Stoohs R A, Guilleminault C, Itoi A, Dement W C
Stanford University Medical School, Sleep Disorders and Research Center, California.
Sleep. 1994 Oct;17(7):619-23.
This study assesses a possible independent effect of sleep-related breathing disorders on traffic accidents in long-haul commercial truck drivers. The study design included integrated analysis of recordings of sleep-related breathing disorders, self-reported automotive and company-recorded automotive accidents. A cross-sectional population of 90 commercial long-haul truck drivers 20-64 years of age was studied. Main outcome measures included presence or absence, as well as severity, of sleep-disordered breathing and frequency of automotive accidents. Truck drivers identified with sleep-disordered breathing had a two-fold higher accident rate per mile than drivers without sleep-disordered breathing. Accident frequency was not dependent on the severity of the sleep-related breathing disorder. Obese drivers with a body mass > or = 30 kg/m2 also presented a two-fold higher accident rate than nonobese drivers. We conclude that a complaint of excessive daytime sleepiness is related to a significantly higher automotive accident rate in long-haul commercial truck drivers. Sleep-disordered breathing with hypoxemia and obesity are risk factors for automotive accidents.
本研究评估了与睡眠相关的呼吸障碍对长途商用卡车司机交通事故的可能独立影响。研究设计包括对与睡眠相关的呼吸障碍记录、自我报告的汽车事故和公司记录的汽车事故进行综合分析。对90名年龄在20 - 64岁的商用长途卡车司机的横断面人群进行了研究。主要结局指标包括睡眠呼吸障碍的有无及严重程度，以及汽车事故的发生频率。被确定有睡眠呼吸障碍的卡车司机每英里的事故率比没有睡眠呼吸障碍的司机高出两倍。事故频率并不取决于与睡眠相关的呼吸障碍的严重程度。体重指数≥30 kg/m²的肥胖司机的事故率也比非肥胖司机高出两倍。我们得出结论，长途商用卡车司机白天过度嗜睡的主诉与显著更高的汽车事故率相关。伴有低氧血症的睡眠呼吸障碍和肥胖是汽车事故的危险因素。
