본문 바로가기
KERD
논문KCI 등재

폐쇄수면무호흡 환자에서 졸음운전 관련 교통사고 예방을 위한 제안

Proposal for Prevention of Drowsy Driving-Related Motor Vehicle Accidents in Patients With Obstructive Sleep Apnea

임희진|김경민|김대영|김혜윤|조재욱|임수환|양광익|구대림|선우준상|대한수면연구학회
대한수면연구학회 (Korean Sleep Research Society)|2021.12|Journal of sleep medicine|제18권 제3호|pp. 127-136|DOI 10.13078/jsm.210024

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

PolysomnographyContinuous positive airway pressureObstructive sleep apneaSleepinessTraffic accidents

초록

Obstructive sleep apnea (OSA) is known to be associated with various health concerns, including sleepiness, fatigue, cognitive dysfunction, diminished quality of life, hypertension, cardiovascular diseases, and stroke. OSA-induced sleepiness at the wheel reduces vigilance and driving performance, which significantly increase the risk of motor vehicle accidents. Sleepiness-induced motor vehicle accidents are characterized by high morbidity and mortality. OSA is a well-established significant risk factor for drowsy driving-related motor vehicle accidents, which can be prevented through appropriate treatment. However, currently no clinical guidelines or regulations are available for evaluation or management of the risk of motor vehicle accidents in patients with OSA in Korea. In this review, we discuss the risk of motor vehicle accidents in patients with OSA, the effects of positive airway pressure therapy as a preventive measure to reduce this risk, and the published recommendations for OSA in other countries with regard to fitness to drive. We propose recommendations for screening, evaluation, and treatment of OSA with regard to the risk of motor vehicle accidents, which would serve as useful practical guidelines for sleep specialists in clinical practice. Further research is warranted to establish optimal strategies for effective improvements in OSA-related traffic safety.

Abstract

Obstructive sleep apnea (OSA) is known to be associated with various health concerns, including sleepiness, fatigue, cognitive dysfunction, diminished quality of life, hypertension, cardiovascular diseases, and stroke. OSA-induced sleepiness at the wheel reduces vigilance and driving performance, which significantly increase the risk of motor vehicle accidents. Sleepiness-induced motor vehicle accidents are characterized by high morbidity and mortality. OSA is a well-established significant risk factor for drowsy driving-related motor vehicle accidents, which can be prevented through appropriate treatment. However, currently no clinical guidelines or regulations are available for evaluation or management of the risk of motor vehicle accidents in patients with OSA in Korea. In this review, we discuss the risk of motor vehicle accidents in patients with OSA, the effects of positive airway pressure therapy as a preventive measure to reduce this risk, and the published recommendations for OSA in other countries with regard to fitness to drive. We propose recommendations for screening, evaluation, and treatment of OSA with regard to the risk of motor vehicle accidents, which would serve as useful practical guidelines for sleep specialists in clinical practice. Further research is warranted to establish optimal strategies for effective improvements in OSA-related traffic safety.

참고문헌 (36)

  1. Patrick Lévy, "Obstructive sleep apnoea syndrome", Nature Reviews Disease Primers, 1(1), pp.15015~ (2015), Springer Science and Business Media LLC[DOI]
  2. JinKwan Kim, "Prevalence of Sleep-disordered Breathing in Middle-aged Korean Men and Women", American Journal of Respiratory and Critical Care Medicine, 170(10), pp.1108~1113 (2004), American Thoracic Society[DOI]
  3. Knauert M, "Clinical consequences and economic costs of untreated obstructive sleep apnea syndrome", World J Otorhinolaryngol Head Neck Surg, 1, pp.17~27 (2015)[DOI]
  4. Sergio Garbarino, "Risk of Occupational Accidents in Workers with Obstructive Sleep Apnea: Systematic Review and Meta-analysis", Sleep, 39(6), pp.1211~1218 (2016), Oxford University Press (OUP)[DOI]
  5. Stéphanie Bioulac, "Risk of Motor Vehicle Accidents Related to Sleepiness at the Wheel: A Systematic Review and Meta-Analysis", Sleep, 40(10) (2017), Oxford University Press (OUP)[DOI]
  6. "Prevalence of motor vehicle crashes involving drowsy drivers, United States, 2009-2013" (2014)[URL]
  7. Sassani A, "Reducing motor-vehicle collisions, costs, and fatalities by treating obstructive sleep apnea syndrome", Sleep, 27, pp.453~458 (2004)[DOI]
  8. 김근태, "졸음 운전의 현황과 대책", Journal of sleep medicine, 13(2), pp.35~39 (2016), 대한수면연구학회
  9. Stephen Tregear, "Obstructive Sleep Apnea and Risk of Motor Vehicle Crash: Systematic Review and Meta-Analysis", Journal of Clinical Sleep Medicine, 05(06), pp.573~581 (2009), American Academy of Sleep Medicine (AASM)[DOI]
  10. Antonopoulos CN, "Nasal continuous positive airway pressure (nCPAP) treatment for obstructive sleep apnea, road traffic accidents and driving simulator performance: a meta-analysis", Sleep Med Rev, 15, pp.301~310 (2011)[DOI]
  11. 임수환, "수면장애와 교통사고의 위험", Journal of sleep medicine, 18(2), pp.72~77 (2021), 대한수면연구학회
  12. Terry Young, "Sleep-Disordered Breathing and Motor Vehicle Accidents in a Population-Based Sample of Employed Adults", Sleep, 20(8), pp.608~613 (1997), Oxford University Press (OUP)[DOI]
  13. Terán-Santos J, "The association between sleep apnea and the risk of traffic accidents. Cooperative Group Burgos-Santander", N Engl J Med, 340, pp.847~851 (1999)[DOI]
  14. A T Mulgrew, "Risk and severity of motor vehicle crashes in patients with obstructive sleep apnoea", hypopnoea, 2008, pp.63(6), 536~541[DOI]
  15. Jun-Sang Sunwoo, "Sleep characteristics associated with drowsy driving", Sleep Medicine, 40, pp.4~10 (2017), Elsevier BV[DOI]
  16. Carlos K.H. Wong, "The Impact of Work Nature, Lifestyle, and Obesity on Health-Related Quality of Life in Chinese Professional Drivers", Journal of Occupational & Environmental Medicine, 54(8), pp.989~994 (2012), Ovid Technologies (Wolters Kluwer Health)[DOI]
  17. Jun-Sang Sunwoo, "High risk of obstructive sleep apnea, insomnia, and daytime sleepiness among commercial motor vehicle drivers", Sleep and Breathing, 23(3), pp.979~985 (2019), Springer Science and Business Media LLC[DOI]
  18. Mark E. Howard, "Sleepiness, Sleep-disordered Breathing, and Accident Risk Factors in Commercial Vehicle Drivers", American Journal of Respiratory and Critical Care Medicine, 170(9), pp.1014~1021 (2004), American Thoracic Society[DOI]
  19. Terry Young, "The Occurrence of Sleep-Disordered Breathing among Middle-Aged Adults", New England Journal of Medicine, 328(17), pp.1230~1235 (1993), Massachusetts Medical Society[DOI]
  20. Lynn Meuleners, "Obstructive Sleep Apnea, Health-Related Factors, and Long Distance Heavy Vehicle Crashes in Western Australia: A Case Control Study", Journal of Clinical Sleep Medicine, 11(04), pp.413~418 (2015), American Academy of Sleep Medicine (AASM)[DOI]
  21. Terry Young, "Epidemiology of obstructive sleep apnea: a population health perspective", American Journal of Respiratory and Critical Care Medicine, 165(9), pp.1217~1239 (2002), American Thoracic Society[DOI]
  22. Sergio Garbarino, "Sleep Apnea, Sleep Debt and Daytime Sleepiness Are Independently Associated with Road Accidents. A Cross-Sectional Study on Truck Drivers", PLOS ONE, 11(11), pp.e0166262~ (2016), Public Library of Science (PLoS)[DOI]
  23. 김대영, "Sleep Status and the Risk Factor of Drowsy-Related Accidents in Commercial Motor Vehicle Drivers", sleep medicine research, 9(2), pp.97~103 (2018), 대한수면학회
  24. Stoohs RA, "Traffic Accidents in Commercial Long-Haul Truck Drivers: The Influence of Sleep-Disordered Breathing and Obesity", Sleep, 17, pp.619~623 (1994), Oxford University Press (OUP)[DOI]
  25. Mahssa Karimi, "Sleep Apnea Related Risk of Motor Vehicle Accidents is Reduced by Continuous Positive Airway Pressure: Swedish Traffic Accident Registry Data", Sleep, 38(3), pp.341~349 (2015), Oxford University Press (OUP)[DOI]
  26. Clete A. Kushida, "Practice Parameters for the Use of Continuous and Bilevel Positive Airway Pressure Devices to Treat Adult Patients With Sleep-Related Breathing Disorders", Sleep, 29(3), pp.375~380 (2006), Oxford University Press (OUP)[DOI]
  27. 선우준상, "성인 폐쇄수면무호흡의 치료 개괄", Journal of sleep medicine, 14(1), pp.1~9 (2017), 대한수면연구학회[DOI]
  28. C F P George, "Reduction in motor vehicle collisions following treatment of sleep apnoea with nasal CPAP", Thorax, 56(7), pp.508~512 (2001), BMJ[DOI]
  29. M. Hack, "Randomised prospective parallel trial of therapeutic versus subtherapeutic nasal continuous positive airway pressure on simulated steering performance in patients with obstructive sleep apnoea", Thorax, 55(3), pp.224~231 (2000), BMJ[DOI]
  30. Alison McMillan, "Continuous positive airway pressure in older people with obstructive sleep apnoea syndrome (PREDICT): a 12-month, multicentre, randomised trial", The Lancet Respiratory Medicine, 2(10), pp.804~812 (2014), Elsevier BV[DOI]
  31. Loretta J. Colvin, "Commercial Motor Vehicle Driver Positive Airway Pressure Therapy Adherence in a Sleep Center", Journal of Clinical Sleep Medicine, 12(04), pp.477~485 (2016), American Academy of Sleep Medicine (AASM)[DOI]
  32. Terri E. Weaver, "Relationship Between Hours of CPAP Use and Achieving Normal Levels of Sleepiness and Daily Functioning", Sleep, 30(6), pp.711~719 (2007), Oxford University Press (OUP)[DOI]
  33. "MCSAC and MRB task 11-05-final report on obstructive sleep apnea (OSA)" (2012)[URL]
  34. Najib Ayas, "Obstructive Sleep Apnea and Driving: A Canadian Thoracic Society and Canadian Sleep Society Position Paper", Canadian Respiratory Journal, 21(2), pp.114~123 (2014), Hindawi Limited[DOI]
  35. Kingman P. Strohl, "An official American Thoracic Society clinical practice guideline: sleep apnea, sleepiness, and driving risk in noncommercial drivers. An update of a 1994 statement", American Journal of Respiratory and Critical Care Medicine, 187(11), pp.1259~1266 (2013), American Thoracic Society[DOI]
  36. "Assessing fitness to drive: a guide for medical professionals" (2016)[URL]

관련 논문AI추천

수면장애와 교통사고의 위험구대림, 김경민, 김대영, 김혜윤, 양광익, 임수환, 임희진, 조재욱, 선우준상, 대한수면연구학회대한수면연구학회 · Journal of sleep medicine2021 · 제18권 제2호기면병 환자의 졸음운전 관련 교통사고 예방을 위한 제안구대림, 김경민, 김대영, 김혜윤, 양광익, 임수환, 임희진, 조재욱, 선우준상, 대한수면연구학회대한수면연구학회 · Journal of sleep medicine2021 · 제18권 제3호한국인 직업운전자에서 수면설문조사 결과 분석허진, 김진국, 김현직, 박한결, 송슬기, 송윤재, 이동한, 지정연, 최고운, 한선아, 현세진대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2019 · 제62권 제4호성인 폐쇄수면무호흡의 치료 개괄양광익, 선우준상대한수면연구학회 · Journal of sleep medicine2017 · 제14권 제1호수면장애와 졸음운전의 상관성김기봉, 김복조, 박상남, 박창은, 성현호대한임상검사과학회 · 대한임상검사과학회지2015 · 제47권 제4호졸음 운전의 현황과 대책김근태, 정기영대한수면연구학회 · Journal of sleep medicine2016 · 제13권 제2호

이 간행물의 다른 논문 (8건)

폐쇄수면무호흡과 뇌졸중 및 위험인자간의 연관성우호걸, 송태진, 양광익pp. 119-126기면병 환자의 졸음운전 관련 교통사고 예방을 위한 제안조재욱, 임희진, 김경민, 김대영, 김혜윤, 임수환, 양광익, 구대림, 선우준상, 대한수면연구학회pp. 137-144Prevalence of Sleep Disturbances During COVID-19 Pandemic in a Nepalese Population: A Cross-Sectional StudyAvinash Chandra, Pooja Prakash, Nabina Sharma, Ayush Chandrapp. 145-153The “Sleep Well, Lincolnshire” Project: Evaluation of an Online Sleep Practitioner ClinicVicki Dawson, Lowri Thomas, Lisa Artis, Heather Elphick, Claire Earley, Karen Tyaspp. 154-161Efficacy of Oxcarbazepine for Sleep-Related Leg Cramps: A Retrospective Study정기영, 신용원, 안선재pp. 162-166
원문 보기