Sleepy Driving: Accidents and Injury

Author:

Powell Nelson B.12,Schechtman Kenneth B.34,Riley Robert W.12,Li Kasey12,Guilleminault Christian12

Affiliation:

1. Stanford, California

2. Department of Psychiatry and Behavioral Science, Stanford University Medical School, and the Stanford Sleep Disorders and Research Center, Stanford.

3. St Louis, Missouri.

4. Division of Biostatistics, Washington University School of Medicine, St Louis.

Abstract

OBJECTIVE: The study goals were to evaluate the associated risks of driving and to assess predictors of accidents and injury due to sleepiness. STUDY DESIGN: A cross-sectional Internet-linked survey was designed to elicit data on driving habits, sleepiness, accidents, and injuries during the preceding 3 years. Statistical analysis included logistic models with covariate-adjusted P values of <0.01 (odds ratios and 95% confidence intervals or limits). Independent accident predictors were sought. RESULTS: Responses from 10,870 drivers were evaluated. The mean ± SD age was 36.9 ± 13 years; 61% were women and 85% were white. The Epworth Sleepiness Scale overall baseline score was 7.4 ± 4.2 (for drivers with no accidents) and ranged to 12.7 ± 7.2 (for drivers with ≥ 4 accidents) ( P = < 0.0001). Twenty-three percent of all respondents experienced ≥ 1 accident. Among respondents who reported ≥ 4 accidents, a strong association existed for the most recent accident to include injury ( P < 0.0001). Sleep disorders were reported by 22.5% of all respondents, with a significantly higher prevalence (35%, P = 0.002) for drivers who had been involved in ≥ 3 accidents. CONCLUSION: Factors of sleepiness were strongly associated with a greater risk of automobile accidents. Predictors were identified that may contribute to accidents and injury when associated with sleepiness and driving.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

Reference20 articles.

1. National Commission on Sleep Disorders Research. Report of the National Commission on Sleep Disorders Research. Washington, DC: Superintendent of Documents, US Government Printing Office; 1992. Department of Health and Human Services Publication 92.

2. Habitually Sleepy Drivers Have a High Frequency of Automobile Crashes Associated with Respiratory Disorders during Sleep

3. Sleepiness-Related Accidents in Sleep Apnea Patients

4. The Occurrence of Sleep-Disordered Breathing among Middle-Aged Adults

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