Sleep disorders, sleepiness, and near-miss accidents among long-distance highway drivers in the summertime
Sleep Medicine. 2014-01-01; 15(1): 23-26
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1. Sleep Med. 2014 Jan;15(1):23-6. doi: 10.1016/j.sleep.2013.06.018. Epub 2013 Sep
Sleep disorders, sleepiness, and near-miss accidents among long-distance highway
drivers in the summertime.
Quera Salva MA(1), Barbot F(2), Hartley S(3), Sauvagnac R(4), Vaugier I(2),
Lofaso F(5), Philip P(6).
(1)AP-HP, Hôpital Raymond Poincaré, Unité du Sommeil, 92380 Garches, France.
Electronic address: .
(2)INSERM CIC-IT 805, AP-HP, Hôpital Raymond Poincaré, 92380 Garches, France.
(3)AP-HP, Hôpital Raymond Poincaré, Unité du Sommeil, 92380 Garches, France.
(4)AP-HP Service de Médecine Physique et de Réadaptation, Hôpital Raymond
(5)Université de Versailles Saint Quentin en Yvelines, EA 4497, France.
(6)Université de Bordeaux, CNRS SANPSY USR 3413, CHU Bordeaux, 33076 Bordeaux,
OBJECTIVE: We aimed to investigate sleepiness, sleep hygiene, sleep disorders,
and driving risk among highway drivers.
METHODS: We collected data using cross-sectional surveys, including the Epworth
Sleepiness Scale (ESS) questionnaire, Basic Nordic Sleep Questionnaire (BNSQ),
and a travel questionnaire; we also obtained sleep data from the past 24 h and
information on usual sleep schedules. Police officers invited automobile drivers
RESULTS: There were 3051 drivers (mean age, 46±13 y; 75% men) who completed the
survey (80% participation rate). Eighty-seven (2.9%) drivers reported near-miss
sleepy accidents (NMSA) during the trip; 8.5% of NMSA occurred during the past
year and 2.3% reported sleepiness-related accidents occurring in the past year.
Mean driving time was 181±109 min and mean sleep duration in the past 24 h was
480±104 min; mean sleep duration during workweeks was 468±74 min. Significant
risk factors for NMSA during the trip were NMSA in the past year, nonrestorative
sleep and snoring in the past 3 months, and sleepiness during the interview.
Neither sleep time in the past 24 h nor acute sleep debt (sleep time difference
between workweeks and the past 24 h) correlated with the occurrence of near
CONCLUSIONS: Unlike previous studies, acute sleep loss no longer explains
sleepiness at the wheel. Sleep-related breathing disorders or nonrestorative
sleep help to explain NMSA more adequately than acute sleep loss.
Copyright © 2013 Elsevier B.V. All rights reserved.
PMID: 24286897 [Indexed for MEDLINE]