Sleep-disordered breathing and motor vehicle accidents in a population-based sample of employed adults

被引:429
作者
Young, T
Blustein, J
Finn, L
Palta, M
机构
[1] Univ. of Wisconsin-Madison Sleep, Department of Preventive Medicine, University of Wisconsin, Madison, WI
[2] Department of Preventive Medicine, Madison, WI 53705
关键词
sleep apnea; sleep disorders; epidemiology; sleep; accidents; sleep-disordered breathing;
D O I
10.1093/sleep/20.8.608
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Studies have consistently shown that sleep apnea patients have high accident rates, but the generalizability of the association beyond clinic populations has been questioned. The goal of this investigation was to determine if unrecognized sleep-disordered breathing in the general population, ranging from mild to severe, is associated with motor vehicle accidents. The sample comprised 913 employed adults enrolled in an ongoing study of the natural history of sleep-disordered breathing. Sleep-disordered breathing status was determined by overnight in-laboratory polysomnography and motor vehicle accident (MVA) history was obtained from a statewide data base of all traffic violations and accidents from 1988 to 1993. Men with five or more apneas and hypopneas per hour of sleep [apnea-plus-hypopnea index (AHI) >5], compared to those without sleep-disordered breathing, were significantly more likely to have at least one accident in 5 years (adjusted odds ratio = 3.4 for habitual snarers, 4.2 for AHI 5-15, and 3.4 for AHI >15). Men and women combined with AHI >15 (vs. no sleep-disordered breathing) were significantly more likely to have multiple accidents in 5 years (odds ratio = 7.3). These results, free of clinic selection bias, indicate that unrecognized sleep-disordered breathing in the general population is linked to motor vehicle accident occurrence. If the association is causal, unrecognized sleep-disordered breathing may account for a significant proportion of motor vehicle accidents.
引用
收藏
页码:608 / 613
页数:6
相关论文
共 21 条
[1]   AUTOMOBILE ACCIDENTS IN PATIENTS WITH SLEEP DISORDERS [J].
ALDRICH, MS .
SLEEP, 1989, 12 (06) :487-494
[2]   Risk of traffic accidents in patients with sleep-disordered breathing: Reduction with nasal CPAP [J].
Cassel, W ;
Ploch, T ;
Becker, C ;
Dugnus, D ;
Peter, JH ;
vonWichert, P .
EUROPEAN RESPIRATORY JOURNAL, 1996, 9 (12) :2606-2611
[3]   VIGILANCE AND AUTOMOBILE ACCIDENTS IN PATIENTS WITH SLEEP-APNEA OR NARCOLEPSY [J].
FINDLEY, L ;
UNVERZAGT, M ;
GUCHU, R ;
FABRIZIO, M ;
BUCKNER, J ;
SURATT, P .
CHEST, 1995, 108 (03) :619-624
[4]  
FINDLEY LJ, 1989, NEW ENGL J MED, V320, P868
[5]   DRIVERS WITH UNTREATED SLEEP-APNEA - A CAUSE OF DEATH AND SERIOUS INJURY [J].
FINDLEY, LJ ;
WEISS, JW ;
JABOUR, ER .
ARCHIVES OF INTERNAL MEDICINE, 1991, 151 (07) :1451-1452
[6]   DRIVING SIMULATOR PERFORMANCE IN PATIENTS WITH SLEEP-APNEA [J].
FINDLEY, LJ ;
FABRIZIO, MJ ;
KNIGHT, H ;
NORCROSS, BB ;
LAFORTE, AJ ;
SURATT, PM .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1989, 140 (02) :529-530
[7]  
GEORGE CF, 1987, LANCET, V2, P447
[8]   Simulated driving performance in patients with obstructive sleep apnea [J].
George, CFP ;
Boudreau, AC ;
Smiley, A .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1996, 154 (01) :175-181
[9]   CLINICAL SYMPTOMS OF SLEEP-APNEA SYNDROME AND AUTOMOBILE ACCIDENTS [J].
HARALDSSON, PO ;
CARENFELT, C ;
DIDERICHSEN, F ;
NYGREN, A ;
TINGVALL, C .
ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY AND ITS RELATED SPECIALTIES, 1990, 52 (01) :57-62
[10]   SLEEP-RELATED VEHICLE ACCIDENTS [J].
HORNE, JA ;
REYNER, LA .
BRITISH MEDICAL JOURNAL, 1995, 310 (6979) :565-567