Titre du document / Document title

Reducing motor-vehicle collisions, costs, and fatalities by treating Obstructive Sleep Apnea syndrome

Auteur(s) / Author(s)

SASSANI Alex ⁽¹⁾ ; FINDLEY Larry J. ⁽²⁾ ; KRYGER Meir ⁽³⁾ ; GOLDLUST Eric ⁽⁴⁾ ; GEORGE Charles ⁽⁵⁾ ; DAVIDSON Terence M. ⁽⁶⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ University of California, San Diego, School of Medicine Department of Radiology, ETATS-UNIS
⁽²⁾ Sleep Disorders Center of Northern Colorado, ETATS-UNIS
⁽³⁾ Department of Medicine, University of Manitoba and Sleep Disorders Centre, St Boniface General Hospital, Winnipeg, CANADA
⁽⁴⁾ Department of Family and Preventive Medicine, University of California at San Diego School of Medicine and San Diego State University Graduate School of Public Health, ETATS-UNIS
⁽⁵⁾ Department of Medicine, University of Western Ontario, CANADA
⁽⁶⁾ University of California at San Diego School of Medicine and VA San Diego Health System, ETATS-UNIS

Résumé / Abstract

Study Objectives: Drivers suffering from obstructive sleep apnea syndrome (OSAS) have an increased risk for being involved in motor-vehicle collisions. This study estimates, for the first time, the annual OSAS-related collisions, costs, and fatalities in the United States and performs a cost-benefit analysis of treating drivers suffering from OSAS with continuous positive airway pressure (CPAP). Design: The MEDLINE-PubMed database (1980 to 2003) was searched for information on OSAS. A meta-analysis was performed of studies investigating the relationship between collisions and OSAS. Data from the National Safety Council were used to estimate OSAS-related collisions, costs, and fatalities and their reduction with treatment. Next, the annual cost of treating OSAS with CPAP was calculated. Finally, multiple 1-way sensitivity analyses were performed. Setting: N/A. Patients or Participants: N/A. Interventions: N/A. Measurements and Results: More than 800,000 drivers were involved in OSAS-related motor-vehicle collisions in the year 2000. These collisions cost $15.9 billion and 1,400 lives in the year 2000. In the United States, treating all drivers suffering from OSAS with CPAP would cost $3.18 billion, save $11.1 billion in collision costs, and save 980 lives annually. Conclusion: Annually, a small but significant portion of motor-vehicle collisions, costs, and deaths are related to OSAS. With CPAP treatment, most of these collisions, costs, and deaths can be prevented. Treatment of OSAS benefits both the patient and the public.

Revue / Journal Title

Sleep   ISSN 0161-8105   CODEN SLEED6 

Source / Source

2004, vol. 27, n^o3, pp. 453-458 [6 page(s) (article)] (43 ref.)

Langue / Language

Anglais

Editeur / Publisher

American Academy of Sleep Medicine, Rochester, MN, ETATS-UNIS  (1978) (Revue)

Mots-clés anglais / English Keywords

Instrumentation therapy ; Mechanical ventilation ; ENT disease ; Cost minimization ; Human ; Risk factor ; Somnolence ; Traffic accident ; Vehicle driving ; Intranasal administration ; Continuous ; Positive pressure ; Upper respiratory tract ; Obstruction ; Sleep apnea syndrome ;

Mots-clés français / French Keywords

Traitement instrumental ; Ventilation mécanique ; ORL pathologie ; Minimisation coût ; Homme ; Facteur risque ; Somnolence ; Accident circulation ; Conduite véhicule ; Voie intranasale ; Continu ; Pression positive ; Voie respiratoire supérieure ; Obstruction ; Apnée sommeil syndrome ;

Mots-clés espagnols / Spanish Keywords

Tratamiento instrumental ; Ventilación mecánica ; ORL patología ; Minimización costo ; Hombre ; Factor riesgo ; Somnolencia ; Accidente tráfico ; Conducción vehículo ; Vía intranasal ; Contínuo ; Presión positiva ; Vía respiratoria superior ; Obstrucción ; Apnea sueno síndrome ;

Localisation / Location

INIST-CNRS, Cote INIST : 18084, 35400011164770.0140