diagnostic testing types, multiple treatment modalities, and effects of OSA treatment on multiple OSA-associated comorbidities. Specific focus on outcomes with positive airway pressure (PAP) and surgical treatments were evaluated. Conclusion:This review of the literature consolidates the available knowledge and identifies the limitations of the current evidence on OSA. This effort aims to create a resource for OSA evidence-based practice and identify future research needs. Knowledge gaps and research opportunities include improving the metrics of OSA disease, determining the optimal OSA screening paradigms, developing strategies for PAP adherence and longitudinal care, enhancing selection of PAP alternatives and surgery, understanding health risk outcomes, and translating evidence into individualized approaches to therapy.

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Elevated Risk of Motor Vehicle Accident for Male Drivers with Obstructive Sleep Apnea Syndrome in the Tokyo Metropolitan Area

Cited by 52 publications

References 34 publications

Short Sleep Duration, Snoring and Subjective Sleep Insufficiency Are Independent Factors Associated with both Falling Asleep and Feeling Sleepiness while Driving

Short Sleep Duration, Snoring and Subjective Sleep Insufficiency Are Independent Factors Associated with both Falling Asleep and Feeling Sleepiness while Driving

Sleep apnea symptoms and accident risk factors in Persian commercial vehicle drivers

International Consensus Statement on Obstructive Sleep Apnea

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