Filomeno Ronald, Ikeda Ai, Tanigawa Takeshi
Department of Public Health, Juntendo University School of Medicine, Japan.
Ind Health. 2016 Oct 8;54(5):469-475. doi: 10.2486/indhealth.2015-0229. Epub 2016 Apr 28.
Obstructive Sleep Apnea Syndrome (OSAS) has emerged as a global public health problem. OSAS is largely recognized as a factor for increased risk of vehicular related accidents for those diagnosed and undiagnosed. This article serves as a country report that reviews current and potential policies regarding OSAS induced drowsy driving in both Japan and the United States of America. In addition to reviewing policies, various case finding techniques are also explored as methods to reduce accidents due to OSAS induced drowsy driving. Evaluation of the effectiveness of methods used in the United States of America and Japan for safe driving among commercial drivers is a key step to decreasing vehicular related accidents through stronger policy development and subsequent enforcement. Case finding has emerged as one of the most effective and realistic methods to detect OSAS in the driving population based on research done in the U.S. and Japan. Subsequently, case finding can lead to treatment to further prevent future accidents from occurring due to OSAS drowsy driving.
阻塞性睡眠呼吸暂停综合征（OSAS）已成为一个全球性的公共卫生问题。OSAS在很大程度上被认为是导致已确诊和未确诊患者发生车辆相关事故风险增加的一个因素。本文作为一份国别报告，回顾了日本和美利坚合众国目前及潜在的有关OSAS导致的困倦驾驶的政策。除了回顾政策外，还探讨了各种病例发现技术，作为减少因OSAS导致的困倦驾驶引发事故的方法。评估美国和日本用于商业驾驶员安全驾驶的方法的有效性，是通过加强政策制定和后续执法来减少车辆相关事故的关键一步。根据美国和日本的研究，病例发现已成为在驾驶人群中检测OSAS最有效和现实的方法之一。随后，病例发现可导致治疗，以进一步预防未来因OSAS困倦驾驶而发生的事故。
