ArticlePloS one2016
Sleep Apnea, Sleep Debt and Daytime Sleepiness Are Independently Associated with Road Accidents. A Cross-Sectional Study on Truck Drivers.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 6 of them syntheses 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.
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Who cites it
70 citing papers in PubMed, 6 syntheses or guidelines pooled it, 142 citations in OpenAlex.
- Risk of obstructive sleep apnea among healthcare workers: a systematic review and meta-analysis.Scientific reports · 2026Pooled it
- Comparative effects of weight-loss diet, exercise training, respiratory muscle training, and oropharyngeal muscle training in obstructive sleep apnea: a systematic review and network meta-analysis.Frontiers in medicine · 2026Pooled it
- A systematic review of COVID-19 and obstructive sleep apnoea.Sleep medicine reviews · 2021Pooled it
- Sleep Quality among Police Officers: Implications and Insights from a Systematic Review and Meta-Analysis of the Literature.International journal of environmental research and public health · 2019Pooled it
- Sleep Problems and Workplace Violence: A Systematic Review and Meta-Analysis.Frontiers in neuroscience · 2019Pooled it
- Patterns of Harmful Alcohol Consumption among Truck Drivers: Implications for Occupational Health and Work Safety from a Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2018Pooled it
- Association between occlusal support and self-reported witnessed apnea during sleep: a cross-sectional study with sex-specific differences.Sleep & breathing = Schlaf & Atmung · 2026Article
- Driving with Motor Neuron Disease: Disease-Specific Considerations, Multi-Domain Assessments and Support Strategies.Brain sciences · 2026Review
- Excessive Daytime Sleepiness and Its Associated Factors Among Male Road Transport Workers in Brazil.Journal of sleep research · 2026Article
- Sleep Quality, Insomnia, Daytime Sleepiness, and OSA Risk Across Occupational Groups: A Comparative Analysis of Professional Drivers and IT Workers.Journal of clinical medicine · 2026Article
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- What are the important risk factors for excessive daytime sleepiness in a population-based cohort?Journal of sleep research · 2025Article
- Implementation of European national driving regulations for obstructive sleep apnoea: challenges and recommendations.The European respiratory journal · 2025Article
- The Condition of Subjective Daytime Sleepiness and Its Related Decline in Work Productivity Among Daytime Workers.Journal of epidemiology · 2025Article
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- Behavioral dysregulation at work: A moderated mediation analysis of sleep impairment, work-related stress, and substance use.AIMS public health · 2025Article
- Impact of neuromodulation on excessive daytime sleepiness: a narrative review.Frontiers in psychiatry · 2025Review
- Achieving adherence to positive airway pressure in commercial drivers using an employer-mandated remote management programme.ERJ open research · 2024Article
- Long-Haul Truck Drivers' Perceptions of Truck Stops and Rest Areas: Focusing on Health and Wellness.International journal of environmental research and public health · 2024Article
10 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecent research has found evidence of an association between motor vehicle accidents (MVAs) or near miss accidents (NMAs), and excessive daytime sleepiness (EDS) or its main medical cause, Obstructive Sleep Apnea (OSA). However, EDS can also be due to non-medical factors, such as sleep debt (SD), which is common among professional truck drivers. On the opposite side, rest breaks and naps are known to protect against accidents. STUDY
objectivesTo investigate the association of OSA, SD, EDS, rest breaks and naps, with the occurrence of MVAs and NMAs in a large sample of truck drivers.
methods949 male truck drivers took part in a cross-sectional medical examination and were asked to complete a questionnaire about sleep and waking habits, risk factors for OSA and EDS.
resultsMVAs and NMAs were reported by 34.8% and 9.2% of participants, respectively. MVAs were significantly predicted by OSA (OR = 2.32 CI95% = 1.68-3.20), SD (OR = 1.45 CI95% = 1.29-1.63), EDS (OR = 1.73 CI95% = 1.15-2.61) and prevented by naps (OR = 0.59 CI95% = 0.44-0.79) or rest breaks (OR = 0.63 CI95% = 0.45-0.89). NMAs were significantly predicted by OSA (OR = 2.39 CI95% = 1.47-3.87) and SD (OR = 1.49 CI95% = 1.27-1.76) and prevented by naps (OR = 0.52 CI95% = 0.32-0.85) or rest breaks (OR = 0.49 CI95% = 0.29-0.82).
conclusionsWhen OSA, SD or EDS are present, the risk of MVAs or NMAs in truck drivers is severely increased. Taking a rest break or a nap appear to be protective against accidents.
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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.