Advanced emergency braking system reduces the risk of motor vehicle collisions caused by falling asleep while driving in patients with untreated obstructive sleep apnea
Summary Obstructive sleep apnea leads to excessive daytime sleepiness and cognitive dysfunction, which are risk factors for motor vehicle collisions. We aimed to clarify if vehicles with an advanced emergency braking system could reduce motor vehicle collisions caused by falling asleep while driving...
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| Veröffentlicht in: | Journal of sleep research 2023-02, Vol.32 (1), p.e13713-n/a |
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| container_title | Journal of sleep research |
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| creator | Arita, Aki Kumagai, Hajime Sawatari, Hiroyuki Hoshino, Tetsuro Konishi, Noriyuki Murase, Yoko Urabe, Ayako Nomura, Atsuhiko Sasanabe, Ryujiro Shiomi, Toshiaki |
| description | Summary
Obstructive sleep apnea leads to excessive daytime sleepiness and cognitive dysfunction, which are risk factors for motor vehicle collisions. We aimed to clarify if vehicles with an advanced emergency braking system could reduce motor vehicle collisions caused by falling asleep while driving among patients with untreated obstructive sleep apnea. We enrolled patients with untreated obstructive sleep apnea who underwent polysomnography. The questionnaires included the Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, history of drowsy driving accidents, and use of an advanced emergency braking system. Multivariate analysis was performed, and odds ratios and 95% confidence intervals were calculated. This study included 1097 patients (mean age, 51.2 ± 12.9 years). Collisions caused by falling asleep while driving were recorded in 59 (5.4%) patients, and were more frequently observed in vehicles without an advanced emergency braking system (p = 0.045). Multivariate analysis showed that these collisions were associated with use of an advanced emergency braking system (odds ratio [95% confidence interval]: 0.39 [0.16–0.97], p = 0.04), length of driving (2.79 [1.19–6.50], p = 0.02), total sleep time (2.40 [1.62–3.55], p |
| doi_str_mv | 10.1111/jsr.13713 |
| format | Article |
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Obstructive sleep apnea leads to excessive daytime sleepiness and cognitive dysfunction, which are risk factors for motor vehicle collisions. We aimed to clarify if vehicles with an advanced emergency braking system could reduce motor vehicle collisions caused by falling asleep while driving among patients with untreated obstructive sleep apnea. We enrolled patients with untreated obstructive sleep apnea who underwent polysomnography. The questionnaires included the Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, history of drowsy driving accidents, and use of an advanced emergency braking system. Multivariate analysis was performed, and odds ratios and 95% confidence intervals were calculated. This study included 1097 patients (mean age, 51.2 ± 12.9 years). Collisions caused by falling asleep while driving were recorded in 59 (5.4%) patients, and were more frequently observed in vehicles without an advanced emergency braking system (p = 0.045). Multivariate analysis showed that these collisions were associated with use of an advanced emergency braking system (odds ratio [95% confidence interval]: 0.39 [0.16–0.97], p = 0.04), length of driving (2.79 [1.19–6.50], p = 0.02), total sleep time (2.40 [1.62–3.55], p < 0.0001), sleep efficiency (0.94 [0.90–0.98], p = 0.003) and periodic limb movement index (1.02 [1.01–1.03], p = 0.004). The collision risk caused by falling asleep while driving in vehicles with an advanced emergency braking system was significantly lower. This study indicates that advanced emergency braking systems may be a preventive measure to reduce motor vehicle collisions among patients with untreated obstructive sleep apnea.</description><identifier>ISSN: 0962-1105</identifier><identifier>EISSN: 1365-2869</identifier><identifier>DOI: 10.1111/jsr.13713</identifier><identifier>PMID: 36053798</identifier><language>eng</language><publisher>England</publisher><subject>accident prevention ; accident risk ; Accidents, Traffic - prevention & control ; Adult ; Automobile Driving - psychology ; autonomous braking ; car collision ; Disorders of Excessive Somnolence - complications ; Humans ; microsleep ; Middle Aged ; Motor Vehicles ; Sleep Apnea, Obstructive - complications ; Sleep Apnea, Obstructive - psychology ; traffic accident</subject><ispartof>Journal of sleep research, 2023-02, Vol.32 (1), p.e13713-n/a</ispartof><rights>2022 European Sleep Research Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3253-9cc00dd890fc8cd390c82f3bd6d61b53579e613163a4e9f6d446df94f16115013</citedby><cites>FETCH-LOGICAL-c3253-9cc00dd890fc8cd390c82f3bd6d61b53579e613163a4e9f6d446df94f16115013</cites><orcidid>0000-0001-9660-7701 ; 0000-0001-7134-4714</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjsr.13713$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjsr.13713$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36053798$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arita, Aki</creatorcontrib><creatorcontrib>Kumagai, Hajime</creatorcontrib><creatorcontrib>Sawatari, Hiroyuki</creatorcontrib><creatorcontrib>Hoshino, Tetsuro</creatorcontrib><creatorcontrib>Konishi, Noriyuki</creatorcontrib><creatorcontrib>Murase, Yoko</creatorcontrib><creatorcontrib>Urabe, Ayako</creatorcontrib><creatorcontrib>Nomura, Atsuhiko</creatorcontrib><creatorcontrib>Sasanabe, Ryujiro</creatorcontrib><creatorcontrib>Shiomi, Toshiaki</creatorcontrib><title>Advanced emergency braking system reduces the risk of motor vehicle collisions caused by falling asleep while driving in patients with untreated obstructive sleep apnea</title><title>Journal of sleep research</title><addtitle>J Sleep Res</addtitle><description>Summary
Obstructive sleep apnea leads to excessive daytime sleepiness and cognitive dysfunction, which are risk factors for motor vehicle collisions. We aimed to clarify if vehicles with an advanced emergency braking system could reduce motor vehicle collisions caused by falling asleep while driving among patients with untreated obstructive sleep apnea. We enrolled patients with untreated obstructive sleep apnea who underwent polysomnography. The questionnaires included the Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, history of drowsy driving accidents, and use of an advanced emergency braking system. Multivariate analysis was performed, and odds ratios and 95% confidence intervals were calculated. This study included 1097 patients (mean age, 51.2 ± 12.9 years). Collisions caused by falling asleep while driving were recorded in 59 (5.4%) patients, and were more frequently observed in vehicles without an advanced emergency braking system (p = 0.045). Multivariate analysis showed that these collisions were associated with use of an advanced emergency braking system (odds ratio [95% confidence interval]: 0.39 [0.16–0.97], p = 0.04), length of driving (2.79 [1.19–6.50], p = 0.02), total sleep time (2.40 [1.62–3.55], p < 0.0001), sleep efficiency (0.94 [0.90–0.98], p = 0.003) and periodic limb movement index (1.02 [1.01–1.03], p = 0.004). The collision risk caused by falling asleep while driving in vehicles with an advanced emergency braking system was significantly lower. This study indicates that advanced emergency braking systems may be a preventive measure to reduce motor vehicle collisions among patients with untreated obstructive sleep apnea.</description><subject>accident prevention</subject><subject>accident risk</subject><subject>Accidents, Traffic - prevention & control</subject><subject>Adult</subject><subject>Automobile Driving - psychology</subject><subject>autonomous braking</subject><subject>car collision</subject><subject>Disorders of Excessive Somnolence - complications</subject><subject>Humans</subject><subject>microsleep</subject><subject>Middle Aged</subject><subject>Motor Vehicles</subject><subject>Sleep Apnea, Obstructive - complications</subject><subject>Sleep Apnea, Obstructive - psychology</subject><subject>traffic accident</subject><issn>0962-1105</issn><issn>1365-2869</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kcFu1DAQhi1ERbeFAy-AfIRDWjveOPGxqkoLqoRU4Bw59qTrNrGDx9lV3ojHrEsKN-Yy0uj7v8P8hLzn7IznOX_AeMZFzcUrsuFCVkXZSPWabJiSZcE5q47JCeIDY7yuhHpDjoVklahVsyG_L-xeewOWwgjxHrxZaBf1o_P3FBdMMNIIdjaANO2ARoePNPR0DClEuoedMwNQE4bBoQseqdEzZlm30F7nY7ZoHAAmeti5TNro9s9H5-mkkwOfkB5c2tHZpwg65WjoMMXZJLcHukb15EG_JUfZiPDuZZ-Sn5-vflzeFLffrr9cXtwWRpSVKJQxjFnbKNabxlihmGnKXnRWWsm7SlS1AskFl0JvQfXSbrfS9mrbc8l5xbg4JR9X7xTDrxkwtaNDA8OgPYQZ27JmqhZZ0WT004qaGBAj9O0U3ajj0nLWPhfT5mLaP8Vk9sOLdu5GsP_Iv01k4HwFDvlPy_9N7dfvd6vyCWr3m78</recordid><startdate>202302</startdate><enddate>202302</enddate><creator>Arita, Aki</creator><creator>Kumagai, Hajime</creator><creator>Sawatari, Hiroyuki</creator><creator>Hoshino, Tetsuro</creator><creator>Konishi, Noriyuki</creator><creator>Murase, Yoko</creator><creator>Urabe, Ayako</creator><creator>Nomura, Atsuhiko</creator><creator>Sasanabe, Ryujiro</creator><creator>Shiomi, Toshiaki</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9660-7701</orcidid><orcidid>https://orcid.org/0000-0001-7134-4714</orcidid></search><sort><creationdate>202302</creationdate><title>Advanced emergency braking system reduces the risk of motor vehicle collisions caused by falling asleep while driving in patients with untreated obstructive sleep apnea</title><author>Arita, Aki ; Kumagai, Hajime ; Sawatari, Hiroyuki ; Hoshino, Tetsuro ; Konishi, Noriyuki ; Murase, Yoko ; Urabe, Ayako ; Nomura, Atsuhiko ; Sasanabe, Ryujiro ; Shiomi, Toshiaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3253-9cc00dd890fc8cd390c82f3bd6d61b53579e613163a4e9f6d446df94f16115013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>accident prevention</topic><topic>accident risk</topic><topic>Accidents, Traffic - prevention & control</topic><topic>Adult</topic><topic>Automobile Driving - psychology</topic><topic>autonomous braking</topic><topic>car collision</topic><topic>Disorders of Excessive Somnolence - complications</topic><topic>Humans</topic><topic>microsleep</topic><topic>Middle Aged</topic><topic>Motor Vehicles</topic><topic>Sleep Apnea, Obstructive - complications</topic><topic>Sleep Apnea, Obstructive - psychology</topic><topic>traffic accident</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arita, Aki</creatorcontrib><creatorcontrib>Kumagai, Hajime</creatorcontrib><creatorcontrib>Sawatari, Hiroyuki</creatorcontrib><creatorcontrib>Hoshino, Tetsuro</creatorcontrib><creatorcontrib>Konishi, Noriyuki</creatorcontrib><creatorcontrib>Murase, Yoko</creatorcontrib><creatorcontrib>Urabe, Ayako</creatorcontrib><creatorcontrib>Nomura, Atsuhiko</creatorcontrib><creatorcontrib>Sasanabe, Ryujiro</creatorcontrib><creatorcontrib>Shiomi, Toshiaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of sleep research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arita, Aki</au><au>Kumagai, Hajime</au><au>Sawatari, Hiroyuki</au><au>Hoshino, Tetsuro</au><au>Konishi, Noriyuki</au><au>Murase, Yoko</au><au>Urabe, Ayako</au><au>Nomura, Atsuhiko</au><au>Sasanabe, Ryujiro</au><au>Shiomi, Toshiaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Advanced emergency braking system reduces the risk of motor vehicle collisions caused by falling asleep while driving in patients with untreated obstructive sleep apnea</atitle><jtitle>Journal of sleep research</jtitle><addtitle>J Sleep Res</addtitle><date>2023-02</date><risdate>2023</risdate><volume>32</volume><issue>1</issue><spage>e13713</spage><epage>n/a</epage><pages>e13713-n/a</pages><issn>0962-1105</issn><eissn>1365-2869</eissn><abstract>Summary
Obstructive sleep apnea leads to excessive daytime sleepiness and cognitive dysfunction, which are risk factors for motor vehicle collisions. We aimed to clarify if vehicles with an advanced emergency braking system could reduce motor vehicle collisions caused by falling asleep while driving among patients with untreated obstructive sleep apnea. We enrolled patients with untreated obstructive sleep apnea who underwent polysomnography. The questionnaires included the Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, history of drowsy driving accidents, and use of an advanced emergency braking system. Multivariate analysis was performed, and odds ratios and 95% confidence intervals were calculated. This study included 1097 patients (mean age, 51.2 ± 12.9 years). Collisions caused by falling asleep while driving were recorded in 59 (5.4%) patients, and were more frequently observed in vehicles without an advanced emergency braking system (p = 0.045). Multivariate analysis showed that these collisions were associated with use of an advanced emergency braking system (odds ratio [95% confidence interval]: 0.39 [0.16–0.97], p = 0.04), length of driving (2.79 [1.19–6.50], p = 0.02), total sleep time (2.40 [1.62–3.55], p < 0.0001), sleep efficiency (0.94 [0.90–0.98], p = 0.003) and periodic limb movement index (1.02 [1.01–1.03], p = 0.004). The collision risk caused by falling asleep while driving in vehicles with an advanced emergency braking system was significantly lower. This study indicates that advanced emergency braking systems may be a preventive measure to reduce motor vehicle collisions among patients with untreated obstructive sleep apnea.</abstract><cop>England</cop><pmid>36053798</pmid><doi>10.1111/jsr.13713</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-9660-7701</orcidid><orcidid>https://orcid.org/0000-0001-7134-4714</orcidid></addata></record> |
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| ispartof | Journal of sleep research, 2023-02, Vol.32 (1), p.e13713-n/a |
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| subjects | accident prevention accident risk Accidents, Traffic - prevention & control Adult Automobile Driving - psychology autonomous braking car collision Disorders of Excessive Somnolence - complications Humans microsleep Middle Aged Motor Vehicles Sleep Apnea, Obstructive - complications Sleep Apnea, Obstructive - psychology traffic accident |
| title | Advanced emergency braking system reduces the risk of motor vehicle collisions caused by falling asleep while driving in patients with untreated obstructive sleep apnea |
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