Excessive Daytime Sleepiness Increases the Risk of Motor Vehicle Crash in Obstructive Sleep Apnea

Ward, Kim; Hillman, David R.; Bremner, Alexandra; Simpson, Laila; Cooper, Matthew N.; Palmer, Lyle J.; Fedson, Annette C.; Mukherjee, Sutapa

doi:10.5664/jcsm.3072

Cited by 115 publications

(80 citation statements)

References 33 publications

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“…MetS is characterized by abdominal obesity, hypertension and metabolic blood alterations, in particular increased blood glucose levels and worsening lipid profiles 12 . Obesity and MetS are strongly associated with obstructive sleep apnea (OSA) 13 , which is an important cause of excessive daytime sleepiness in truck drivers and an important factor associated with accidents 14,15 .…”

Section: Introductionmentioning

confidence: 99%

Risk factors for cardiovascular disease, metabolic syndrome and sleepiness in truck drivers

Mansur

Takada

Avakian

et al. 2013

European Heart Journal

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Section: Introductionmentioning

confidence: 99%

Risk factors for cardiovascular disease, metabolic syndrome and sleepiness in truck drivers

Mansur

Takada

Avakian

et al. 2013

European Heart Journal

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“…Accordingly, driving simulator research shows that the performance impairment in drivers suffering from OSAS is comparable to the impairment as a consequence of illegal alcohol consumption or sleep deprivation [12]. While reports differ, the majority of evidence supports the principle that driving risk in OSAS is more closely related to the degree of daytime sleepiness than the objective severity of sleep-disordered breathing as measured by AHI [4,[13][14][15]. The importance of sleepiness as the major contributing factor to MVA risk in OSAS is supported by the recent report of KARIMI et al [16] who demonstrated that excessive sleepiness based on an Epworth sleepiness score (ESS) >15 significantly related to MVA rate, whereas AHI did not.…”

Section: Role Of Sleepiness In Osas and Increased Driving Riskmentioning

confidence: 99%

Sleep apnoea and driving risk: the need for regulation

McNicholas

Rodenstein

2015

Eur Respir Rev

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Obstructive sleep apnoea syndrome (OSAS) is a highly prevalent chronic respiratory disorder with prevalence among adult males of ⩾10%. The most common daytime symptom associated with OSAS is excessive sleepiness, which in more severe manifestations can result in sleepiness at the wheel while driving and probably contributes to the substantial increase in accident risk among patients with OSAS. Fortunately, current evidence indicates that successful therapy of OSAS, particularly with continuous positive airway pressure, can bring the accident risk down to levels similar to an equivalent general population. The recognition of the increased driving accident risk in OSAS prompted the Transport and Mobility Directorate of the European Commission to establish a working group on this topic in 2012, which ultimately led to a revision of Annex III of the EU Driving Licence Directive, which is subject to mandatory implementation by European Union member states by December 2015. This directive specifies that patients with moderate or severe OSAS associated with significant daytime sleepiness should be prohibited from driving until effective therapy is established. These new regulations are designed to balance the legitimate objective of public safety with not penalising OSAS patients who are complying with effective therapy. Successful implementation of regulations on driving in OSAS patients must also include measures to educate relevant stakeholders including patients, medical personnel, traffic police and employers in the transport industry. The key objective is to encourage patients with possible OSAS to seek diagnosis and treatment and not to inhibit OSAS patients from coming forward. @ERSpublications Driving accidents caused by sleep apnoea reduced by therapy, thus justifying regulation to ensure effective treatment http://ow.ly/St0sV

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“…4 Furthermore, sleep deprivation is a common symptom reported by those with OSA, contributing to clinical depression, excessive daytime sleepiness, daytime fatigue accidents, and obesity. [5][6][7] OSA is a common condition involving up to 24% of adult males and 9% of adult females; in many of these patients the condition goes undiagnosed for prolonged periods of time. 8,9 It has been estimated that OSA remains undiagnosed in 82% to 93% of adults.…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of General Dentists Who Screen For Obstructive Sleep Apnea

Chiang¹,

Long²,

Carrico³

et al. 2018

J Dent Sleep Med

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Study Objectives: To determine the prevalence of general dentists screening for obstructive sleep apnea (OSA). Methods: A brief, 12-item questionnaire consisting of a demographic section and questions regarding OSA screening methods, parameters, and preferences was sent to 1,000 general dentists across the United States using REDcap survey software. Results: A total of 71 general dentists responded. Based on demographic results, it may be concluded that study participants represent a broad range of general dentists practicing in the United States. Participants were asked to select which screening modalities they use and to supply specifics regarding each modality to provide validity to responses. A total of 76% of participants reported screening for OSA. Most of them use more than one modality. Of participants responding affirmatively, 60% do not routinely screen more than 70% of patients. A total of 37% of participants ranked themselves a 3 or less (1-uncomfortable, 5-confident) regarding confidence in screening for OSA. There were 72% of participants who reported using a patient interview, 52% identified anatomical parameters, and 39% used patient questionnaires or tiredness surveys. Also, 41% of screening dentists have patients perform a home sleep test. There were 87% of participants suspecting OSA who referred patients to physicians for evaluation. Dentists with fewer than 30 years of experience were significantly more likely to screen for OSA than those with more than 30 years of experience (87% vs 63%, p=0.0459). Conclusions: Most general dentists screen for OSA; however, most screening dentists lack confidence in performing accurate routine screenings and do so on fewer than 70% of patients.

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Excessive Daytime Sleepiness Increases the Risk of Motor Vehicle Crash in Obstructive Sleep Apnea

Cited by 115 publications

References 33 publications

Risk factors for cardiovascular disease, metabolic syndrome and sleepiness in truck drivers

Risk factors for cardiovascular disease, metabolic syndrome and sleepiness in truck drivers

Sleep apnoea and driving risk: the need for regulation

The Prevalence of General Dentists Who Screen For Obstructive Sleep Apnea

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