PMID- 33242183
OWN - NLM
STAT- MEDLINE
DCOM- 20211221
LR  - 20211221
IS  - 1522-1709 (Electronic)
IS  - 1520-9512 (Linking)
VI  - 25
IP  - 3
DP  - 2021 Sep
TI  - Excessive daytime sleepiness and associations with sleep-related motor vehicle 
      accidents: results from a nationwide survey.
PG  - 1671-1676
LID - 10.1007/s11325-020-02260-5 [doi]
AB  - OBJECTIVE/BACKGROUND: Insufficient sleep can have fatal consequences, and up to 
      30% of motor vehicle accidents (MVAs) are related to driving when drowsy. The 
      objective of this study was to investigate how sleep quality and excessive 
      daytime sleepiness (EDS) affect falling asleep while driving and sleep-related 
      MVAs/near-misses. PARTICIPANTS/METHODS: A population-wide sample of Saudi adults 
      was surveyed. The questionnaire gathered data on sleep quality, EDS (Epworth 
      Sleepiness Scale), and episodes of falling asleep while driving and sleep-related 
      MVAs/near-misses in the previous year. Univariable and multivariable analyses 
      were used to assess associations. RESULTS: A total of 19% (902/3802) and 10% 
      (474/4229) of respondents had fallen asleep while driving or had a sleep-related 
      MVA/near-miss in the preceding year, respectively. Being male, married, having a 
      shorter sleep duration, being an office worker, having poor subjective sleep 
      quality, and having moderate or severe EDS were associated with an increased risk 
      of having fallen asleep while driving in the previous year. Younger age, male 
      gender, having worse subjective sleep quality [OR 2.11 (95% CI 1.36-3.29); 
      p < 0.0001 for "very bad" sleep quality], and having moderate or severe EDS [ESS 
      >/= 13; OR 1.90 (95% CI 1.38-2.60); p < 0.0001 and OR 2.39 (95% CI 1.56-3.67); 
      p < 0.0001, respectively] were associated with having had/nearly had an accident 
      due to being tired or falling asleep while driving in the previous year. 
      CONCLUSIONS: Sleepy driving and sleep-related accidents/near-misses are common in 
      Saudi Arabia, and sleep quality and EDS contribute to the burden of MVAs. Further 
      efforts are required to quantify the contribution of sleepiness to MVAs to 
      develop and prioritize interventions to prevent MVA-related injuries and death.
CI  - (c) 2020. Springer Nature Switzerland AG.
FAU - AlShareef, Saad Mohammed
AU  - AlShareef SM
AUID- ORCID: 0000-0002-0104-6583
AD  - Department of Medicine, College of Medicine, Imam Mohammad Ibn Saud Islamic 
      University (IMSIU), PO Box 7544, Riyadh, 13317-4233, Saudi Arabia. 
      drsaad321@hotmail.com.
LA  - eng
PT  - Journal Article
DEP - 20201126
PL  - Germany
TA  - Sleep Breath
JT  - Sleep & breathing = Schlaf & Atmung
JID - 9804161
SB  - IM
MH  - Accidents, Traffic/*statistics & numerical data
MH  - Adult
MH  - Disorders of Excessive Somnolence/*epidemiology
MH  - Female
MH  - Humans
MH  - Male
MH  - Risk Factors
MH  - Saudi Arabia/epidemiology
MH  - Sleep Quality
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Epworth sleepiness scale
OT  - Excessive daytime sleepiness
OT  - Motor vehicle accidents
OT  - Sleep hygiene
EDAT- 2020/11/27 06:00
MHDA- 2021/12/22 06:00
CRDT- 2020/11/26 12:09
PHST- 2020/08/07 00:00 [received]
PHST- 2020/11/20 00:00 [accepted]
PHST- 2020/11/18 00:00 [revised]
PHST- 2020/11/27 06:00 [pubmed]
PHST- 2021/12/22 06:00 [medline]
PHST- 2020/11/26 12:09 [entrez]
AID - 10.1007/s11325-020-02260-5 [pii]
AID - 10.1007/s11325-020-02260-5 [doi]
PST - ppublish
SO  - Sleep Breath. 2021 Sep;25(3):1671-1676. doi: 10.1007/s11325-020-02260-5. Epub 
      2020 Nov 26.