Saleem Shehzad
Department of Community Medicine, King Edward Medical University, Lahore, Punjab, Pakistan.
East Mediterr Health J. 2022 Sep 29;28(9):695-700. doi: 10.26719/emhj.22.055.
Injuries due to accidental crash are the 8th leading cause of death worldwide. Sleepiness results in disrupted neurological function and is a major risk factor for road traffic accidents.
This systematic review assessed the relationship between sleepiness during driving and road traffic accidents.
A systematic review was conducted using online databases such as Wiley Online Library, JSTOR, Medline, and PubMed. Full-text, English language articles published between May 2000 and November 2020 were retrieved. Road traffic accident was set as the outcome of interest and sleepiness during driving as the exposure. The review included studies containing adjusted risk estimates (95% confidence interval). Ten cross-sectional studies (N = 55,945), 5 case-control studies (N = 3821), and 2 cohort studies (N =16,875) were included.
Over 50% of the participants in the different studies experienced sleep deprivation ranging from 3.5% to 67.3%. Abe et al. reported the highest (58%) frequency of sleepiness during driving in their cross-sectional study in Japan, and Nabi et al. reported the lowest (1.1%) in their cohort study in France.
Sleepiness and sleep deprivation were related to road traffic accidents; and sleep deprivation was the main contributor to drowsiness while driving.
意外碰撞导致的伤害是全球第八大死因。困倦会导致神经功能紊乱，是道路交通事故的主要危险因素。
本系统评价评估了驾驶时的困倦与道路交通事故之间的关系。
使用Wiley Online Library、JSTOR、Medline和PubMed等在线数据库进行系统评价。检索了2000年5月至2020年11月发表的全文英文文章。将道路交通事故设定为感兴趣的结果，驾驶时的困倦设定为暴露因素。该评价纳入了包含调整后风险估计值（95%置信区间）的研究。纳入了10项横断面研究（N = 55,945）、5项病例对照研究（N = 3821）和2项队列研究（N = 16,875）。
不同研究中超过50%的参与者经历了3.5%至67.3%不等的睡眠剥夺。阿部等人在日本的横断面研究中报告了驾驶时困倦的最高发生率（58%），纳比等人在法国的队列研究中报告了最低发生率（1.1%）。
困倦和睡眠剥夺与道路交通事故有关；睡眠剥夺是驾驶时困倦的主要原因。
