ArticleProceedings of the National Academy of Sciences of the United States of America2016
High risk of near-crash driving events following night-shift work.
Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
54 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Efficacy of Dietary Supplements on Sleep Quality and Daytime Function of Shift Workers: A Systematic Review and Meta-Analysis.Frontiers in nutrition · 2022Pooled it
- The impact of a meal, snack, or not eating during the night shift on simulated driving performance post-shift.Scandinavian journal of work, environment & health · 2021Trial
- The relationship between alertness and spatial attention under simulated shiftwork.Scientific reports · 2020Trial
- Eye-Blink Parameters Detect On-Road Track-Driving Impairment Following Severe Sleep Deprivation.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019Trial
- Cognitive impairments by alcohol and sleep deprivation indicate trait characteristics and a potential role for adenosine AProceedings of the National Academy of Sciences of the United States of America · 2018Trial
- Scheduled evening sleep and enhanced lighting improve adaptation to night shift work in older adults.Occupational and environmental medicine · 2016Trial
- Influence of Seasonal and Chronobiological Factors on Driver Behavior and Traffic Accident Risk: A Scoping Review.Sleep science (Sao Paulo, Brazil) · 2026Review
- Chronic sleep restriction induces oculomotor impairment with inadequate compensation.Sleep advances : a journal of the Sleep Research Society · 2026Article
- A bistable stochastic model quantifies performance degradation during sleep deprivation.Sleep · 2025Article
- Review
- Protocol for a pilot hybrid type I effectiveness-implementation study to improve help-seeking for sleep disorders in the future healthcare workforce: The Sleep Check Before Shift Work trial.Sleep advances : a journal of the Sleep Research Society · 2025Article
- Understanding sleep health challenges of defence shift workers to design a digital, sleep and circadian management tool.Scientific reports · 2025Article
- Review
- Retaining doctors in emergency medicine: an ethnographic study of emergency departments in England.BMJ open · 2024Article
- Research on Active Safety Situation of Road Passenger Transportation Enterprises: Evaluation, Prediction, and Analysis.Entropy (Basel, Switzerland) · 2024Article
- Predicting neurobehavioral performance of resident physicians in a Randomized Order Safety Trial Evaluating Resident-Physician Schedules (ROSTERS).Sleep health · 2024Article
- Development and evaluation of a scale to measure nurses' unsafe driving behaviour while commuting.Heliyon · 2024Article
- Safe limits on work hours for the nursing profession: a rapid evidence review.Frontiers in global women's health · 2024Review
- Truck collisions attributed to falling asleep at the wheel in two commercial drivers prescribed oral appliance therapy for obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023Article
- Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
Night-shift workers are at high risk of drowsiness-related motor vehicle crashes as a result of circadian disruption and sleep restriction. However, the impact of actual night-shift work on measures of drowsiness and driving performance while operating a real motor vehicle remains unknown. Sixteen night-shift workers completed two 2-h daytime driving sessions on a closed driving track at the Liberty Mutual Research Institute for Safety: (i) a postsleep baseline driving session after an average of 7.6 ± 2.4 h sleep the previous night with no night-shift work, and (ii) a postnight-shift driving session following night-shift work. Physiological measures of drowsiness were collected, including infrared reflectance oculography, electroencephalography, and electrooculography. Driving performance measures included lane excursions, near-crash events, and drives terminated because of failure to maintain control of the vehicle. Eleven near-crashes occurred in 6 of 16 postnight-shift drives (37.5%), and 7 of 16 postnight-shift drives (43.8%) were terminated early for safety reasons, compared with zero near-crashes or early drive terminations during 16 postsleep drives (Fishers exact: P = 0.0088 and P = 0.0034, respectively). Participants had a significantly higher rate of lane excursions, average Johns Drowsiness Scale, blink duration, and number of slow eye movements during postnight-shift drives compared with postsleep drives (3.09/min vs. 1.49/min; 1.71 vs. 0.97; 125 ms vs. 100 ms; 35.8 vs. 19.1; respectively, P < 0.05 for all). Night-shift work increases driver drowsiness, degrading driving performance and increasing the risk of near-crash drive events. With more than 9.5 million Americans working overnight or rotating shifts and one-third of United States commutes exceeding 30 min, these results have implications for traffic and occupational safety.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.