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ID (ISN) del documento111093
Número CIS 10-0659
ISSN - Título de la serie 0001-4575 - Accident Analysis and Prevention
Año 2008
Número de serie
Autor(es) Gurubhagavatula I., Nkwuo J.E., Maislin G., Pack A.I.
Título Estimated cost of crashes in commercial drivers supports screening and treatment of obstructive sleep apnea
Información bibliográfica Jan. 2008, Vol.40, No.1, p.104-115. Illus. 50 ref.
Acceso Internet Estimated_cost_of_crashes.pdf [en inglés]
Resumen 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.
Descriptores (primarios) conductores; apnea; fatiga; perturbaciones del sueno; vigilancia médica; tratamiento médico; transporte por carretera; aspectos económicos
Descriptores (secundarios) peso corporal; estudio comparado; diferencias por la edad; diferencias por el sexo; factores de riesgo
Tipo de documento D - Artículos periódicos
Tema(s) Transportes y comunicaciones
Broad subject area(s) Medicina del trabajo, epidemiología
Navegación por categoria(s) Road transportation