机动车碰撞事故幸存驾驶员中嗜睡的患病率。
Prevalence of sleepiness in surviving drivers of motor vehicle collisions.
作者信息
Crummy F, Cameron P A, Swann P, Kossmann T, Naughton M T
机构信息
Departments of Allergy, Immunology and Respiratory Medicine, Alfred Hospital and Monash University, Melbourne, Victoria, Australia.
出版信息
Intern Med J. 2008 Oct;38(10):769-75. doi: 10.1111/j.1445-5994.2008.01629.x. Epub 2008 May 16.
BACKGROUND
Although alcohol and recreational drugs are recognized as significant risk factors for motor vehicle collisions (MVC), the contribution of sleepiness alone is less clear. We therefore sought to identify the contribution of sleepiness to the risk of a MVC in injured drivers, independent of drugs and alcohol.
METHODS
A prospective questionnaire and examination of sleep-related risk factors in drivers surviving MVC in a major hospital-based trauma centre was carried out.
RESULTS
Forty of 112 injured drivers screened were interviewed, of whom approximately 50% had at least one sleep-related risk factor, 20% having two or more. Of the MVC deemed sleep-related by questionnaire, only 25% were identified by the Australian Transport Safety Bureau definitions. Shift work was the greatest sleep-related factor identified contributing to MVC.
CONCLUSION
Sleepiness, particularly related to shift work, needs to be emphasized as a risk factor for MVC. Australian Transport Safety Bureau definitions of sleep-related MVC are too lenient.
背景
尽管酒精和消遣性药物被认为是机动车碰撞事故（MVC）的重要风险因素，但单纯嗜睡的影响尚不太明确。因此，我们试图确定在受伤驾驶员中，与药物和酒精无关的嗜睡对MVC风险的影响。
方法
在一家大型医院创伤中心，对MVC幸存驾驶员进行了一项关于睡眠相关风险因素的前瞻性问卷调查和检查。
结果
在筛查的112名受伤驾驶员中，有40人接受了访谈，其中约50%至少有一项与睡眠相关的风险因素，20%有两项或更多。根据问卷调查被认为与睡眠相关的MVC中，只有25%符合澳大利亚交通安全局的定义。轮班工作是所确定的导致MVC的最大睡眠相关因素。
结论
需要强调嗜睡，尤其是与轮班工作相关的嗜睡，是MVC的一个风险因素。澳大利亚交通安全局对与睡眠相关的MVC的定义过于宽松。
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