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Determinants of Sleepiness at Wheel and Missing Accidents in Patients With Obstructive Sleep Apnea by Francesco Fanfulla; Gian Domenico Pinna; Oreste Marrone; Nadia D’Artavilla Lupo; Simona Arcovio; Maria R. Bonsignore; Elisa Morrone is a Neuroscience article available to read on EtoBox.
What is Determinants of Sleepiness at Wheel and Missing Accidents in Patients With Obstructive Sleep Apnea about?
## Study Objectives Motor-vehicle crashes are frequent in untreated OSA patients but there is still uncertainty on prevalence as well as physiological or clinical determinants of sleepiness at the wheel (SW) in OSA patients. We assessed determinants of SW or sleepiness related near-miss car accident (NMA) in a group of non-professional drivers with OSA. ## Methods A 237 consecutive, treatment-naïve PSG-diagnosed OSA patients (161 males, 53.1 ± 12.6 years) were enrolled. Self-reported SW was assessed by positive answer to the question, “Have you had episodes of falling asleep while driving or episodes of drowsiness at wheel that could interfere with your driving skill in the last year?” Occurrence of NMA in the last 3 years was also individually recorded. Habitual self-reported average sleep time was collected. ## Results SW was found in 41.3% of patients but one-quarter of patients with SW did not report excessive daytime sleepiness. Predictors of SW were the following subjective factors: Epworth sleepiness scale score (ESS-OR 1.26; IC 1.1–1.4; __p__ < 0.0001), depressive symptoms (BDI-OR 1.2; IC 1.06–1.18; __p__ < 0.0001) and level of risk exposure (annual mileage-OR 1.9; IC 1.15–
Who reads Determinants of Sleepiness at Wheel and Missing Accidents in Patients With Obstructive Sleep Apnea?
It is typically read by researchers, students, and practitioners in Neuroscience.
- Author
- Francesco Fanfulla; Gian Domenico Pinna; Oreste Marrone; Nadia D’Artavilla Lupo; Simona Arcovio; Maria R. Bonsignore; Elisa Morrone
- Publisher
- Frontiers Media SA
- Published
- 2021
- Language
- EN
- Field
- Neuroscience (Life Sciences)