Excessive daytime sleepiness among Turkish public transportation drivers: A risk for road traffic accidents?
Acta Medica Mediterranea, cilt.30, sa.5, ss.1121-1128, 2014 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 30 Sayı: 5
- Basım Tarihi: 2014
- Dergi Adı: Acta Medica Mediterranea
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.1121-1128
- Anahtar Kelimeler: OSAS, EDS, RTA, Public trafisportation, Bus driver, STOP-BANG, Epworth
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
Aims: This study evaluated the prevalence of, and the risk factors for, obstructive sleep apnoea syndrome (OSAS) and excessive day time sleepiness (EDS) as well as its relation to road traffic accidents (RTA) among Turkish public transportation drivers. Materials and methods: Male public transportation drivers (618) from the largest public transportation corporation (IETT) in Turkey were analysed after responding to questionnaires about their demographics, traffic accident histories, sleep habits, excessive daytime sleepiness (Epworth), and the likelihood of having apnoea (STOP-BANG). We also measured anthropometric data for all of the drivers. Frequency, mean, Chi-square, student T-test and regression analyses were used in statistical analyses. Results: Six hundred and eighteen male public transportation bus drivers with mean age (years) of 43.08 ± 5.41 and with mean BMI (kg/m2) 29.01 ± 3.92 were recruited. There was a positive and significant relation between age and BMI with obstructive sleep apnoea (OSA) (p = 0.000). OSA risk was high in 442 (71.5 %) drivers and 297 (48.1 %) had EDS. There was a positive relationship between OSA risk and the risk of EDS (p = 0.000). Five hundred and thirtyone (86.6 %) drivers had a past history of RTA but there was no significant relationship between a past RTA and OSA risk (p = 0.06). However, there was a statistically significant difference in the risk of EDS (ESS ≥ 10) in those with past history of RTA compared to those without (p = 0.000). The independent determinants of excessive day time sleepiness were the OSA risk and the abdominal adiposity (p < 0.001). Conclusion: In conclusion, we found a high prevalence of OSAS in the largest city transportation company in Turkey. Our results further suggest that age and BMI increase the risk of developing obstructive sleep apnoea syndrome (OSAS). We confirm a high incidence of falling asleep while driving and a high rate of road traffic accidents in OSAS patients.