Sleepiness-related accidents in sleep apnea patients.
Sleepiness-related accidents in sleep apnea patients.
复制标题
睡眠呼吸暂停患者与困倦相关的事故。
作者：
S. Horstmann;C. Hess;C. Bassetti;M. Gugger;J. Mathis
对156例睡眠呼吸暂停综合征（SAS）患者和160例年龄性别匹配的对照者进行了严格匿名问卷调查，分析了机动车辆和工作事故的频率。在SAS组中，所有驾驶员中有12.4%发生了机动车事故，而对照组为2.9%（p<0.005）。重度SAS患者（AHI > 34/h，n=78）的机动车事故率为13.0/100万km，轻度SAS患者（AHI 10-34/h，n= 78）为1.1/100万km（p<0.05），对照组为0.78/100万km（p<0.005）。患者和对照组的事故率也高于瑞士官方统计数据报告的每百万公里驾驶人口中0.02起“因困倦而发生的事故”。经鼻持续气道正压通气（nCPAP）治疗85例SAS患者，机动车事故率从10.6/100万km降至2.7/100万km（p<0.05）。我们的结论是，中度至重度SAS患者的机动车事故的风险增加了15倍，构成了一个严重的，往往被低估的道路上的危险，这可以通过适当的治疗来减少。
The frequency of motor vehicle and working accidents was analyzed by means of a strictly anonymous questionnaire in 156 patients with sleep apnea syndrome (SAS) and in 160 age-gender matched controls. In the SAS group 12.4% of all drivers had motor vehicle accidents as compared to 2.9% in the control group (p<0.005). The motor vehicle accident rate was 13.0 per million km in patients with more severe SAS (AHI > 34/h, n=78) as compared to 1.1 in patients with milder SAS (AHI 10-34/h, n=78) (p<0.05), and 0.78 in control group (p<0.005), respectively. The accident rates in both patients and the control group were also greater than the rate of 0.02 "accidents due to sleepiness" per one million km in the Swiss driving population as reported by official statistics. During treatment with nasal continuous airway pressure (nCPAP) in 85 SAS patients, the motor vehicle accident rate dropped from 10.6 to 2.7 per million km (p<0.05). We conclude that patients with moderate to severe SAS have an up to fifteen-fold risk increase of motor vehicle accidents that constitutes a serious and often underestimated hazard on the roads, which can be reduced by adequate treatment.
影响因子：
5.6
作者：
Young, T;Blustein, J;Palta, M
通讯作者：
Palta, M