Article Id 114

Volume 4, Number 3, Year 2002




Self-Reported Traffic Accidents and


Levent Ozturk M.D, Yuksel Tufan M.D, Fazil Guler M.D




Sleepiness in professional drivers is widely accepted to be an important cause of traffic
accidents. Despite growing knowledge of the prevalence of sleepiness in automobile and
truck drivers, estimates from different countries vary on the extent to which sleepiness is
a cause of motor vehicle accidents. We have performed a study assessing the sleep
characteristics and symptoms of disordered sleep as well as sleep related traffic accidents
in a group of professional drivers by using a self-reported sleep symptom questionnaire.
A hundred drivers with a mean age of 36 years filled out the questionnaire. Respondents
were asked, whether they had had an accident and whether they felt like the sleepiness
was the main reason. According to the answer of this question whether positive or
negative, we divided the subjects into two groups: (1) accident group and (2) no accident
group. Then, we compared the characteristics of these two. All sample rate of excessive
daytime sleepiness and sleep related traffic accidents were 21% (95% confidence
interval, CI 13,1 to 28,9) and 17% (95% CI 10,3 to 24,0) respectively. In the accident
group (n=17) only two of subjects (12%) complained of witnessed apneas, nocturnal
choking, nocturnal sweating and morning headaches. 35,3% of accident group reported
five hours or less of average sleep duration per night whereas only 13,3% of no accident
group had five hours or less sleep (p<0,05). In conclusion, this is the first study that
reports the rate of sleepiness related traffic accidents in a Turkish group of commercial
drivers. All sleepiness related accidents cannot be explained by sleep apnea syndrome.
And finally, drivers may be able to decrease their risk of accident if they get sleep more
than five hours a night. (Sleep and Hypnosis 2002;4(3):106-110)



Keywords: sleepy driving, traffic accident, self-reported sleepiness, snoring
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