Drive By Truckers

Up to one-third of crashes of large trucks are attributable to sleepiness, and large truck crashes result in more than 4,000 deaths annually. For each occupant of a truck who is killed, 6 to 7 occupants of other vehicles are killed.

Obstructive sleep apnea (OSA) is a sleep-related breathing disorder that is characterized by repetitive episodes of complete or partial upper airway obstruction during sleep.1 OSA is common among adults,2,3 and it is particularly common in commercial operators.48 Untreated OSA leads to increased morbidity and mortality, as well as high costs related to crashes, health care use, absenteeism, and lost productivity.911 A systematic review and meta-analysis commissioned by the Federal Motor Carrier Safety Administration (FMCSA) shows that drivers with OSA have a crash risk that is between 21% and 489% higher than comparable drivers without OSA.12 A 2013 meta-analysis of more than 25,000 individuals who were enrolled in 12 studies shows that OSA was associated with an increased risk for cardiovascular disease (relative risk: 1.79), fatal and nonfatal stroke (relative risk: 2.15), and death from all causes (relative risk: 1.92).13

Obstructive sleep apnea screening, diagnosis, and treatment in the transportation industry – https://jcsm.aasm.org/doi/10.5664/jcsm.9672

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