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Drivers with the sleep disorder sleep apnoea are more likely to nod off at the wheel and fail simulated driving tests than motorists without the condition, new research finds. Scientists from the University Hospital in Leeds, England, conducted two studies involving sleep apnoea and driving performance.

In one study, they tested the driving ability of 133 patients with untreated sleep apnea and 89 people without the condition using a simulated driving test. As they navigated the roughly 56-mile course, the “drivers” were assessed on completion, time spent in the middle lane, unprovoked crashes and crashes caused by veering off the road.

Twice as many people with untreated sleep apnoea (24%) failed the driving test, compared to 12% of those who didn’t have the condition. The researchers noted many of the sleep apnea patients couldn’t complete the test. They also had more crashes and had difficulty following a clear set of directions given at the start of the test.

“Driving simulators can be a good way of checking the effects that a condition like sleep apnoea can have on driving ability,” said the study’s chief investigator, Dr Mark Elliott, in a news release from the European Lung Foundation. “Our research suggests that people with the condition are more likely to fail the test.”

In another study, 118 people with untreated sleep apnea completed a survey about their driving behaviour and also took the simulated driving test. Their results were compared to those of 69 people who didn’t have sleep apnoea. More than one-third (35%) of those with sleep apnoea admitted to nodding off while driving. The researchers noted 38% of this group also failed the driving test. In contrast, only 11% of those without sleep apnoea admitted falling asleep while driving. And none of the motorists without sleep apnoea failed the driving test.

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Here is the latest eNewsletter summary of what has been on the blog over the past month:

Snore Centre eNewsletter February 2013

 

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A new study by Italian researchers being published in the Chronic Respiratory Disease journal will show that out of all medical conditions sleep apnoea is the most likely to be the cause of road accidents, and that treating the condition will save lives. The abstract for “Obstructive sleep apnoea, motor vehicle accidents, and work performance”, states:

“The obstructive sleep apnoea (OSA) shows a very high prevalence in the middle-age work force population and, between all diseases and medical conditions, is the major risk factor for motor vehicle accidents (MVAs). OSA can be diagnosed and treated, with resultant reduction in MVAs to those seen in the healthy population. It is increasing evidence that it is a major risk factor for occupational accidents also in fields different from the professional transport and for work disability.

“It is likely that the treatment of OSA results in the reduction of occupational accidents and work performance improvement with expected benefits in work processes and business in general. It is therefore advisable to develop strategies for screening and treatment of OSA in workers. The risk assessment of OSA in workers may also help to reduce the burden on national health care systems.”

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According to a new study in the journal Archives of Internal Medicine on car accident factors in southwest France, there was little difference between driving sleepy or drunk. Both doubled the risk of causing a car accident. This information is largely significant for drivers and the public to be aware because it can save lives.

The study included 679 people who were hospitalized because of a car accident between 2007 and 2009 in France. According to the study, men and younger adults were more likely to drive while sleepy.

The researchers wrote: In conclusion, the main factors associated with being responsible for a crash resulting in serious injury were younger age and driving cars, but more important were alcohol ingestion and sleepiness at the wheel, which are synergic.

In terms of possible action to reduce accidents the researchers wrote: “If alcohol use while driving can be reduced by legal interdictions and punishment correlated with BAC, the fight against sleepiness at the wheel can be addressed only by information and education. Coercion might be difficult to implement: could, for instance, a Stanford sleepiness test be administered by police forces and drivers fined or forbidden to drive if they fail?”

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While I was out in Abu Dhabi speaking at the World Health Care Congress I spoke to a journalist from the region’s leading daily, Gulf News, about the dangers of sleep apnoea for drivers.

Levels of awareness about the prevalence and fatal consequences of sleeping disorders are worryingly low, and judging by the comments of Dr Yousuf Al Tigani, a psychiatry specialist at Al Noor Hospital – that he had only seen one case in seven years – suggest that people do not know they are suffering from the condition. Given that around 5% of the population in the Gulf have sleep apnoea, this situation requires urgent action.

During my visit to Abu Dhabi I was presented with a Middle East Hospital magazine award recognising my efforts to raise awareness about sleep apnoea in the region by Riz Khan of Al Jazeera. Hopefully this award will help towards increasing knowledge about sleep apnoea and is dangers, and result in more people seeking treatment.

 

 

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The October issue of the Snore Centre Patient eNewsletter is available to read here:

Snore Centre Patient eNewsletter October 2011

 

 

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The September issue is now out:

Snore Centre Patient eNewsletter September 2011

 

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New government ePetition launched to prevent road deaths due to sleep apnoea, 100,000 signatures needed to force a parliamentary debate.

Read Snore Centre Patient eNewsletter August 2011

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Johnson Hsopital, Spalding

Here is July’s eNewsletter which I forgot to post on here last month. Contains some great images of the new Snore Centre clinic in Spalding.

Snore Centre Patient eNewsletter July 2011

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Carole Upcraft has launched an e-petition calling for the government to pressure lorry drivers to have tests for sleep apnoea, which causes daytime sleepiness and fatigue.

Her son Daniel, 32, suffered brain damage and his fiancée Nicola Culshaw, 33, was killed when their car was hit by a lorry while queuing for the Dartford tunnel on the M25 in April last year. The lorry driver, 40-year-old David Thomas from Upminster, was initially charged with causing death by dangerous driving, but the case was dropped when it was discovered he had undiagnosed sleep apnoea.

Library supervisor Mrs Upcraft, of Knoll Rise, Orpington, said: “There is no point in being vengeful here. We just need to find a positive out of what happened. We do not want another family to go through what we have gone through. Research shows that 41 per cent of HGV drivers have a sleep disorder of one kind or another, but most of them won’t be aware of it.”

The petition reads:

Tired drivers cause violent deaths & horrific injuries

Responsible department: Department for Transport

I would like a debate to raise awareness for the early diagnosis of HGV drivers with sleep apnoea. Last year my son and his fiancee were crashed into by a driver who had undiagnosed sleep apnoea. My son was left with serious brain injuries and his fiancee was killed. The driver was charged with death by dangerous driving but days before the trial the case was dropped by the CPS as he was driving unaware of this medical condition. There are clear criteria and indicators as to who is likely to suffer this condition. Please help raise awareness with haulage employers and GP’s. So that no other person is killed by a condition that is treatable.

To sign the petition, which needs 100,000 signatures to be considered by the government, go to epetitions.direct.gov.uk/petitions/5851

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