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Document ID (ISN)111093
CIS number 10-0659
ISSN - Serial title 0001-4575 - Accident Analysis and Prevention
Year 2008
Convention or series no.
Author(s) Gurubhagavatula I., Nkwuo J.E., Maislin G., Pack A.I.
Title Estimated cost of crashes in commercial drivers supports screening and treatment of obstructive sleep apnea
Bibliographic information Jan. 2008, Vol.40, No.1, p.104-115. Illus. 50 ref.
Internet access Estimated_cost_of_crashes.pdf [in English]
Abstract In this study, holders of commercial driver's licenses were divided into three groups: participants subjected to polysomnography; those subjected to polysomnography only for high-risk drivers identified by body mass index (BMI), age and gender, followed by oximetry in a subset of drivers; those not subjected to screening. The costs for each of these three programmes included the costs of testing, treatment of identified cases, and crashes. It was found that screening based on BMI, age and gender, with confirmatory in-lab polysomnography only on high-risk drivers was cost-effective, as long as a high proportion of screened drivers accepts treatment. These findings indicate that strategies that reduce reliance on in-laboratory polysomnography may be more cost-effective than not screening, and that treatment acceptance may need to be a condition of employment for affected drivers.
Descriptors (primary) drivers; apnoea; fatigue; sleep disturbances; medical supervision; medical treatment; road transport; economic aspects
Descriptors (secondary) body weight; comparative study; age-linked differences; sex-linked differences; risk factors
Document type D - Periodical articles
Subject(s) Transport and communications
Broad subject area(s) Occupational medicine, epidemiology
Browse category(ies) Road transportation