Risk factors for collisions attributed to microsleep-related behaviors while driving in professional truck drivers.

Autor: Sawatari H; Department of Perioperative and Critical Care Management, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan., Kumagai H; Department of Sleep Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 7348533, Japan. kumaguy88@hiroshima-u.ac.jp.; Sleep Disorders Center, Hiroshima University Hospital, Hiroshima, Japan. kumaguy88@hiroshima-u.ac.jp., Kawaguchi K; Department of Sleep Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 7348533, Japan., Kiyohara Y; Department of Sleep Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 7348533, Japan.; Sleep Disorders Center, Hiroshima University Hospital, Hiroshima, Japan., Konishi N; Department of Sleep Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 7348533, Japan., Arita A; Department of Sleep Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 7348533, Japan., Hayashi M; Graduate School of Integrated Arts and Sciences, Hiroshima University, Hiroshima, Japan., Shiomi T; Department of Sleep Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 7348533, Japan.; Sleep Disorders Center, Hiroshima University Hospital, Hiroshima, Japan.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2024 Mar 16; Vol. 14 (1), pp. 6378. Date of Electronic Publication: 2024 Mar 16.
DOI: 10.1038/s41598-024-57021-1
Abstrakt: Sleep-disordered breathing (SDB) is prevalent among professional drivers. Although SDB is a known risk factor for truck collisions attributed to microsleep-related behaviors at the wheel (TC-MRBs), the usefulness of overnight pulse oximetry for predicting TC-MRBs is debatable. This retrospective study assessed the association between overnight pulse oximetry parameters, the Epworth Sleepiness Scale (ESS), and TC-MRBs, confirmed by dashcam footage. This study included 108 matched professional truck drivers (TC-MRBs: N = 54; non-TC-MRBs: N = 54), with a mean age and body mass index of 41.9 ± 11.3 years and 23.0 ± 3.7 kg/m 2 , respectively. Night-time drivers, 4% oxygen desaturation index (ODI), and nadir oxygen saturation (SpO 2 ) were associated with TC-MRBs (odds ratio [95% confidence interval]: 25.63 [5.88-111.77], p < 0.0001; 2.74 [1.02-7.33], p = 0.045; and 3.87 [1.04-14.39], p = 0.04, respectively). The area under the curve of 4% ODI and nadir SpO 2 for TC-MRBs were 0.50 and 0.57, respectively. In conclusion, night-time driving, 4% ODI, and nadir SpO 2 were significantly associated with TC-MRBs in professional truck drivers. However, the sensitivity of overnight pulse oximetry parameters to predict TC-MRBs in a real-world application was poor. Therefore, combining subjective and objective assessments such as dashcam video footage may be needed to achieve high accuracy for predicting TC-MRBs among professional truck drivers.
(© 2024. The Author(s).)
Databáze: MEDLINE
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