Fuchs B D, McMaster J, Smull G, Getsy J, Chang B, Kozar R A
University of Pennsylvania, Department of Medicine, Division of Trauma, Philadelphia, PA 19104, USA.
Am J Emerg Med. 2001 Nov;19(7):575-8. doi: 10.1053/ajem.2001.28328.
Despite an increased risk of motor vehicle crashes (MVC) in patients with obstructive sleep apnea (OSA), we hypothesized that OSA was not considered in drivers admitted to trauma centers after an injury-producing MVC. A retrospective study on drivers involved in MVCs admitted to a level 1 trauma center was performed, with crash cause determined and the frequency of sleep studies recorded. A questionnaire was also mailed to 240 trauma centers seeking information on evaluation of patients with unexplained causes for MVCs, including screening for OSA. There were 122 drivers of MVCs admitted to our hospital, 60/122 (49%) had unexplained crashes and no sleep studies were performed. There were 70 survey respondents (30% return rate), 35/70 (50%) centers routinely screened for syncope after unexplained MVC, however, no center screened for OSA. US trauma centers do not screen for sleep disorders despite the associated increased crash risk and the high prevalence of crashes that can not be explained by other causes. We believe this reflects a lack of awareness of sleep disorders by health care professionals caring for trauma victims and education is of utmost importance.
尽管阻塞性睡眠呼吸暂停（OSA）患者发生机动车碰撞事故（MVC）的风险增加，但我们推测，在因致伤性MVC而入住创伤中心的驾驶员中，未对OSA进行评估。我们对入住一级创伤中心的MVC驾驶员进行了一项回顾性研究，确定了碰撞原因并记录了睡眠研究的频率。我们还向240家创伤中心邮寄了一份问卷，以获取有关对原因不明的MVC患者进行评估的信息，包括对OSA的筛查。我院收治了122例MVC驾驶员，其中60/122（49%）发生了原因不明的碰撞事故，且未进行睡眠研究。有70名受访者（回复率30%），35/70（50%）的中心在原因不明的MVC后常规筛查晕厥，然而，没有中心筛查OSA。尽管睡眠障碍会增加碰撞风险，且有相当比例的碰撞事故无法用其他原因解释，但美国创伤中心并未对睡眠障碍进行筛查。我们认为，这反映了护理创伤受害者的医护人员对睡眠障碍缺乏认识，因此教育至关重要。
